Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DIGNITY HEALTH MEDICAL FOUNDATION

NPI: 1144497678 · WOODLAND, CA 95695 · Multi-Specialty Clinic/Center · NPI assigned 05/14/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HYLEN, THERESA controls 16+ related entities in our dataset. Read more

$6.11M
Total Medicaid Paid
547,624
Total Claims
507,601
Beneficiaries
308
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHYLEN, THERESA (CHIEF FINANCIAL OFFICER)
Parent OrganizationDIGNITY HEALTH MEDICAL FOUNDATION
NPI Enumeration Date05/14/2008

Related Entities

Other providers sharing the same authorized official: HYLEN, THERESA

ProviderCityStateTotal Paid
DIGNITY HEALTH MEDICAL FOUNDATION SACRAMENTO CA $14.76M
DIGNITY HEALTH MEDICAL FOUNDATION SANTA CRUZ CA $10.62M
DIGNITY HEALTH MEDICAL FOUNDATION BAKERSFIELD CA $8.04M
DIGNITY HEALTH MEDICAL FOUNDATION CAMARILLO CA $4.19M
DIGNITY HEALTH MEDICAL FOUNDATION REDDING CA $3.70M
DIGNITY HEALTH MEDICAL FOUNDATION STOCKTON CA $2.76M
DIGNITY HEALTH MEDICAL FOUNDATION MERCED CA $2.22M
DIGNITY HEALTH MEDICAL FOUNDATION BELMONT CA $2.11M
DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE CA $1.93M
DIGNITY HEALTH MEDICAL FOUNDATION RANCHO CORDOVA CA $1.28M
DIGNITY HEALTH MEDICAL FOUNDATION GRASS VALLEY CA $536K
DIGNITY HEALTH MEDICAL FOUNDATION SAN FRANCISCO CA $349K
DIGNITY HEALTH MEDICAL FOUNDATION HIGHLAND CA $257K
DIGNITY HEALTH MEDICAL FOUNDATION RANCHO CORDOVA CA $32K
DIGNITY HEALTH MEDICAL FOUNDATION FONTANA CA $3K
DIGNITY HEALTH MEDICAL FOUNDATION ELK GROVE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,610 $304K
2019 13,075 $347K
2020 60,327 $699K
2021 109,083 $795K
2022 135,924 $1.01M
2023 144,237 $1.46M
2024 71,368 $1.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 90,470 86,847 $905K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 91,014 86,461 $575K
99215 Prolong outpt/office vis 9,669 8,404 $456K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 11,331 10,916 $376K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,432 4,344 $357K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,594 10,400 $278K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 15,256 13,184 $156K
G9012 Other specified case management service not elsewhere classified 870 528 $154K
G9008 Coordinated care fee, physician coordinated care oversight services 700 515 $148K
90837 Psychotherapy, 53 minutes with patient 1,543 842 $138K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,286 3,230 $127K
J0585 Injection, onabotulinumtoxina, 1 unit 1,023 562 $115K
H1001 Prenatal care, at-risk enhanced service; antepartum management 5,159 4,044 $114K
20611 3,556 2,714 $113K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,877 2,613 $107K
99232 Subsequent hospital care, per day, moderate complexity 4,490 2,400 $105K
95144 9,707 5,108 $96K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 385 262 $93K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 626 601 $76K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 2,603 2,569 $75K
99205 Prolong outpt/office vis 1,249 1,224 $70K
45380 Colonoscopy, flexible; with biopsy, single or multiple 538 530 $62K
92551 5,165 5,060 $59K
0012A 1,423 1,423 $56K
S9083 Global fee urgent care centers 722 690 $54K
0011A 1,434 1,434 $53K
93000 4,888 4,794 $51K
92557 999 976 $50K
99239 Hospital discharge day management, more than 30 minutes 1,302 1,282 $46K
H0031 Mental health assessment, by non-physician 75 41 $41K
94060 1,464 1,448 $40K
99244 Office or other outpatient consultation, moderate to high complexity 432 422 $35K
99233 Prolong inpt eval add15 m 1,612 771 $35K
99223 Prolong inpt eval add15 m 782 756 $35K
92567 867 835 $34K
94726 1,137 1,127 $33K
94729 1,128 1,118 $33K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,418 2,274 $32K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 917 907 $32K
90834 Psychotherapy, 45 minutes with patient 1,083 693 $30K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 252 250 $28K
87428 425 405 $27K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,444 4,151 $25K
90832 Psychotherapy, 30 minutes with patient 478 297 $23K
51798 797 753 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,532 3,255 $20K
