University of California SFGH Medical Group

University of California SFGH Medical Group was paid $5.50M by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 61% of everything it billed.

33Billing provider infoUNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
SAN FRANCISCO, CA 94110

33aNPI1316912439assigned 02/22/2006

33bProvider typeEmergency Medicine Physician

28Total paid$5.50M

24GClaims117,636

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#99 of 988

Median peer was paid$32K

This provider vs. median173×

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

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	25,220	$890K
2019	18,580	$658K
2020	14,429	$716K
2021	15,620	$832K
2022	11,829	$571K
2023	16,931	$1.01M
2024incomplete	15,027	$819K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	61%	53,623	53,175	$3.35M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	29%	46,002	45,690	$1.60M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	5.9%	3,225	3,211	$326K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.1%	14,738	14,547	$228K
93308		<1%	24	24	$263.45
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	24	24	$254.81

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 →

Provider	Location	Paid
University of California SFGH Medical Group	San Francisco, CA	$5.67M
University of California SFGH Medical Group	San Francisco, CA	$2.43M
University of California SFGH Medical Group	San Francisco, CA	$1.51M
University of California SFGH Medical Group	San Francisco, CA	$1.33M
University of California SFGH Medical Group	San Francisco, CA	$849K
University of California SFGH Medical Group	San Francisco, CA	$828K
University of California SFGH Medical Group	San Francisco, CA	$820K
University of California SFGH Medical Group	San Francisco, CA	$721K
University of California SFGH Medical Group	San Francisco, CA	$519K
University of California SFGH Medical Group	San Francisco, CA	$288K
University of California SFGH Medical Group	San Francisco, CA	$275K
University of California SFGH Medical Group	San Francisco, CA	$258K
University of California SFGH Medical Group	San Francisco, CA	$176K
University of California SFGH Medical Group	San Francisco, CA	$174K
University of California SFGH Medical Group	San Francisco, CA	$118K
University of California SFGH Medical Group	San Francisco, CA	$33K
University of California SFGH Medical Group	San Francisco, CA	$29K
University of California SFGH Medical Group	San Francisco, CA	$28K
University of California SFGH Medical Group	San Francisco, CA	$24K
University of California SFGH Medical Group	San Francisco, CA	$23K

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