Clinic
Verity Medical Foundation
Verity Medical Foundation was paid $501K by Medicaid between Jan 2018 and Oct 2019, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoVERITY MEDICAL FOUNDATION
SAN JOSE, CA 95126
SAN JOSE, CA 95126
33aNPI1326312067assigned 02/27/2012
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$501K
24GClaims8,741
24DCodes billed29
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in California
Rank by total paid#55 of 170
Median peer was paid$145K
This provider vs. median3.5×
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
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 | 6,431 | $419K | |
| 2019 | 2,310 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 1,404 | 1,277 | $292K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 10% | 1,052 | 560 | $51K |
| 59425 | 5.5% | 349 | 228 | $27K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.1% | 1,156 | 594 | $21K |
| 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 | 3.9% | 1,006 | 905 | $20K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 927 | 509 | $15K |
| 99223 | Prolong inpt eval add15 m | 2.4% | 410 | 404 | $12K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.2% | 477 | 466 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 26 | 26 | $10K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 55 | 55 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.5% | 730 | 286 | $7K |
| 92552 | 1.4% | 120 | 120 | $7K |
17 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 127 | $4K |
| 99221 | <1% | 212 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 134 | $3K |
| 82962 | <1% | 13 | $2K | |
| 80061 | Lipid panel | <1% | 13 | $2K |
| 95813 | <1% | 13 | $950.53 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 41 | $938.71 |
| 99000 | <1% | 25 | $465.00 | |
| 86580 | <1% | 12 | $275.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 211 | $270.00 |
| 99254 | <1% | 12 | $260.04 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13 | $251.74 |
| 99173 | <1% | 116 | $194.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 47 | $161.43 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $145.67 |
| 99306 | Prolong nursin fac eval 15m | <1% | 13 | $72.10 |
| 99490 | Ccm add 20min | <1% | 13 | $33.29 |
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 officialDIDECH, DEAN (CHIEF MEDICAL OFFICER)
Parent organizationDAUGHTERS OF CHARITY HEALTH SYSTEM
| Provider | Location | Paid |
|---|---|---|
| Verity Medical Foundation | San Jose, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.