99222 Initial hospital care, per day, moderate complexity 332 328 $20K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 420 393 $20K
20550 940 782 $19K
95117 6,316 3,533 $19K
64615 362 362 $17K
93224 295 290 $16K
90686 8,686 8,459 $16K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,216 1,208 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 57 56 $16K
V5298 Hearing aid, not otherwise classified 12 12 $16K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,306 1,212 $16K
76942 1,137 1,117 $15K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 801 799 $15K
99243 229 225 $14K
90670 1,892 1,807 $13K
99221 437 433 $11K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 624 568 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,694 2,629 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,156 2,134 $10K
90648 2,296 2,181 $10K
95885 300 298 $10K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 3,680 2,939 $10K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 28 27 $9K
90651 1,084 1,072 $9K
59025 Fetal non-stress test 1,849 1,292 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,150 1,145 $7K
90723 1,096 1,052 $7K
99308 Subsequent nursing facility care, per day, straightforward 1,187 1,056 $7K
90791 Psychiatric diagnostic evaluation 132 125 $6K
92134 403 401 $6K
Z1034 102 66 $5K
95012 554 546 $5K
76519 628 605 $5K
90677 396 374 $5K
0072A 129 129 $5K
17110 94 91 $5K
0064A 129 129 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters 15 15 $4K
95806 62 62 $4K
92136 227 178 $4K
95115 1,993 1,119 $4K
0071A 109 109 $4K
99245 27 27 $3K
90792 Psychiatric diagnostic evaluation with medical services 19 19 $3K
93015 78 78 $3K
92133 356 354 $3K
0124A 84 84 $3K
90656 955 953 $3K
99152 61 61 $3K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 499 484 $3K
99310 Prolong nursin fac eval 15m 442 348 $3K
90680 348 317 $3K
0031A 62 62 $2K
0001A 73 73 $2K
0134A 61 61 $2K
92002 194 192 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,258 6,084 $2K
93016 154 149 $2K
0002A 53 53 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 253 201 $2K
H1002 Prenatal care, at risk enhanced service; care coordination 41 40 $2K
90681 215 214 $2K
93018 182 176 $2K
92083 126 126 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 192 174 $2K
99499 422 396 $2K
92588 26 26 $1K
59425 20 15 $1K
99242 173 169 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 19 12 $1K
90734 459 459 $1K
99307 253 223 $1K
0154A 30 30 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 112 107 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,440 1,389 $982.16
81003 1,231 1,181 $921.52
20610 32 25 $888.63
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,537 1,489 $825.26
76830 Ultrasound, transvaginal 77 76 $794.88
11721 43 42 $745.00
90694 353 348 $702.75
81025 292 281 $697.66
99238 Hospital discharge day management, 30 minutes or less 31 31 $669.10
96160 84 82 $653.26
95910 12 12 $634.39
G8510 Screening for depression is documented as negative, a follow-up plan is not required 351 350 $631.92
95886 12 12 $631.65
90633 377 356 $631.02
81002 1,164 1,129 $574.98
85018 3,348 3,172 $532.44
20551 69 58 $524.16
H1003 Prenatal care, at-risk enhanced service; education 41 31 $516.58
77067 Screening mammography, bilateral, including computer-aided detection 1,712 1,695 $514.34
0112A 15 15 $510.00
96127 967 929 $495.83
94010 24 24 $482.60
99201 34 34 $471.80
0054A 12 12 $460.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 45 42 $448.56
99384 15 15 $444.36
83036 Hemoglobin; glycosylated (A1C) 10,409 10,299 $441.98
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 53 53 $429.10
99070 16 12 $416.25
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 28 27 $394.41
11750 16 13 $390.85
69210 16 16 $379.14
99188 153 135 $374.45
90710 102 101 $341.48
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 17 13 $334.22
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,230 6,074 $308.60
90715 284 284 $267.47
90620 51 51 $263.46
92504 32 26 $248.06
99406 13 13 $211.67
83655 224 201 $205.20
92700 38 38 $198.17
77063 Screening digital breast tomosynthesis, bilateral 1,678 1,661 $173.42
90674 57 57 $153.00
90696 85 84 $112.18
90647 14 14 $90.00
93793 584 483 $88.77
99231 Subsequent hospital care, per day, straightforward or low complexity 18 12 $73.46
87807 116 106 $66.78
