University of California SFGH Medical Group
University of California SFGH Medical Group was paid $820K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is L0643, Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf — 32% of everything it billed.
SAN FRANCISCO, CA 94110
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 932 | $66K | |
| 2019 | 515 | $44K | |
| 2020 | 302 | $33K | |
| 2021 | 624 | $91K | |
| 2022 | 884 | $141K | |
| 2023 | 1,187 | $195K | |
| 2024incomplete | 1,353 | $250K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L0643 | Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 32% | 1,470 | 1,467 | $264K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 26% | 2,638 | 2,002 | $211K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 22% | 446 | 444 | $179K |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 7.6% | 189 | 160 | $63K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 6.8% | 635 | 319 | $56K |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 2.3% | 132 | 71 | $19K |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 1.9% | 178 | 98 | $16K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | <1% | 32 | 24 | $5K |
| L1906 | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf | <1% | 26 | 24 | $4K |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | <1% | 33 | 31 | $3K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 18 | 14 | $1K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.