Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Dignity Health Medical Foundation

Dignity Health Medical Foundation was paid $257K by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 25% of everything it billed.

33Billing provider infoDIGNITY HEALTH MEDICAL FOUNDATION
HIGHLAND, CA 92346
33aNPI1053653873assigned 03/19/2013
28Total paid$257K
24GClaims62,243
24DCodes billed55
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in California

Rank by total paid#75 of 170
Median peer was paid$145K
This provider vs. median1.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HYLEN, THERESA controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201831,090$112K
201925,658$100K
20204,413$20K
2021425$15K
202215$0.02
2023453$3K
2024incomplete189$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 25% 1,421 1,365 $64K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 16,905 15,082 $61K
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 16% 13,721 13,156 $40K
99381 4.1% 132 125 $10K
90686 3.8% 596 596 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.7% 1,071 1,054 $9K
0012A 3.1% 217 217 $8K
59425 2.9% 594 433 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.8% 736 732 $7K
0011A 2.6% 169 169 $7K
90715 1.9% 138 120 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.6% 1,044 1,035 $4K
43 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.4% 706 $4K
92551 1.0% 3,329 $3K
99203 Doctor's office visit, new patient (routine) <1% 143 $2K
90670 <1% 221 $2K
81002 <1% 5,527 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 940 $2K
90723 <1% 153 $1K
90656 <1% 48 $1K
90647 <1% 111 $970.14
0001A <1% 21 $840.00
G9920 Screening performed and negative <1% 25 $725.00
99460 <1% 36 $497.06
90681 <1% 60 $448.55
90648 <1% 58 $436.41
96127 <1% 506 $393.79
99173 <1% 3,994 $323.46
99215 Doctor's office visit, returning patient (complex) <1% 87 $254.57
90680 <1% 30 $252.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 12 $175.62
85018 <1% 1,576 $168.61
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 28 $157.61
86580 <1% 515 $118.86
90677 <1% 13 $117.00
99462 <1% 15 $108.88
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 248 $101.56
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 449 $94.50
81025 <1% 256 $61.55
90662 <1% 13 $45.29
93000 <1% 78 $42.61
99188 <1% 49 $17.82
83036 Hemoglobin; glycosylated (A1C) <1% 33 $7.69
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,805 $4.42
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 235 $0.44
36416 0% 1,349 $0.00
D1206 Topical application of fluoride varnish 0% 58 $0.00
99385 0% 101 $0.00
1126F 0% 12 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 0% 53 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 495 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 1,720 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 355 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 24 $0.00
99204 Doctor's office visit, new patient (more involved) 0% 12 $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 officialHYLEN, THERESA (CHIEF FINANCIAL OFFICER)
Parent organizationDIGNITY HEALTH MEDICAL FOUNDATION
Same official

Other billing entities under HYLEN, THERESA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.