Physician
Upward Health of California, PC
Upward Health of California, PC was paid $13.71M by Medicaid between Dec 2021 and Oct 2024, across 30 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 99% of everything it billed.
33Billing provider infoUPWARD HEALTH OF CALIFORNIA, PC
SAN MATEO, CA 94402
SAN MATEO, CA 94402
33aNPI1407518780assigned 10/13/2021
33bProvider typeGeneral Practice Physician
28Total paid$13.71M
24GClaims121,302
24DCodes billed30
24AFirst – last monthDec 2021 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#5 of 474
Median peer was paid$10K
This provider vs. median1,323×
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 | |
|---|---|---|---|
| 2021 | 50 | $0.00 | |
| 2022 | 18,551 | $7K | |
| 2023 | 48,373 | $3.80M | |
| 2024incomplete | 54,328 | $9.90M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 99% | 70,554 | 34,557 | $13.53M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 1.3% | 789 | 652 | $183K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 874 | 874 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 876 | 863 | $0.00 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 929 | 550 | $0.00 |
| 3078F | 0% | 1,848 | 1,824 | $0.00 | |
| 3725F | 0% | 1,104 | 1,100 | $0.00 | |
| 3077F | 0% | 475 | 469 | $0.00 | |
| 1159F | 0% | 291 | 291 | $0.00 | |
| 1160F | 0% | 291 | 291 | $0.00 | |
| 1158F | 0% | 284 | 284 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 462 | 375 | $0.00 |
18 more codes
| 90791 | Psychiatric diagnostic evaluation | 0% | 151 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 31 | $0.00 |
| UHLC1 | 0% | 1,007 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 14 | $0.00 |
| 99499 | 0% | 150 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| T1016 | Case management, each 15 minutes | 0% | 36,660 | $0.00 |
| 96127 | 0% | 1,667 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 366 | $0.00 |
| 1126F | 0% | 105 | $0.00 | |
| 3351F | 0% | 349 | $0.00 | |
| 1170F | 0% | 291 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 149 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 40 | $0.00 |
| 3075F | 0% | 262 | $0.00 | |
| 3074F | 0% | 1,121 | $0.00 | |
| 3079F | 0% | 87 | $0.00 | |
| 1125F | 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.
From NPPES
Who's on the registration
Authorized officialKAUL, ANUBHAV (OWNER)