Nephrology Associates of Upland and Pomona

Nephrology Associates of Upland and Pomona was paid $5.57M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 43% of everything it billed.

33Billing provider infoNEPHROLOGY ASSOCIATES OF UPLAND AND POMONA
UPLAND, CA 91786

33aNPI1982631222assigned 06/26/2006

33bProvider typeNephrology Physician

28Total paid$5.57M

24GClaims100,678

24DCodes billed36

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#3 of 363

Median peer was paid$80K

This provider vs. median70×

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	12,433	$708K
2019	15,301	$823K
2020	13,054	$844K
2021	13,156	$781K
2022	12,067	$623K
2023	17,613	$840K
2024incomplete	17,054	$948K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	43%	21,576	21,484	$2.42M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	24%	43,557	14,413	$1.34M
36902		9.3%	1,146	1,109	$518K
99223	Prolong inpt eval add15 m	4.4%	4,397	4,250	$243K
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	3.4%	7,948	7,857	$190K
36901		2.9%	894	868	$163K
75710		1.8%	1,737	1,620	$102K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.8%	3,858	1,572	$99K
36903		1.4%	28	28	$79K
36215		1.1%	1,247	1,157	$63K
99152		<1%	1,916	1,834	$44K
36589		<1%	503	491	$40K

24 more codes

36905		<1%	62	$38K
99222	Initial hospital care, per day, moderate complexity	<1%	719	$34K
37248		<1%	61	$29K
36907		<1%	129	$28K
36581		<1%	302	$27K
77001		<1%	800	$27K
J2997	Injection, alteplase recombinant, 1 mg	<1%	163	$20K
90961		<1%	136	$14K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	4,582	$10K
99454		<1%	571	$8K
90966		<1%	48	$6K
99213	Doctor's office visit, returning patient (routine)	<1%	412	$6K
99457		<1%	585	$4K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,220	$3K
99490	Ccm add 20min	<1%	410	$3K
36558		<1%	40	$3K
99439		<1%	230	$2K
99458		<1%	169	$1K
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	283	$963.50
76937		<1%	46	$608.89
99153	Mod sedat endo service >5yrs	<1%	32	$371.07
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	444	$196.65
G9500	Radiation exposure indices documented in final report for procedure using fluoroscopy	<1%	414	$0.03
6030F		0%	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 officialHENG, MARGARET (MANAGER)