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

University of California SFGH Medical Group

University of California SFGH Medical Group was paid $519K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 76% of everything it billed.

33Billing provider infoUNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
SAN FRANCISCO, CA 94110
33aNPI1174598296assigned 02/22/2006
33bProvider typeFamily Medicine Physician
28Total paid$519K
24GClaims18,356
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#254 of 2,511
Median peer was paid$13K
This provider vs. median40×

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 VILLANUEVA, JUANITA controls 20+ 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
20183,930$65K
20193,397$69K
20202,526$93K
20212,417$80K
20221,632$52K
20232,455$73K
2024incomplete1,999$87K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 76% 14,993 6,982 $397K
99239 Hospital discharge day management, more than 30 minutes 9.0% 1,366 1,341 $47K
99223 Prolong inpt eval add15 m 4.8% 481 473 $25K
99316 3.2% 504 497 $17K
99306 Prolong nursin fac eval 15m 3.0% 350 338 $16K
99238 Hospital discharge day management, 30 minutes or less 1.4% 290 285 $7K
99222 Initial hospital care, per day, moderate complexity <1% 71 69 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 174 133 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 98 45 $3K
99315 <1% 15 15 $600.59
99310 Prolong nursin fac eval 15m <1% 14 14 $229.32

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 officialVILLANUEVA, JUANITA (DIRECTOR)
Same official

Other billing entities under VILLANUEVA, JUANITA

Full network →
ProviderLocationPaid
University of California SFGH Medical GroupSan Francisco, CA$5.67M
University of California SFGH Medical GroupSan Francisco, CA$5.50M
University of California SFGH Medical GroupSan Francisco, CA$2.43M
University of California SFGH Medical GroupSan Francisco, CA$1.51M
University of California SFGH Medical GroupSan Francisco, CA$1.33M
University of California SFGH Medical GroupSan Francisco, CA$849K
University of California SFGH Medical GroupSan Francisco, CA$828K
University of California SFGH Medical GroupSan Francisco, CA$820K
University of California SFGH Medical GroupSan Francisco, CA$721K
University of California SFGH Medical GroupSan Francisco, CA$288K
University of California SFGH Medical GroupSan Francisco, CA$275K
University of California SFGH Medical GroupSan Francisco, CA$258K
University of California SFGH Medical GroupSan Francisco, CA$176K
University of California SFGH Medical GroupSan Francisco, CA$174K
University of California SFGH Medical GroupSan Francisco, CA$118K
University of California SFGH Medical GroupSan Francisco, CA$33K
University of California SFGH Medical GroupSan Francisco, CA$29K
University of California SFGH Medical GroupSan Francisco, CA$28K
University of California SFGH Medical GroupSan Francisco, CA$24K
University of California SFGH Medical GroupSan Francisco, CA$23K

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