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

San Joaquin Faculty Medical Group

San Joaquin Faculty Medical Group was paid $12.01M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 36% of everything it billed.

33Billing provider infoSAN JOAQUIN FACULTY MEDICAL GROUP
FRENCH CAMP, CA 95231
33aNPI1225063761assigned 07/12/2006
28Total paid$12.01M
24GClaims149,766
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#12 of 2,679
Median peer was paid$13K
This provider vs. median952×

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

$0$100K$200K$300K2018201920202021202220232024
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
201815,141$1.31M
201916,954$1.36M
202022,689$1.58M
202123,382$1.78M
202218,972$1.56M
202326,317$2.13M
2024incomplete26,311$2.28M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 36% 6,313 6,296 $4.30M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 9.8% 31,217 13,895 $1.18M
99238 Hospital discharge day management, 30 minutes or less 8.1% 22,632 22,216 $968K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7.4% 6,875 2,132 $887K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.5% 15,294 7,733 $663K
99460 4.0% 8,588 8,538 $484K
59514 2.9% 1,028 996 $347K
99223 Prolong inpt eval add15 m 2.5% 3,678 3,619 $300K
99222 Initial hospital care, per day, moderate complexity 2.4% 3,597 3,491 $290K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2.0% 536 534 $246K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.8% 711 706 $216K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.8% 1,026 1,017 $215K
49 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.8% 3,528 $215K
99231 Subsequent hospital care, per day, straightforward or low complexity 1.8% 6,456 $213K
99480 Subsequent intensive care, per day, low birth weight infant 1.3% 1,237 $153K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.3% 12,258 $151K
99254 1.2% 1,866 $142K
99284 Emergency room visit (serious) 1.0% 1,535 $121K
99239 Hospital discharge day management, more than 30 minutes <1% 1,914 $113K
99462 <1% 3,465 $103K
99468 <1% 248 $93K
99221 <1% 1,835 $75K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,847 $62K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 178 $61K
59025 Fetal non-stress test <1% 4,000 $45K
99283 Emergency room visit (moderate) <1% 957 $44K
99245 <1% 274 $42K
99244 Office or other outpatient consultation, moderate to high complexity <1% 300 $36K
43235 <1% 142 $31K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 475 $30K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 215 $29K
99234 <1% 241 $27K
93016 <1% 736 $21K
99310 Prolong nursin fac eval 15m <1% 235 $11K
76942 <1% 485 $11K
94060 <1% 435 $9K
99285 Emergency room visit (most serious) <1% 64 $9K
93308 <1% 297 $8K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 44 $8K
93018 <1% 289 $6K
94726 <1% 503 $6K
94729 <1% 530 $4K
93248 <1% 121 $3K
00731 <1% 38 $3K
11981 <1% 36 $3K
99252 <1% 67 $3K
99218 <1% 38 $3K
99253 <1% 50 $2K
99235 <1% 12 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 53 $2K
93227 <1% 82 $1K
99255 <1% 15 $1K
93244 <1% 55 $1K
99243 <1% 14 $1K
99306 Prolong nursin fac eval 15m <1% 15 $967.31
64415 <1% 14 $897.53
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 19 $675.70
01936 <1% 13 $666.86
64447 <1% 13 $501.74
36620 <1% 13 $420.99
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 14 $205.90

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 officialKAPRE, SHEELA (CHIEF MEDICAL OFFICER)
Same official

Other billing entities under KAPRE, SHEELA

Full network →
ProviderLocationPaid
County of San JoaquinFrench Camp, CA$48.27M
County of San JoaquinFrench Camp, CA$11.15M
County of San JoaquinFrench Camp, CA$11.04M
County of San JoaquinFrench Camp, CA$202K
County of San JoaquinFrench Camp, CA$3K
County of San JoaquinFrench Camp, CA$262.02

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