ST Anthony Foundation
ST Anthony Foundation was paid $5.00M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoST ANTHONY FOUNDATION
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
33aNPI1356643654assigned 11/19/2010
33bProvider typeCase Manager/Care Coordinator
28Total paid$5.00M
24GClaims53,788
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#184 of 435
Median peer was paid$2.89M
This provider vs. median1.7×
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 | 5,693 | $576K | |
| 2019 | 8,117 | $488K | |
| 2020 | 6,968 | $386K | |
| 2021 | 6,611 | $395K | |
| 2022 | 4,492 | $378K | |
| 2023 | 10,707 | $1.22M | |
| 2024incomplete | 11,200 | $1.55M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 86% | 18,785 | 16,245 | $4.31M |
| G9012 | Other specified case management service not elsewhere classified | 7.7% | 1,101 | 615 | $387K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 1,170 | 440 | $89K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 571 | 288 | $71K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 10,777 | 7,404 | $41K |
| 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 | <1% | 4,809 | 3,383 | $37K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 589 | 487 | $30K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 540 | 276 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 2,189 | 1,481 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 185 | 126 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,943 | 2,290 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,291 | 936 | $2K |
32 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 793 | $627.89 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 37 | $625.92 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 531 | $589.29 |
| 92552 | <1% | 341 | $464.32 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 156 | $224.94 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 58 | $140.64 |
| 82962 | <1% | 743 | $124.10 | |
| 92551 | <1% | 1,481 | $107.50 | |
| 90688 | <1% | 41 | $35.68 | |
| 11056 | <1% | 27 | $25.32 | |
| 90658 | <1% | 978 | $22.70 | |
| 99173 | <1% | 2,355 | $5.46 | |
| 90480 | <1% | 15 | $0.02 | |
| 90716 | 0% | 162 | $0.00 | |
| 90651 | 0% | 44 | $0.00 | |
| 94760 | 0% | 272 | $0.00 | |
| 86580 | 0% | 54 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 90744 | 0% | 59 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 126 | $0.00 |
| 81000 | 0% | 50 | $0.00 | |
| 90660 | 0% | 27 | $0.00 | |
| 90723 | 0% | 21 | $0.00 | |
| 90656 | 0% | 39 | $0.00 | |
| 85018 | 0% | 21 | $0.00 | |
| 90734 | 0% | 34 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 104 | $0.00 |
| 90633 | 0% | 111 | $0.00 | |
| 90707 | 0% | 63 | $0.00 | |
| 90713 | 0% | 36 | $0.00 | |
| 11721 | 0% | 29 | $0.00 | |
| 90715 | 0% | 18 | $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 officialVALDES, ANN (MEDICAL DIRECTOR)