Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Woodland › NPI 1144497678
Clinic

Dignity Health Medical Foundation

Dignity Health Medical Foundation was paid $6.11M by Medicaid between Jan 2018 and Nov 2024, across 308 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 15% of everything it billed.

33Billing provider infoDIGNITY HEALTH MEDICAL FOUNDATION
WOODLAND, CA 95695
33aNPI1144497678assigned 05/14/2008
28Total paid$6.11M
24GClaims547,624
24DCodes billed308
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

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

Rank by total paid#19 of 170
Median peer was paid$145K
This provider vs. median42×

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$100K$200K2018201920202021202220232024
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
201813,610$304K
201913,075$347K
202060,327$699K
2021109,083$795K
2022135,924$1.01M
2023144,237$1.46M
2024incomplete71,368$1.49M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 15% 90,470 86,847 $905K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.4% 91,014 86,461 $575K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 7.5% 9,669 8,404 $456K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 6.2% 11,331 10,916 $376K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5.8% 4,432 4,344 $357K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.5% 10,594 10,400 $278K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.5% 15,256 13,184 $156K
G9012 Other specified case management service not elsewhere classified 2.5% 870 528 $154K
G9008 Coordinated care fee, physician coordinated care oversight services 2.4% 700 515 $148K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 2.3% 1,543 842 $138K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.1% 3,286 3,230 $127K
J0585 Injection, onabotulinumtoxina, 1 unit 1.9% 1,023 562 $115K
296 more codes
H1001 Prenatal care, at-risk enhanced service; antepartum management 1.9% 5,159 $114K
20611 1.9% 3,556 $113K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.8% 2,877 $107K
99232 Hospital visit by a doctor, follow-up day 1.7% 4,490 $105K
95144 1.6% 9,707 $96K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1.5% 385 $93K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.2% 626 $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) 1.2% 2,603 $75K
99205 Prolong outpt/office vis 1.2% 1,249 $70K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.0% 538 $62K
92551 <1% 5,165 $59K
0012A <1% 1,423 $56K
S9083 Global fee urgent care centers <1% 722 $54K
0011A <1% 1,434 $53K
93000 <1% 4,888 $51K
92557 <1% 999 $50K
99239 Hospital discharge day management, more than 30 minutes <1% 1,302 $46K
H0031 Mental health assessment, by non-physician <1% 75 $41K
94060 <1% 1,464 $40K
99244 Office or other outpatient consultation, moderate to high complexity <1% 432 $35K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,612 $35K
99223 Prolong inpt eval add15 m <1% 782 $35K
92567 <1% 867 $34K
94726 <1% 1,137 $33K
94729 <1% 1,128 $33K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 2,418 $32K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 917 $32K
90834 Psychotherapy session, about 45 minutes <1% 1,083 $30K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg <1% 252 $28K
87428 <1% 425 $27K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 4,444 $25K
90832 Psychotherapy session, about 30 minutes <1% 478 $23K
51798 <1% 797 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,532 $20K
99222 Initial hospital care, per day, moderate complexity <1% 332 $20K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 420 $20K
20550 <1% 940 $19K
95117 <1% 6,316 $19K
64615 <1% 362 $17K
93224 <1% 295 $16K
90686 <1% 8,686 $16K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,216 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 57 $16K
