Northern California Medical Assoc INC
Northern California Medical Assoc INC was paid $951K by Medicaid between Jan 2018 and Apr 2021, across 25 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 36% of everything it billed.
SANTA ROSA, CA 95403
Next to other Clinical Cardiac Electrophysiology Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,009 | $290K | |
| 2019 | 5,928 | $347K | |
| 2020 | 3,576 | $263K | |
| 2021 | 688 | $51K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 36% | 3,783 | 3,078 | $344K |
| 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 | 16% | 4,365 | 4,306 | $150K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 14% | 878 | 668 | $133K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 8.5% | 615 | 615 | $81K |
| 93000 | 8.1% | 2,943 | 2,913 | $77K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.6% | 1,289 | 1,274 | $53K |
| 93015 | 5.5% | 708 | 708 | $53K | |
| 99245 | 1.7% | 87 | 87 | $16K | |
| J2785 | Injection, regadenoson, 0.1 mg | 1.0% | 144 | 144 | $10K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 49 | 49 | $7K |
| 93880 | <1% | 48 | 37 | $5K | |
| 99243 | <1% | 42 | 42 | $5K |
13 more codes
| 99205 | Prolong outpt/office vis | <1% | 100 | $4K |
| 93458 | <1% | 14 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 381 | $3K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 68 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 108 | $1K |
| 93296 | <1% | 165 | $1K | |
| 93294 | <1% | 89 | $776.78 | |
| 99152 | <1% | 98 | $712.08 | |
| 99223 | Prolong inpt eval add15 m | <1% | 66 | $561.32 |
| 93295 | <1% | 43 | $516.49 | |
| 93297 | <1% | 42 | $250.98 | |
| 93288 | <1% | 13 | $212.35 | |
| 85610 | 0% | 63 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Northern California Medical Assoc INC | Santa Rosa, CA | $1.18M |
| Northern California Medical Assoc INC | Santa Rosa, CA | $333K |
| Northern California Medical Assoc INC | Petaluma, CA | $273K |
| Northern California Medical Assoc INC | Santa Rosa, CA | $163K |
| Northern California Medical Assoc INC | Santa Rosa, CA | $78K |
| Northern California Medical Assoc INC | Healdsburg, CA | $70K |
| Northern California Medical Assoc INC | Santa Rosa, CA | $69K |
| Northern California Medical Assoc INC | Ukiah, CA | $45K |
| Northern California Medical Assoc INC | Santa Rosa, CA | $42K |
| Northern California Medical Assoc INC | Ukiah, CA | $33K |
| Northern California Medical Assoc INC | Petaluma, CA | $4K |
| Northern California Medical Assoc INC | Lakeport, CA | $3K |
| Northern California Medical Assoc INC | Lakeport, CA | $3K |
| Northern California Medical Assoc INC | Healdsburg, CA | $2K |
| Northern California Medical Assoc INC | Mendocino, CA | $610.66 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.