Physician
UCSF Pediatrics Associates
UCSF Pediatrics Associates was paid $21.22M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 18% of everything it billed.
33Billing provider infoUCSF PEDIATRICS ASSOCIATES
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
33aNPI1376614016assigned 11/13/2006
33bProvider typeGastroenterology Physician
28Total paid$21.22M
24GClaims247,916
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#1 of 363
Median peer was paid$55K
This provider vs. median387×
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 | 29,935 | $2.50M | |
| 2019 | 30,916 | $2.44M | |
| 2020 | 29,739 | $2.21M | |
| 2021 | 36,071 | $3.08M | |
| 2022 | 39,204 | $3.31M | |
| 2023 | 42,783 | $3.87M | |
| 2024incomplete | 39,268 | $3.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 18% | 26,271 | 23,473 | $3.73M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 40,778 | 16,517 | $3.23M |
| 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 | 9.1% | 18,305 | 16,362 | $1.92M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 6.3% | 4,222 | 2,221 | $1.34M |
| 93325 | 4.6% | 24,756 | 22,725 | $973K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.6% | 14,699 | 6,610 | $967K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.5% | 4,496 | 4,377 | $962K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 3.9% | 3,489 | 3,320 | $832K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 3.5% | 3,008 | 807 | $747K |
| 93304 | 3.4% | 9,467 | 8,721 | $728K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 4,129 | 3,991 | $561K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.4% | 2,375 | 2,357 | $514K |
57 more codes
| 99205 | Prolong outpt/office vis | 2.4% | 2,365 | $506K |
| 93321 | 2.0% | 14,305 | $416K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.9% | 4,320 | $406K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.9% | 2,113 | $402K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 25,529 | $353K |
| Z0102 | 1.6% | 1,738 | $338K | |
| 93320 | 1.5% | 3,836 | $328K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,523 | $177K |
| 95782 | <1% | 1,079 | $172K | |
| 76825 | <1% | 1,336 | $161K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 1,071 | $153K |
| Z0104 | <1% | 1,003 | $140K | |
| 93000 | <1% | 3,124 | $124K | |
| 99417 | Prolong home eval add 15m | <1% | 1,643 | $90K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 12,283 | $86K |
| 99243 | <1% | 945 | $84K | |
| Z4306 | <1% | 1,679 | $84K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 618 | $75K |
| 76827 | <1% | 1,256 | $69K | |
| 99223 | Prolong inpt eval add15 m | <1% | 473 | $66K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 234 | $54K |
| Z4303 | <1% | 1,538 | $45K | |
| Z4315 | <1% | 902 | $43K | |
| 99418 | Prolong nursin fac eval 15m | <1% | 397 | $41K |
| Z4304 | <1% | 756 | $40K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 653 | $40K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 193 | $29K |
| 93308 | <1% | 435 | $27K | |
| 93224 | <1% | 103 | $21K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 135 | $19K |
| 94010 | <1% | 1,437 | $16K | |
| 99477 | <1% | 38 | $14K | |
| 99245 | <1% | 113 | $14K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 218 | $11K |
| Z4305 | <1% | 110 | $10K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 92 | $7K |
| 93790 | <1% | 344 | $6K | |
| 93227 | <1% | 199 | $6K | |
| 95811 | <1% | 24 | $6K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | $6K |
| Z0100 | <1% | 13 | $5K | |
| 99254 | <1% | 37 | $4K | |
| 99080 | <1% | 68 | $3K | |
| 76820 | <1% | 65 | $3K | |
| 99460 | <1% | 43 | $3K | |
| 99356 | <1% | 23 | $2K | |
| 99221 | <1% | 30 | $2K | |
| 99358 | Prolong nursin fac eval 15m | <1% | 13 | $2K |
| 99242 | <1% | 37 | $1K | |
| 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 | <1% | 56 | $1K |
| 93040 | <1% | 86 | $1K | |
| 94060 | <1% | 49 | $1K | |
| 99462 | <1% | 29 | $1K | |
| 94726 | <1% | 37 | $541.50 | |
| 94729 | <1% | 49 | $476.93 | |
| 81003 | <1% | 87 | $266.87 | |
| 81002 | <1% | 25 | $91.61 |
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 officialBO, KOSAL (VICE PRESIDENT, MEDICAL STAFF GOV)
| Provider | Location | Paid |
|---|---|---|
| University of California San Francisco | San Francisco, CA | $49.38M |
| UCSF Medical Group Business Services | San Francisco, CA | $47.23M |
| Regents of the University of California | San Francisco, CA | $6.12M |
| Regents Univ of California UCSF | San Francisco, CA | $4.54M |
| UCSF Dept of Surgery | San Francisco, CA | $1.06M |
| University Anesthesia Medical Group | San Francisco, CA | $851K |
| UCSF Medical Group Business Services | San Francisco, CA | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.