Physician
Community Foundation Medical Group
Community Foundation Medical Group was paid $48K by Medicaid between Jan 2018 and Jan 2023, across 253 billing codes. Its largest line is 47379, — 25% of everything it billed.
33Billing provider infoCOMMUNITY FOUNDATION MEDICAL GROUP
FRESNO, CA 93611
FRESNO, CA 93611
33aNPI1376056721assigned 11/08/2017
33bProvider typeOrthopaedic Surgery Physician
28Total paid$48K
24GClaims127,730
24DCodes billed253
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#124 of 292
Median peer was paid$24K
This provider vs. median2.0×
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 | 117,327 | $2K | |
| 2019 | 1,738 | $4K | |
| 2020 | 1,978 | $7K | |
| 2021 | 3,656 | $8K | |
| 2022 | 3,003 | $28K | |
| 2023 | 28 | $67.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 47379 | 25% | 332 | 265 | $12K | |
| 43775 | 25% | 310 | 198 | $12K | |
| 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 | 13% | 5,986 | 5,593 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13% | 714 | 714 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 18,665 | 16,372 | $5K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 5.5% | 3,352 | 3,279 | $3K |
| 43235 | 3.8% | 200 | 197 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.9% | 664 | 664 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,713 | 1,594 | $470.84 |
| 91200 | <1% | 183 | 182 | $359.70 | |
| 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% | 217 | 217 | $188.76 |
| 91010 | <1% | 75 | 75 | $54.05 |
241 more codes
| 59425 | 0% | 1,392 | $0.00 | |
| 87660 | 0% | 208 | $0.00 | |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 0% | 129 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 522 | $0.00 |
| 87641 | 0% | 67 | $0.00 | |
| 99401 | 0% | 200 | $0.00 | |
| 86038 | 0% | 222 | $0.00 | |
| 80076 | 0% | 926 | $0.00 | |
| 87186 | 0% | 473 | $0.00 | |
| 87481 | 0% | 284 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 2,211 | $0.00 |
| 81002 | 0% | 1,397 | $0.00 | |
| 90715 | 0% | 147 | $0.00 | |
| 90670 | 0% | 478 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 470 | $0.00 |
| 99173 | 0% | 768 | $0.00 | |
| 85610 | 0% | 1,088 | $0.00 | |
| 80061 | Lipid panel | 0% | 3,682 | $0.00 |
| 83655 | 0% | 597 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 485 | $0.00 |
| 84156 | 0% | 130 | $0.00 | |
| 87653 | 0% | 139 | $0.00 | |
| 81025 | 0% | 1,066 | $0.00 | |
| 80306 | 0% | 29 | $0.00 | |
| 83970 | 0% | 63 | $0.00 | |
| 84550 | 0% | 626 | $0.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 423 | $0.00 |
| 81003 | 0% | 1,455 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 91 | $0.00 |
| 90648 | 0% | 289 | $0.00 | |
| 90734 | 0% | 16 | $0.00 | |
| 82776 | 0% | 177 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 13 | $0.00 |
| T4541 | Incontinence product, disposable underpad, large, each | 0% | 65 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 467 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 297 | $0.00 |
| 86696 | 0% | 193 | $0.00 | |
| 84100 | 0% | 835 | $0.00 | |
| 99382 | 0% | 68 | $0.00 | |
| 82947 | 0% | 352 | $0.00 | |
| 86923 | 0% | 74 | $0.00 | |
| 3078F | 0% | 157 | $0.00 | |
| 84450 | 0% | 125 | $0.00 | |
| 80074 | 0% | 200 | $0.00 | |
| 82565 | 0% | 164 | $0.00 | |
| 83013 | 0% | 107 | $0.00 | |
| 86480 | 0% | 262 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 539 | $0.00 |
| 86787 | 0% | 66 | $0.00 | |
| 87210 | 0% | 188 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 143 | $0.00 |
| 86431 | 0% | 130 | $0.00 | |
| 86200 | 0% | 24 | $0.00 | |
| 82274 | 0% | 339 | $0.00 | |
| 82977 | 0% | 18 | $0.00 | |
| 93880 | 0% | 44 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 84 | $0.00 |
| 2022F | 0% | 31 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 298 | $0.00 |
