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NEPHROLOGY ASSOCIATES MEDICAL GROUP INC

Internal Medicine, Nephrology·RIVERSIDE, CA·NPI: 1447200126Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$21.8M

$21,811,159

Total Claims

387K

Beneficiaries

249K

1.6 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+19%
2019
$2.0M
+42%
2020
$2.8M
+4%
2021
$2.9M
-1%
2022
$2.9M
+55%
2023
$4.5M
+9%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90960 (End-stage renal disease services, per month, age 20+)) accounts for 46% of total spending.

90960Top 25%

End-stage renal disease services, per month, age 20+

$10.0M

78K claims · 46.0%

Your Cost: $128.32/claim|Median: $52.76
2.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.7M

146K claims · 16.8%

Your Cost: $25.07/claim|Median: $23.99
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.2M

69K claims · 10.0%

Your Cost: $31.66/claim|Median: $35.30
0.9× median
36902Top 25%

$1.6M

3,147 claims · 7.4%

Your Cost: $513.14/claim|Median: $178.61
2.9× median
99223Normal range

Initial hospital care, per day, high complexity

$974K

17K claims · 4.5%

Your Cost: $58.98/claim|Median: $67.32
0.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$938K

31K claims · 4.3%

Your Cost: $30.34/claim|Median: $53.41
0.6× median
36907Top 10%

$388K

1,373 claims · 1.8%

Your Cost: $282.89/claim|Median: $86.23
3.3× median
90961Top 25%

$338K

2,975 claims · 1.5%

Your Cost: $113.56/claim|Median: $47.22
2.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$318K

6,351 claims · 1.5%

Your Cost: $50.05/claim|Median: $51.25
1.0× median
90935Normal range

Hemodialysis, one evaluation

$312K

7,946 claims · 1.4%

Your Cost: $39.23/claim|Median: $23.72
1.7× median
90966Top 25%

$261K

2,543 claims · 1.2%

Your Cost: $102.72/claim|Median: $56.49
1.8× median
90962Top 25%

$100K

1,284 claims · 0.5%

Your Cost: $77.54/claim|Median: $40.91
1.9× median
99152Top 25%

$82K

3,213 claims · 0.4%

Your Cost: $25.52/claim|Median: $7.34
3.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$74K

3,607 claims · 0.3%

Your Cost: $20.63/claim|Median: $37.81
0.5× median
75710Top 25%

$71K

1,086 claims · 0.3%

Your Cost: $64.97/claim|Median: $29.01
2.2× median
36901Top 10%

$67K

289 claims · 0.3%

Your Cost: $230.37/claim|Median: $69.67
3.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$63K

1,962 claims · 0.3%

Your Cost: $32.20/claim|Median: $22.44
1.4× median
93985Top 10%

$57K

287 claims · 0.3%

Your Cost: $197.81/claim|Median: $87.88
2.3× median
99215Normal range

Office/outpatient visit, high complexity

$51K

957 claims · 0.2%

Your Cost: $53.10/claim|Median: $74.09
0.7× median
99443Normal range

Telephone E/M by physician, 21-30 min

$45K

1,128 claims · 0.2%

Your Cost: $40.06/claim|Median: $32.55
1.2× median
36215Normal range

$21K

321 claims · 0.1%

Your Cost: $64.77/claim|Median: $81.21
0.8× median
77001Top 25%

$20K

471 claims · 0.1%

Your Cost: $41.53/claim|Median: $8.60
4.8× median
99291Normal range

Critical care, first 30-74 minutes

$16K

240 claims · 0.1%

Your Cost: $68.44/claim|Median: $101.24
0.7× median
99254Normal range

$16K

262 claims · 0.1%

Your Cost: $62.45/claim|Median: $81.43
0.8× median
37248Top 5%

$14K

13 claims · 0.1%

Your Cost: $1,112.36/claim|Median: $229.76
4.8× median
93990Top 25%

$13K

230 claims · 0.1%

Your Cost: $56.70/claim|Median: $29.24
1.9× median
76937Normal range

$12K

979 claims · 0.1%

Your Cost: $11.96/claim|Median: $6.99
1.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$10K

157 claims · 0.0%

Your Cost: $62.18/claim|Median: $84.03
0.7× median
99231Normal range

Subsequent hospital care, per day, low complexity

$9K

508 claims · 0.0%

Your Cost: $16.96/claim|Median: $16.77
1.0× median
36581Normal range

$8K

84 claims · 0.0%

Your Cost: $90.06/claim|Median: $106.31
0.8× median
37252Top 25%

$6K

12 claims · 0.0%

Your Cost: $510.03/claim|Median: $175.56
2.9× median
36589Normal range

$6K

64 claims · 0.0%

Your Cost: $94.38/claim|Median: $74.29
1.3× median
99451Top 25%

$5K

139 claims · 0.0%

Your Cost: $34.50/claim|Median: $20.05
1.7× median
G2211Normal range

$4K

1,413 claims · 0.0%

Your Cost: $2.58/claim|Median: $2.40
1.1× median
99153Normal range

$3K

286 claims · 0.0%

Your Cost: $10.25/claim|Median: $5.60
1.8× median
Q9967Normal range

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$3K

1,810 claims · 0.0%

Your Cost: $1.48/claim|Median: $3.42
0.4× median
99458Top 5%

$2K

58 claims · 0.0%

Your Cost: $43.10/claim|Median: $6.87
6.3× median
99457Top 10%

$2K

84 claims · 0.0%

Your Cost: $28.87/claim|Median: $6.05
4.8× median
93925Normal range

$2K

26 claims · 0.0%

Your Cost: $62.68/claim|Median: $54.12
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$1K

89 claims · 0.0%

Your Cost: $15.09/claim|Median: $25.06
0.6× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1K

27 claims · 0.0%

Your Cost: $49.18/claim|Median: $57.85
0.9× median
37799Normal range

$1K

12 claims · 0.0%

Your Cost: $92.05/claim|Median: $76.94
1.2× median
99441Normal range

Telephone E/M by physician, 5-10 min

$1K

86 claims · 0.0%

Your Cost: $12.68/claim|Median: $13.30
1.0× median
99255Normal range

$978

12 claims · 0.0%

Your Cost: $81.51/claim|Median: $90.45
0.9× median
99253Normal range

$539

12 claims · 0.0%

Your Cost: $44.94/claim|Median: $55.16
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$382

16 claims · 0.0%

Your Cost: $23.89/claim|Median: $40.11
0.6× median
J3010Normal range

$336

565 claims · 0.0%

Your Cost: $0.59/claim|Median: $0.55
1.1× median
J2250Normal range

Injection, midazolam HCl, per one milligram

$210

643 claims · 0.0%

Your Cost: $0.33/claim|Median: $0.32
1.0× median
G8427Normal range

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
0.0× median
G9500Normal range

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01

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