Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Dignity Health Medical Foundation

Dignity Health Medical Foundation was paid $4.19M by Medicaid between Jan 2018 and Nov 2024, across 77 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoDIGNITY HEALTH MEDICAL FOUNDATION
CAMARILLO, CA 93012
33aNPI1386937977assigned 05/16/2011
28Total paid$4.19M
24GClaims142,681
24DCodes billed77
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in California

Rank by total paid#23 of 170
Median peer was paid$145K
This provider vs. median29×

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.

Entity ProliferationAuthorized official HYLEN, THERESA controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201818,430$271K
201921,287$551K
202016,740$449K
202122,210$766K
202222,677$663K
202326,123$964K
2024incomplete15,214$524K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 69,323 61,076 $2.27M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 32,583 29,934 $459K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 6.4% 4,945 4,290 $266K
59425 3.9% 2,448 1,711 $163K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3.6% 2,466 2,038 $150K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.4% 2,907 1,342 $140K
99497 3.3% 1,803 1,559 $138K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.6% 3,138 863 $108K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.8% 2,097 2,089 $74K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.5% 1,829 1,805 $62K
87428 <1% 427 420 $34K
90686 <1% 2,049 2,044 $32K
65 more codes
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 255 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,172 $20K
99223 Prolong inpt eval add15 m <1% 322 $19K
90670 <1% 1,618 $17K
99255 <1% 159 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 300 $15K
0011A <1% 331 $12K
90723 <1% 1,146 $11K
0012A <1% 272 $10K
99308 Subsequent nursing facility care, per day, straightforward <1% 335 $10K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 365 $10K
90648 <1% 943 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 42 $8K
90694 <1% 119 $8K
99203 Doctor's office visit, new patient (routine) <1% 230 $7K
99204 Doctor's office visit, new patient (more involved) <1% 144 $6K
99443 <1% 77 $6K
95816 <1% 154 $6K
99306 Prolong nursin fac eval 15m <1% 146 $5K
90647 <1% 576 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 122 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 28 $4K
93000 <1% 273 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 830 $4K
0001A <1% 95 $4K
0002A <1% 92 $4K
90681 <1% 359 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 341 $4K
99407 <1% 160 $3K
92551 <1% 904 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 314 $3K
90633 <1% 276 $3K
96127 <1% 373 $2K
99199 Unlisted special service, procedure or report <1% 25 $2K
90680 <1% 212 $2K
87807 <1% 148 $2K
81002 <1% 739 $2K
90677 <1% 53 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 38 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 103 $939.50
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 38 $911.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 594 $893.71
81003 <1% 392 $879.98
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 14 $861.98
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 12 $789.60
71046 Radiologic examination, chest; 2 views <1% 17 $718.80
81025 <1% 200 $715.72
69210 <1% 152 $703.54
83655 <1% 40 $505.92
90734 <1% 13 $459.16
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 241 $441.41
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes <1% 28 $435.60
90651 <1% 13 $430.42
93248 <1% 13 $358.45
99381 <1% 13 $331.50
G0444 Annual depression screening, 5 to 15 minutes <1% 15 $297.63
85018 <1% 538 $281.36
90710 <1% 31 $279.00
93246 <1% 14 $217.53
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 15 $215.40
90715 <1% 12 $188.00
90700 <1% 14 $126.00
99173 <1% 16 $41.86
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $21.54
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 28 $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 officialHYLEN, THERESA (CHIEF FINANCIAL OFFICER)
Parent organizationDIGNITY HEALTH MEDICAL FOUNDATION
Same official

Other billing entities under HYLEN, THERESA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.