| 82248 | 0% | 435 | $0.00 | |
| 90685 | 0% | 71 | $0.00 | |
| 90700 | 0% | 331 | $0.00 | |
| 84466 | 0% | 163 | $0.00 | |
| 90633 | 0% | 243 | $0.00 | |
| 82570 | 0% | 928 | $0.00 | |
| 83516 | 0% | 174 | $0.00 | |
| 90707 | 0% | 68 | $0.00 | |
| 84460 | 0% | 152 | $0.00 | |
| 90681 | 0% | 14 | $0.00 | |
| 86900 | 0% | 612 | $0.00 | |
| 82785 | 0% | 59 | $0.00 | |
| 3077F | 0% | 108 | $0.00 | |
| 82247 | 0% | 242 | $0.00 | |
| 83540 | 0% | 436 | $0.00 | |
| 82140 | 0% | 34 | $0.00 | |
| 90713 | 0% | 183 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 79 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 17 | $0.00 |
| 90710 | 0% | 12 | $0.00 | |
| 90461 | 0% | 304 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 765 | $0.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 249 | $0.00 |
| 87806 | 0% | 61 | $0.00 | |
| 92552 | 0% | 99 | $0.00 | |
| 84702 | 0% | 598 | $0.00 | |
| 82172 | 0% | 12 | $0.00 | |
| 87075 | 0% | 51 | $0.00 | |
| 84439 | 0% | 1,276 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 221 | $0.00 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 27 | $0.00 |
| 83695 | 0% | 12 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 51 | $0.00 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 70 | $0.00 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 19 | $0.00 |
| 99284 | Emergency room visit (serious) | 0% | 25 | $0.00 |
| 93015 | 0% | 12 | $0.00 | |
| 84146 | 0% | 29 | $0.00 | |
| 87338 | 0% | 14 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 44 | $0.00 |
| 83698 | 0% | 12 | $0.00 | |
| L0643 | Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 0% | 14 | $0.00 |
| 97803 | 0% | 41 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 13 | $0.00 |
| 69210 | 0% | 17 | $0.00 | |
| 84403 | 0% | 22 | $0.00 | |
| 99497 | 0% | 12 | $0.00 | |
| 76642 | 0% | 12 | $0.00 | |
| 84520 | 0% | 27 | $0.00 | |
| 73562 | 0% | 15 | $0.00 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 0% | 30 | $0.00 |
| 43644 | 0% | 20 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 898 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 7,378 | $0.00 |
| 3008F | 0% | 289 | $0.00 | |
| 87503 | 0% | 17 | $0.00 | |
| 83498 | 0% | 180 | $0.00 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 0% | 42 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 863 | $0.00 |
| 92551 | 0% | 551 | $0.00 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | 0% | 70 | $0.00 |
| 84436 | 0% | 93 | $0.00 | |
| 83550 | 0% | 205 | $0.00 | |
| 83735 | 0% | 1,133 | $0.00 | |
| 87070 | 0% | 216 | $0.00 | |
| 86850 | 0% | 538 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 1,689 | $0.00 |
| 90686 | 0% | 355 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 147 | $0.00 |
| 87081 | 0% | 104 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 389 | $0.00 |
| 80055 | 0% | 82 | $0.00 | |
| 83690 | 0% | 687 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 326 | $0.00 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 276 | $0.00 |
| 83021 | 0% | 177 | $0.00 | |
| 82607 | 0% | 590 | $0.00 | |
| 90651 | 0% | 39 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 688 | $0.00 |
| 87340 | 0% | 190 | $0.00 | |
| 85018 | 0% | 2,142 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 1,266 | $0.00 |
| 83001 | 0% | 54 | $0.00 | |
| 85652 | 0% | 357 | $0.00 | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 0% | 61 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 2,984 | $0.00 |
| 84153 | 0% | 156 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 4,946 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 2,203 | $0.00 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 302 | $0.00 |
| 82962 | 0% | 324 | $0.00 | |
