Physician
UCSF Health Medical Foundation
UCSF Health Medical Foundation was paid $4K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoUCSF HEALTH MEDICAL FOUNDATION
EMERYVILLE, CA 94608
EMERYVILLE, CA 94608
33aNPI1043628316assigned 07/30/2014
33bProvider typePediatrics Physician
28Total paid$4K
24GClaims939
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#934 of 1,490
Median peer was paid$15K
This provider vs. median0.2×
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 | 839 | $272.78 | |
| 2022 | 14 | $0.00 | |
| 2023 | 24 | $32.73 | |
| 2024incomplete | 62 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 262 | 245 | $1K |
| 90480 | 29% | 17 | 17 | $1K | |
| 90656 | 24% | 20 | 20 | $842.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.9% | 25 | 25 | $175.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 29 | 27 | $123.45 |
| 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 | 1.4% | 33 | 33 | $51.14 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 287 | 125 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 61 | 61 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 27 | 27 | $0.00 |
| 90461 | 0% | 94 | 73 | $0.00 | |
| 99173 | 0% | 84 | 84 | $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 officialHU, JIMMY (CEO)
| Provider | Location | Paid |
|---|---|---|
| UCSF Health Medical Foundation | Oakland, CA | $10.20M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.