V5298 Hearing aid, not otherwise classified <1% 12 $16K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 1,306 $16K
76942 <1% 1,137 $15K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 801 $15K
99243 <1% 229 $14K
90670 <1% 1,892 $13K
99221 <1% 437 $11K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 624 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 2,694 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,156 $10K
90648 <1% 2,296 $10K
95885 <1% 300 $10K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 3,680 $10K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 28 $9K
90651 <1% 1,084 $9K
59025 Fetal non-stress test <1% 1,849 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,150 $7K
90723 <1% 1,096 $7K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,187 $7K
90791 Psychiatric diagnostic evaluation <1% 132 $6K
92134 <1% 403 $6K
Z1034 <1% 102 $5K
95012 <1% 554 $5K
76519 <1% 628 $5K
90677 <1% 396 $5K
0072A <1% 129 $5K
17110 <1% 94 $5K
0064A <1% 129 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 15 $4K
95806 <1% 62 $4K
92136 <1% 227 $4K
95115 <1% 1,993 $4K
0071A <1% 109 $4K
99245 <1% 27 $3K
90792 Psychiatric diagnostic evaluation with medical services <1% 19 $3K
93015 <1% 78 $3K
92133 <1% 356 $3K
0124A <1% 84 $3K
90656 <1% 955 $3K
99152 <1% 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 <1% 499 $3K
99310 Prolong nursin fac eval 15m <1% 442 $3K
90680 <1% 348 $3K
0031A <1% 62 $2K
0001A <1% 73 $2K
0134A <1% 61 $2K
92002 <1% 194 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,258 $2K
93016 <1% 154 $2K
0002A <1% 53 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 253 $2K
H1002 Prenatal care, at risk enhanced service; care coordination <1% 41 $2K
90681 <1% 215 $2K
93018 <1% 182 $2K
92083 <1% 126 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 192 $2K
99499 <1% 422 $2K
92588 <1% 26 $1K
59425 <1% 20 $1K
99242 <1% 173 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 19 $1K
90734 <1% 459 $1K
99307 <1% 253 $1K
0154A <1% 30 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 112 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,440 $982.16
81003 <1% 1,231 $921.52
20610 <1% 32 $888.63
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,537 $825.26
76830 Ultrasound, transvaginal <1% 77 $794.88
11721 <1% 43 $745.00
90694 <1% 353 $702.75
81025 <1% 292 $697.66
99238 Hospital discharge day management, 30 minutes or less <1% 31 $669.10
96160 <1% 84 $653.26
95910 <1% 12 $634.39
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 351 $631.92
95886 <1% 12 $631.65
90633 <1% 377 $631.02
81002 <1% 1,164 $574.98
85018 <1% 3,348 $532.44
20551 <1% 69 $524.16
H1003 Prenatal care, at-risk enhanced service; education <1% 41 $516.58
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,712 $514.34
0112A <1% 15 $510.00
96127 <1% 967 $495.83
94010 <1% 24 $482.60
99201 <1% 34 $471.80
0054A <1% 12 $460.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 45 $448.56
99384 <1% 15 $444.36
83036 Hemoglobin; glycosylated (A1C) <1% 10,409 $441.98
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 53 $429.10
99070 <1% 16 $416.25
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 28 $394.41
11750 <1% 16 $390.85
69210 <1% 16 $379.14
99188 <1% 153 $374.45
90710 <1% 102 $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) <1% 17 $334.22
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 6,230 $308.60
90715 <1% 284 $267.47
90620 <1% 51 $263.46
92504 <1% 32 $248.06
99406 <1% 13 $211.67
83655 <1% 224 $205.20
92700 <1% 38 $198.17
77063 Screening digital breast tomosynthesis, bilateral <1% 1,678 $173.42
90674 <1% 57 $153.00
90696 <1% 85 $112.18
90647 <1% 14 $90.00
93793 <1% 584 $88.77
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 18 $73.46
87807 <1% 116 $66.78
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 6,252 $59.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,788 $35.68
87799 <1% 273 $34.27
84443 Thyroid stimulating hormone (TSH) <1% 5,109 $28.20