| 86580 | 0% | 184 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 4,135 | $0.00 |
| 87040 | 0% | 219 | $0.00 | |
| 83704 | 0% | 12 | $0.00 | |
| 3080F | 0% | 37 | $0.00 | |
| 81001 | 0% | 2,582 | $0.00 | |
| 90688 | 0% | 444 | $0.00 | |
| 97802 | 0% | 38 | $0.00 | |
| 90680 | 0% | 159 | $0.00 | |
| 83605 | 0% | 257 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 34 | $0.00 |
| 80050 | General health panel | 0% | 966 | $0.00 |
| 86592 | 0% | 671 | $0.00 | |
| 82803 | 0% | 156 | $0.00 | |
| 87205 | 0% | 133 | $0.00 | |
| 90698 | 0% | 105 | $0.00 | |
| 87511 | 0% | 242 | $0.00 | |
| 94760 | 0% | 37 | $0.00 | |
| 90744 | 0% | 168 | $0.00 | |
| 82728 | 0% | 417 | $0.00 | |
| 80320 | 0% | 95 | $0.00 | |
| 85027 | 0% | 1,404 | $0.00 | |
| 83002 | 0% | 35 | $0.00 | |
| 86141 | 0% | 30 | $0.00 | |
| 83880 | 0% | 271 | $0.00 | |
| 99000 | 0% | 14 | $0.00 | |
| 36416 | 0% | 88 | $0.00 | |
| 86361 | 0% | 152 | $0.00 | |
| 83615 | 0% | 180 | $0.00 | |
| 87077 | 0% | 293 | $0.00 | |
| 97014 | 0% | 122 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 1,475 | $0.00 |
| 82150 | 0% | 34 | $0.00 | |
| 99283 | Emergency room visit (moderate) | 0% | 227 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,358 | $0.00 |
| 82746 | 0% | 296 | $0.00 | |
| 82950 | 0% | 225 | $0.00 | |
| 82261 | 0% | 178 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 121 | $0.00 |
| 85730 | 0% | 221 | $0.00 | |
| 96127 | 0% | 105 | $0.00 | |
| 87510 | 0% | 208 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 133 | $0.00 |
| 3014F | 0% | 19 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 61 | $0.00 |
| 85013 | 0% | 26 | $0.00 | |
| 80047 | 0% | 1,306 | $0.00 | |
| 86780 | 0% | 597 | $0.00 | |
| 86901 | 0% | 612 | $0.00 | |
| 80081 | 0% | 82 | $0.00 | |
| 86762 | 0% | 75 | $0.00 | |
| 87088 | 0% | 825 | $0.00 | |
| 93000 | 0% | 108 | $0.00 | |
| 83789 | 0% | 177 | $0.00 | |
| 1220F | 0% | 29 | $0.00 | |
| 96151 | 0% | 55 | $0.00 | |
| 3074F | 0% | 143 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 86695 | 0% | 112 | $0.00 | |
| 85651 | 0% | 119 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 14 | $0.00 |
| 3075F | 0% | 48 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 12 | $0.00 |
| 3079F | 0% | 93 | $0.00 | |
| 90716 | 0% | 78 | $0.00 | |
| 87480 | 0% | 208 | $0.00 | |
| 85379 | 0% | 30 | $0.00 | |
| 82951 | 0% | 16 | $0.00 | |
| 88142 | 0% | 444 | $0.00 | |
| 86803 | 0% | 113 | $0.00 | |
| 82043 | 0% | 885 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 70 | $0.00 |
| 3044F | 0% | 18 | $0.00 | |
| 86140 | 0% | 310 | $0.00 | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 0% | 24 | $0.00 |
| 84703 | 0% | 128 | $0.00 | |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 0% | 42 | $0.00 |
| 84484 | 0% | 606 | $0.00 | |
| 82550 | 0% | 28 | $0.00 | |
| 99383 | 0% | 25 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 69 | $0.00 |
| E0562 | Humidifier, heated, used with positive airway pressure device | 0% | 14 | $0.00 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 30 | $0.00 |
| 84479 | 0% | 36 | $0.00 | |
| 3061F | 0% | 25 | $0.00 | |
| 83986 | 0% | 13 | $0.00 | |
| 88141 | 0% | 43 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 58 | $0.00 |
| 84300 | 0% | 15 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 114 | $0.00 |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 0% | 15 | $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 officialWELLS, SCOTT (CEO/PRESIDENT)
Parent organizationCOMMUNITY FOUNDATION MEDICAL GROUP
| Provider | Location | Paid |
|---|---|---|
| Community Foundation Medical Group | Fresno, CA | $6.81M |
| Community Foundation Medical Group | Fresno, CA | $269K |
| Community Foundation Medical Group | Fresno, CA | $942.12 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.