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,252 6,097 $59.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,788 5,471 $35.68
87799 273 252 $34.27
84443 Thyroid stimulating hormone (TSH) 5,109 5,049 $28.20
87481 911 822 $28.07
71046 Radiologic examination, chest; 2 views 782 765 $24.73
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,536 3,510 $23.68
81001 4,416 4,259 $19.39
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,312 2,280 $19.26
83001 199 199 $16.41
92499 12 12 $14.52
82607 1,099 1,087 $13.33
90653 234 230 $12.54
82728 2,330 2,288 $12.07
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 176 175 $11.78
86376 40 40 $11.64
80061 Lipid panel 10,656 10,528 $11.54
80053 Comprehensive metabolic panel 12,610 12,218 $9.28
84439 2,796 2,751 $7.91
85027 3,604 3,546 $5.71
87081 2,696 2,629 $5.30
82043 2,548 2,513 $5.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 14 $5.05
82570 3,116 3,066 $4.60
87205 30 29 $3.46
86592 3,022 2,971 $3.41
G0008 Administration of influenza virus vaccine 357 356 $1.60
83540 2,817 2,771 $0.00
81513 598 583 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,285 2,270 $0.00
86900 625 606 $0.00
86708 92 89 $0.00
86480 1,006 987 $0.00
85610 1,573 1,393 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,009 1,871 $0.00
87186 1,429 1,388 $0.00
84403 725 715 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,251 2,149 $0.00
83013 469 463 $0.00
87660 382 377 $0.00
83970 66 64 $0.00
84146 54 54 $0.00
84550 367 361 $0.00
86787 510 499 $0.00
97803 30 29 $0.00
74018 39 37 $0.00
82652 340 336 $0.00
73630 206 200 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 88 52 $0.00
87209 12 12 $0.00
87512 245 244 $0.00
73030 86 85 $0.00
84156 427 412 $0.00
85045 12 12 $0.00
76642 145 99 $0.00
86038 522 513 $0.00
80076 252 248 $0.00
87338 16 16 $0.00
84702 151 123 $0.00
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 95 94 $0.00
73610 67 63 $0.00
83516 193 184 $0.00
80074 105 104 $0.00
90785 15 13 $0.00
73110 31 28 $0.00
73140 38 37 $0.00
87045 12 12 $0.00
84100 15 14 $0.00
99199 Unlisted special service, procedure or report 26 24 $0.00
87427 25 24 $0.00
72100 14 13 $0.00
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 40 40 $0.00
90472 Immunization administration, each additional vaccine (list separately) 134 133 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $0.00
90750 14 14 $0.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 74 68 $0.00
82627 12 12 $0.00
85007 13 13 $0.00
99401 13 12 $0.00
84481 15 15 $0.00
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 13 12 $0.00
99284 Emergency department visit for the evaluation and management, high severity 16 16 $0.00
87075 13 12 $0.00
87177 12 12 $0.00
77080 14 14 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $0.00
85652 1,903 1,863 $0.00
86901 624 605 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,109 1,085 $0.00
82746 1,649 1,637 $0.00
87077 1,250 1,215 $0.00
86762 528 519 $0.00
87340 1,280 1,260 $0.00
83550 2,707 2,665 $0.00
80069 224 220 $0.00
83735 83 78 $0.00
85730 219 217 $0.00
86140 1,677 1,644 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,070 8,593 $0.00
71045 Radiologic examination, chest; single view 799 709 $0.00
88307 29 25 $0.00
86850 579 568 $0.00
84402 312 312 $0.00
87480 382 377 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 1,948 1,859 $0.00
87070 705 688 $0.00
86803 2,121 2,085 $0.00
87086 Culture, bacterial; quantitative colony count, urine 5,238 4,974 $0.00
86225 78 77 $0.00
82951 414 401 $0.00
88142 509 509 $0.00
G0009 Administration of pneumococcal vaccine 65 65 $0.00
87510 382 377 $0.00
80048 Basic metabolic panel (calcium, ionized) 1,770 1,731 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 800 452 $0.00
87147 390 384 $0.00
83690 281 275 $0.00
88141 142 142 $0.00
83014 150 149 $0.00
84153 194 185 $0.00
87088 4,202 4,023 $0.00
83615 71 68 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,138 2,128 $0.00
86364 245 236 $0.00
86800 25 25 $0.00
86704 99 96 $0.00
86706 56 53 $0.00
82670 12 12 $0.00
97014 74 40 $0.00
96156 26 24 $0.00
97010 472 262 $0.00
83002 53 53 $0.00
87046 24 24 $0.00
87522 Neg quan hep c or qual rna 50 50 $0.00
84270 12 12 $0.00
82784 87 84 $0.00
86317 15 14 $0.00
83520 29 26 $0.00
97016 25 16 $0.00