Physician
Community Foundation Medical Group
Community Foundation Medical Group was paid $269K by Medicaid between Jan 2018 and Apr 2023, across 171 billing codes. Its largest line is 01967, Neuraxial labor analgesia/anesthesia for planned vaginal delivery — 46% of everything it billed.
33Billing provider infoCOMMUNITY FOUNDATION MEDICAL GROUP
FRESNO, CA 93711
FRESNO, CA 93711
33aNPI1134668353assigned 02/21/2017
33bProvider typeAnesthesiology Physician
28Total paid$269K
24GClaims32,634
24DCodes billed171
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Anesthesiology Physician providers in California
Rank by total paid#58 of 415
Median peer was paid$17K
This provider vs. median15×
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 | 18,284 | $52K | |
| 2019 | 5,422 | $21K | |
| 2020 | 4,480 | $16K | |
| 2021 | 2,991 | $15K | |
| 2022 | 1,041 | $116K | |
| 2023 | 416 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 46% | 4,889 | 4,880 | $124K |
| 01992 | 18% | 569 | 568 | $49K | |
| 01961 | 15% | 2,040 | 2,035 | $40K | |
| 00790 | 4.2% | 1,237 | 1,177 | $11K | |
| 00731 | 3.6% | 2,181 | 2,130 | $10K | |
| 00142 | 2.9% | 420 | 387 | $8K | |
| 00813 | 2.8% | 460 | 459 | $8K | |
| 00797 | 1.9% | 469 | 469 | $5K | |
| 01940 | 1.1% | 38 | 38 | $3K | |
| 01480 | <1% | 317 | 305 | $3K | |
| 00840 | <1% | 563 | 560 | $3K | |
| 00400 | <1% | 524 | 463 | $1K |
159 more codes
| 00811 | <1% | 304 | $1K | |
| 00732 | <1% | 132 | $1K | |
| 36620 | <1% | 539 | $741.97 | |
| 36556 | <1% | 189 | $607.60 | |
| 00140 | <1% | 25 | $317.93 | |
| 01844 | <1% | 42 | $83.51 | |
| 00300 | <1% | 15 | $66.02 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 1,106 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 503 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 424 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 19 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 911 | $0.00 |
| 83021 | 0% | 29 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 308 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 54 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 310 | $0.00 |
| 83789 | 0% | 29 | $0.00 | |
| 01996 | 0% | 417 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 16 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 412 | $0.00 |
| 81001 | 0% | 422 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 150 | $0.00 |
| 82607 | 0% | 64 | $0.00 | |
| 90744 | 0% | 79 | $0.00 | |
| 82746 | 0% | 12 | $0.00 | |
| 83690 | 0% | 90 | $0.00 | |
| 86850 | 0% | 91 | $0.00 | |
| 84703 | 0% | 15 | $0.00 | |
| 99381 | 0% | 47 | $0.00 | |
| 93000 | 0% | 109 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 261 | $0.00 |
| 96151 | 0% | 12 | $0.00 | |
| 87088 | 0% | 130 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 1,100 | $0.00 |
| 82261 | 0% | 29 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 540 | $0.00 |
| 87510 | 0% | 39 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 77 | $0.00 |
| 82728 | 0% | 48 | $0.00 | |
| 86361 | 0% | 53 | $0.00 | |
| 82950 | 0% | 34 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 106 | $0.00 |
| 85652 | 0% | 13 | $0.00 | |
| 86901 | 0% | 107 | $0.00 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | 0% | 84 | $0.00 |
| 86592 | 0% | 98 | $0.00 | |
| 80050 | General health panel | 0% | 84 | $0.00 |
| 84484 | 0% | 96 | $0.00 | |
| 87205 | 0% | 18 | $0.00 | |
| 90686 | 0% | 71 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 133 | $0.00 |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 0% | 27 | $0.00 |
| 85018 | 0% | 226 | $0.00 | |
| 92551 | 0% | 86 | $0.00 | |
| 85027 | 0% | 258 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 84 | $0.00 |
| 82962 | 0% | 113 | $0.00 | |
| 87040 | 0% | 59 | $0.00 | |
| 83605 | 0% | 45 | $0.00 | |
| 82043 | 0% | 40 | $0.00 | |
| 86780 | 0% | 170 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 21 | $0.00 |
| 85730 | 0% | 30 | $0.00 | |