87481 <1% 911 $28.07
71046 Radiologic examination, chest; 2 views <1% 782 $24.73
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,536 $23.68
81001 <1% 4,416 $19.39
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,312 $19.26
83001 <1% 199 $16.41
92499 <1% 12 $14.52
82607 <1% 1,099 $13.33
90653 <1% 234 $12.54
82728 <1% 2,330 $12.07
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 176 $11.78
86376 <1% 40 $11.64
80061 Lipid panel <1% 10,656 $11.54
80053 Comprehensive metabolic panel <1% 12,610 $9.28
84439 <1% 2,796 $7.91
85027 <1% 3,604 $5.71
87081 <1% 2,696 $5.30
82043 <1% 2,548 $5.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 14 $5.05
82570 <1% 3,116 $4.60
87205 <1% 30 $3.46
86592 <1% 3,022 $3.41
G0008 Administration of influenza virus vaccine <1% 357 $1.60
83540 0% 2,817 $0.00
81513 0% 598 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 0% 2,285 $0.00
86900 0% 625 $0.00
86708 0% 92 $0.00
86480 0% 1,006 $0.00
85610 0% 1,573 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 0% 2,009 $0.00
87186 0% 1,429 $0.00
84403 0% 725 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 0% 4,251 $0.00
83013 0% 469 $0.00
87660 0% 382 $0.00
83970 0% 66 $0.00
84146 0% 54 $0.00
84550 0% 367 $0.00
86787 0% 510 $0.00
97803 0% 30 $0.00
74018 0% 39 $0.00
82652 0% 340 $0.00
73630 0% 206 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 0% 88 $0.00
87209 0% 12 $0.00
87512 0% 245 $0.00
73030 0% 86 $0.00
84156 0% 427 $0.00
85045 0% 12 $0.00
76642 0% 145 $0.00
86038 0% 522 $0.00
80076 0% 252 $0.00
87338 0% 16 $0.00
84702 0% 151 $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 0% 95 $0.00
73610 0% 67 $0.00
83516 0% 193 $0.00
80074 0% 105 $0.00
90785 0% 15 $0.00
73110 0% 31 $0.00
73140 0% 38 $0.00
87045 0% 12 $0.00
84100 0% 15 $0.00
99199 Unlisted special service, procedure or report 0% 26 $0.00
87427 0% 25 $0.00
72100 0% 14 $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 0% 40 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 134 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 12 $0.00
90750 0% 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 0% 74 $0.00
82627 0% 12 $0.00
85007 0% 13 $0.00
99401 0% 13 $0.00
84481 0% 15 $0.00
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 0% 13 $0.00
99284 Emergency room visit (serious) 0% 16 $0.00
87075 0% 13 $0.00
87177 0% 12 $0.00
77080 0% 14 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 0% 12 $0.00
85652 0% 1,903 $0.00
86901 0% 624 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 0% 1,109 $0.00
82746 0% 1,649 $0.00
87077 0% 1,250 $0.00
86762 0% 528 $0.00
87340 0% 1,280 $0.00
83550 0% 2,707 $0.00
80069 0% 224 $0.00
83735 0% 83 $0.00
85730 0% 219 $0.00
86140 0% 1,677 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 9,070 $0.00
71045 Radiologic examination, chest; single view 0% 799 $0.00
88307 0% 29 $0.00
86850 0% 579 $0.00
84402 0% 312 $0.00
87480 0% 382 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 0% 1,948 $0.00
87070 0% 705 $0.00
86803 0% 2,121 $0.00
87086 Culture, bacterial; quantitative colony count, urine 0% 5,238 $0.00
86225 0% 78 $0.00
82951 0% 414 $0.00
88142 0% 509 $0.00
G0009 Administration of pneumococcal vaccine 0% 65 $0.00
87510 0% 382 $0.00
80048 Basic metabolic panel (calcium, ionized) 0% 1,770 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 0% 800 $0.00
87147 0% 390 $0.00
83690 0% 281 $0.00
88141 0% 142 $0.00
83014 0% 150 $0.00
84153 0% 194 $0.00
87088 0% 4,202 $0.00
83615 0% 71 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 0% 2,138 $0.00
86364 0% 245 $0.00
86800 0% 25 $0.00
86704 0% 99 $0.00
86706 0% 56 $0.00
82670 0% 12 $0.00
97014 0% 74 $0.00
96156 0% 26 $0.00
97010 0% 472 $0.00
83002 0% 53 $0.00
87046 0% 24 $0.00
87522 Neg quan hep c or qual rna 0% 50 $0.00
84270 0% 12 $0.00
82784 0% 87 $0.00
86317 0% 15 $0.00
83520 0% 29 $0.00
97016 0% 25 $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.