Clinic
Dignity Health Medical Foundation
Dignity Health Medical Foundation was paid $2.22M by Medicaid between Jan 2018 and Nov 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoDIGNITY HEALTH MEDICAL FOUNDATION
MERCED, CA 95340
MERCED, CA 95340
33aNPI1487950523assigned 02/08/2011
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.22M
24GClaims55,924
24DCodes billed71
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in California
Rank by total paid#36 of 170
Median peer was paid$145K
This provider vs. median15×
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
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 | 5,695 | $229K | |
| 2019 | 6,349 | $265K | |
| 2020 | 5,245 | $231K | |
| 2021 | 6,849 | $349K | |
| 2022 | 7,882 | $345K | |
| 2023 | 13,538 | $457K | |
| 2024incomplete | 10,366 | $341K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 14,715 | 13,893 | $599K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 12,196 | 11,414 | $295K |
| 99254 | 9.9% | 1,642 | 1,626 | $220K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.6% | 930 | 930 | $169K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.5% | 1,721 | 1,721 | $143K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.9% | 3,339 | 983 | $131K |
| 95911 | 5.2% | 572 | 571 | $116K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.6% | 2,340 | 2,332 | $101K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.5% | 610 | 609 | $55K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.3% | 826 | 270 | $51K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 1,774 | 1,657 | $38K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 5,012 | 4,417 | $32K |
59 more codes
| 99205 | Prolong outpt/office vis | 1.1% | 146 | $23K |
| 99243 | <1% | 163 | $21K | |
| 95886 | <1% | 207 | $20K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 173 | $19K |
| 59425 | <1% | 251 | $17K | |
| 92557 | <1% | 614 | $15K | |
| 92567 | <1% | 993 | $14K | |
| 90686 | <1% | 636 | $13K | |
| 47562 | <1% | 26 | $13K | |
| 47563 | <1% | 24 | $12K | |
| 99223 | Prolong inpt eval add15 m | <1% | 149 | $12K |
| 0012A | <1% | 273 | $10K | |
| 52000 | <1% | 63 | $10K | |
| 0011A | <1% | 261 | $9K | |
| 93000 | <1% | 543 | $7K | |
| 99245 | <1% | 42 | $7K | |
| 90670 | <1% | 25 | $5K | |
| 95885 | <1% | 43 | $4K | |
| 51798 | <1% | 244 | $4K | |
| 81002 | <1% | 1,779 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 261 | $3K |
| 76857 | <1% | 79 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 37 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 25 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 33 | $2K |
| 90656 | <1% | 64 | $2K | |
| 95816 | <1% | 39 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 61 | $2K |
| 0064A | <1% | 51 | $1K | |
| 93244 | <1% | 90 | $1K | |
| 0001A | <1% | 32 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 127 | $1K |
| 46600 | <1% | 12 | $825.25 | |
| 93242 | <1% | 97 | $774.84 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 84 | $690.39 |
| 92551 | <1% | 263 | $567.22 | |
| 93015 | <1% | 12 | $559.73 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 22 | $544.50 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | $517.12 |
| 69210 | <1% | 24 | $445.41 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 167 | $400.28 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 176 | $332.95 |
| 74300 | <1% | 24 | $282.13 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 37 | $257.56 |
| 90648 | <1% | 13 | $252.20 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 26 | $220.34 |
| 90694 | <1% | 15 | $70.89 | |
| 99382 | <1% | 12 | $70.69 | |
| 99173 | <1% | 17 | $58.18 | |
| 85018 | <1% | 14 | $35.72 | |
| 3078F | 0% | 700 | $0.00 | |
| 3077F | 0% | 74 | $0.00 | |
| 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% | 16 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 17 | $0.00 |
| 3079F | 0% | 149 | $0.00 | |
| 3074F | 0% | 599 | $0.00 | |
| 3075F | 0% | 47 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $0.00 |
| 3080F | 0% | 14 | $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
| Provider | Location | Paid |
|---|---|---|
| Dignity Health Medical Foundation | Sacramento, CA | $14.76M |
| Dignity Health Medical Foundation | Santa Cruz, CA | $10.62M |
| Dignity Health Medical Foundation | Bakersfield, CA | $8.04M |
| Dignity Health Medical Foundation | Woodland, CA | $6.11M |
| Dignity Health Medical Foundation | Camarillo, CA | $4.19M |
| Dignity Health Medical Foundation | Redding, CA | $3.70M |
| Dignity Health Medical Foundation | Stockton, CA | $2.76M |
| Dignity Health Medical Foundation | Belmont, CA | $2.11M |
| Dignity Health Medical Foundation | Northridge, CA | $1.93M |
| Dignity Health Medical Foundation | Rancho Cordova, CA | $1.28M |
| Dignity Health Medical Foundation | Grass Valley, CA | $536K |
| Dignity Health Medical Foundation | San Francisco, CA | $349K |
| Dignity Health Medical Foundation | Highland, CA | $257K |
| Dignity Health Medical Foundation | Rancho Cordova, CA | $32K |
| Dignity Health Medical Foundation | Fontana, CA | $3K |
| Dignity Health Medical Foundation | Elk Grove, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.