| 85013 | 0% | 14 | $0.00 | |
| 86593 | 0% | 27 | $0.00 | |
| 80047 | 0% | 266 | $0.00 | |
| 82803 | 0% | 27 | $0.00 | |
| 83498 | 0% | 29 | $0.00 | |
| 85651 | 0% | 31 | $0.00 | |
| 87503 | 0% | 57 | $0.00 | |
| 94760 | 0% | 25 | $0.00 | |
| 94010 | 0% | 12 | $0.00 | |
| 90680 | 0% | 37 | $0.00 | |
| 36416 | 0% | 13 | $0.00 | |
| 83615 | 0% | 43 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 36 | $0.00 |
| 88142 | 0% | 13 | $0.00 | |
| 90698 | 0% | 89 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 48 | $0.00 |
| 86695 | 0% | 14 | $0.00 | |
| 86140 | 0% | 41 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 35 | $0.00 |
| 83880 | 0% | 48 | $0.00 | |
| 87480 | 0% | 39 | $0.00 | |
| 83735 | 0% | 208 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 14 | $0.00 |
| 80081 | 0% | 29 | $0.00 | |
| 87511 | 0% | 16 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 28 | $0.00 |
| 01968 | 0% | 286 | $0.00 | |
| 90700 | 0% | 76 | $0.00 | |
| 59425 | 0% | 441 | $0.00 | |
| 99401 | 0% | 12 | $0.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 286 | $0.00 |
| 81002 | 0% | 479 | $0.00 | |
| 87653 | 0% | 30 | $0.00 | |
| 01965 | 0% | 40 | $0.00 | |
| 86480 | 0% | 29 | $0.00 | |
| 00851 | 0% | 271 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 73 | $0.00 |
| 83540 | 0% | 54 | $0.00 | |
| 84439 | 0% | 26 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 106 | $0.00 |
| 84156 | 0% | 38 | $0.00 | |
| 82565 | 0% | 38 | $0.00 | |
| 85610 | 0% | 221 | $0.00 | |
| 80061 | Lipid panel | 0% | 447 | $0.00 |
| 83655 | 0% | 15 | $0.00 | |
| 00940 | 0% | 114 | $0.00 | |
| 81025 | 0% | 95 | $0.00 | |
| 87186 | 0% | 13 | $0.00 | |
| 87420 | 0% | 13 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 157 | $0.00 |
| 90461 | 0% | 64 | $0.00 | |
| 84100 | 0% | 140 | $0.00 | |
| 84702 | 0% | 65 | $0.00 | |
| 84550 | 0% | 136 | $0.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 84 | $0.00 |
| 90670 | 0% | 157 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 120 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 224 | $0.00 |
| 80076 | 0% | 159 | $0.00 | |
| 82274 | 0% | 31 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 90 | $0.00 |
| 90648 | 0% | 49 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 157 | $0.00 |
| 82947 | 0% | 183 | $0.00 | |
| 99173 | 0% | 90 | $0.00 | |
| 90685 | 0% | 77 | $0.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 124 | $0.00 |
| 87660 | 0% | 39 | $0.00 | |
| 99382 | 0% | 12 | $0.00 | |
| 90633 | 0% | 49 | $0.00 | |
| 82776 | 0% | 29 | $0.00 | |
| 86900 | 0% | 107 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 57 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 261 | $0.00 |
| 84466 | 0% | 39 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 15 | $0.00 |
| 90713 | 0% | 44 | $0.00 | |
| 83516 | 0% | 30 | $0.00 | |
| 87210 | 0% | 58 | $0.00 | |
| 86696 | 0% | 36 | $0.00 | |
| 90681 | 0% | 14 | $0.00 | |
| 87481 | 0% | 19 | $0.00 | |
| 82248 | 0% | 64 | $0.00 | |
| 93880 | 0% | 13 | $0.00 | |
| 82570 | 0% | 65 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 14 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 12 | $0.00 |
| 82247 | 0% | 51 | $0.00 | |
| 01470 | 0% | 23 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 51 | $0.00 |
| 80074 | 0% | 14 | $0.00 | |
| 92552 | 0% | 45 | $0.00 | |
| 87641 | 0% | 16 | $0.00 | |
| 00670 | 0% | 14 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 20 | $0.00 |
| T4541 | Incontinence product, disposable underpad, large, each | 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 officialWELLS, SCOTT (CEO/PRESIDENT)
Parent organizationCOMMUNITY FOUNDATION MEDICAL GROUP
| Provider | Location | Paid |
|---|---|---|
| Community Foundation Medical Group | Fresno, CA | $6.81M |
| Community Foundation Medical Group | Fresno, CA | $48K |
| Community Foundation Medical Group | Fresno, CA | $942.12 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.