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

University of California SFGH Medical Group

University of California SFGH Medical Group was paid $288K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 46% of everything it billed.

33Billing provider infoUNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
SAN FRANCISCO, CA 94110
33aNPI1477528503assigned 02/22/2006
33bProvider typePlastic Surgery Physician
28Total paid$288K
24GClaims7,840
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Plastic Surgery Physician providers in California

Rank by total paid#7 of 50
Median peer was paid$26K
This provider vs. median11×

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 VILLANUEVA, JUANITA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20181,834$82K
20191,359$55K
20201,479$55K
2021783$33K
2022907$24K
2023689$20K
2024incomplete789$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 46% 1,832 752 $133K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 34% 3,067 1,725 $99K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 9.3% 1,025 643 $27K
93922 3.3% 1,340 1,311 $10K
99223 Prolong inpt eval add15 m 2.4% 97 97 $7K
99222 Initial hospital care, per day, moderate complexity 1.6% 102 101 $5K
99221 1.1% 126 124 $3K
93970 <1% 107 107 $2K
93926 <1% 57 56 $941.82
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% 15 15 $572.57
99238 Hospital discharge day management, 30 minutes or less <1% 31 31 $437.74
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 13 $142.86
2 more codes
99201 <1% 16 $132.20
93971 <1% 12 $67.95

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 officialVILLANUEVA, JUANITA (DIRECTOR)
Same official

Other billing entities under VILLANUEVA, JUANITA

Full network →
ProviderLocationPaid
University of California SFGH Medical GroupSan Francisco, CA$5.67M
University of California SFGH Medical GroupSan Francisco, CA$5.50M
University of California SFGH Medical GroupSan Francisco, CA$2.43M
University of California SFGH Medical GroupSan Francisco, CA$1.51M
University of California SFGH Medical GroupSan Francisco, CA$1.33M
University of California SFGH Medical GroupSan Francisco, CA$849K
University of California SFGH Medical GroupSan Francisco, CA$828K
University of California SFGH Medical GroupSan Francisco, CA$820K
University of California SFGH Medical GroupSan Francisco, CA$721K
University of California SFGH Medical GroupSan Francisco, CA$519K
University of California SFGH Medical GroupSan Francisco, CA$275K
University of California SFGH Medical GroupSan Francisco, CA$258K
University of California SFGH Medical GroupSan Francisco, CA$176K
University of California SFGH Medical GroupSan Francisco, CA$174K
University of California SFGH Medical GroupSan Francisco, CA$118K
University of California SFGH Medical GroupSan Francisco, CA$33K
University of California SFGH Medical GroupSan Francisco, CA$29K
University of California SFGH Medical GroupSan Francisco, CA$28K
University of California SFGH Medical GroupSan Francisco, CA$24K
University of California SFGH Medical GroupSan Francisco, CA$23K

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