Summit Nephrology Medical Group, INC

Summit Nephrology Medical Group, INC was paid $102K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 90961, — 59% of everything it billed.

33Billing provider infoSUMMIT NEPHROLOGY MEDICAL GROUP, INC
ROSEVILLE, CA 95661

33aNPI1962575449assigned 11/15/2006

33bProvider typeNephrology Physician

28Total paid$102K

24GClaims2,036

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#172 of 363

Median peer was paid$80K

This provider vs. median1.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	26	$2K
2019	157	$11K
2020	345	$16K
2021	288	$12K
2022	277	$13K
2023	427	$14K
2024incomplete	516	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90961		59%	880	878	$60K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	18%	751	291	$18K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	14%	159	158	$15K
90962		7.7%	156	154	$8K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1.1%	77	76	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	13	13	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBHAT, ADARSH (C.O.O.)