Physician
Saint Agnes Medical Foundation
Saint Agnes Medical Foundation was paid $1.44M by Medicaid between Jan 2018 and Dec 2024, across 152 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoSAINT AGNES MEDICAL FOUNDATION
FRESNO, CA 93720
FRESNO, CA 93720
33aNPI1558819482assigned 09/20/2016
33bProvider typeColon & Rectal Surgery Physician
28Total paid$1.44M
24GClaims429,975
24DCodes billed152
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Colon & Rectal Surgery Physician providers in California
Rank by total paid#1 of 25
Median peer was paid$6K
This provider vs. median256×
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 | |
|---|---|---|---|
| 2018 | 31,413 | $28K | |
| 2019 | 52,126 | $98K | |
| 2020 | 59,126 | $213K | |
| 2021 | 66,108 | $281K | |
| 2022 | 70,035 | $257K | |
| 2023 | 84,196 | $319K | |
| 2024incomplete | 66,971 | $245K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 110,313 | 102,298 | $242K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 15% | 15,065 | 6,302 | $216K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 29,037 | 27,869 | $165K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10% | 27,494 | 11,804 | $148K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.5% | 29,049 | 11,840 | $123K |
| 99223 | Prolong inpt eval add15 m | 6.8% | 11,341 | 11,049 | $98K |
| 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 | 6.5% | 31,661 | 30,474 | $94K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.0% | 12,221 | 11,960 | $72K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.6% | 13,618 | 13,288 | $51K |
| 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 | 3.2% | 10,283 | 10,159 | $46K |
| Z1034 | 2.2% | 572 | 337 | $31K | |
| 0011A | 1.3% | 617 | 537 | $19K |
140 more codes
| 0012A | 1.3% | 564 | $18K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.1% | 1,018 | $15K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,944 | $12K |
| 59514 | <1% | 666 | $8K | |
| 59425 | <1% | 1,016 | $8K | |
| 27447 | <1% | 132 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,286 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,679 | $5K |
| 47563 | <1% | 168 | $5K | |
| 43775 | <1% | 67 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15,956 | $4K |
| 98960 | <1% | 541 | $3K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 9,985 | $3K |
| 0003A | <1% | 78 | $3K | |
| 0013A | <1% | 72 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,766 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,082 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12,315 | $2K |
| 0004A | <1% | 67 | $2K | |
| 20610 | <1% | 4,890 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 354 | $2K |
| 59025 | Fetal non-stress test | <1% | 1,143 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 395 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 954 | $1K |
| 0064A | <1% | 30 | $1K | |
| 43644 | <1% | 13 | $948.25 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,628 | $917.60 |
| 99497 | <1% | 121 | $889.71 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,102 | $864.51 |
| 99460 | <1% | 232 | $818.80 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 211 | $762.17 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 376 | $636.40 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,858 | $625.74 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 167 | $615.11 |
| 81025 | <1% | 6,161 | $610.66 | |
| Z6400 | <1% | 39 | $585.15 | |
| 73562 | <1% | 2,327 | $578.55 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,811 | $503.10 |
| 0002A | <1% | 29 | $496.82 | |
| J3490 | Unclassified drugs | <1% | 240 | $454.39 |
| H1000 | Prenatal care, at-risk assessment | <1% | 442 | $435.56 |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 38 | $406.03 |
| 51729 | <1% | 12 | $397.91 | |
| 81002 | <1% | 6,005 | $373.22 | |
| 99490 | Ccm add 20min | <1% | 286 | $354.13 |
| 73610 | <1% | 730 | $349.62 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 134 | $317.46 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 831 | $289.71 |
| 77066 | Tomosynthesis, mammo | <1% | 119 | $275.16 |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 207 | $271.66 |
| 0001A | <1% | 17 | $252.22 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,627 | $249.74 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,599 | $245.16 |
| 99243 | <1% | 129 | $238.00 | |
| 99498 | <1% | 36 | $223.46 | |
| 80053 | Comprehensive metabolic panel | <1% | 701 | $216.52 |
| 87807 | <1% | 824 | $216.22 | |
| 99220 | <1% | 82 | $213.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 67 | $200.53 |
| 99221 | <1% | 14 | $188.31 | |
| 76642 | <1% | 77 | $176.80 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 273 | $172.58 |
| 90686 | <1% | 500 | $167.19 | |
| 81003 | <1% | 1,727 | $159.35 | |
| 99234 | <1% | 29 | $149.40 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,115 | $144.92 |
| 31500 | <1% | 13 | $136.20 | |
| 96156 | <1% | 1,946 | $129.10 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 53 | $119.61 |
| 59430 | <1% | 453 | $112.98 | |
| 73502 | <1% | 114 | $110.36 | |
| 90715 | <1% | 528 | $107.98 | |
| 90662 | <1% | 12 | $100.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 165 | $96.20 |
| 93000 | <1% | 389 | $86.32 | |
| 80061 | Lipid panel | <1% | 37 | $83.12 |
| 73130 | <1% | 161 | $82.56 | |
| 97803 | <1% | 1,161 | $82.28 | |
| 99401 | <1% | 1,491 | $82.28 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 179 | $80.10 |
| 99000 | <1% | 142 | $75.21 | |
| 87510 | <1% | 1,243 | $70.19 | |
| 87480 | <1% | 1,246 | $70.13 | |
| 87660 | <1% | 1,260 | $69.89 | |
| 51798 | <1% | 286 | $66.60 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 563 | $66.02 |
| 99252 | <1% | 12 | $64.92 | |
| 96127 | <1% | 139 | $61.69 | |
| 77080 | <1% | 17 | $57.30 | |
| 81001 | <1% | 64 | $55.68 | |
| 73030 | <1% | 582 | $51.74 | |
| 73630 | <1% | 375 | $33.97 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,474 | $29.87 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 53 | $26.50 |
| 73110 | <1% | 197 | $17.19 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 159 | $16.82 |
| 73560 | <1% | 41 | $12.66 | |
| 77065 | Tomosynthesis, mammo | <1% | 38 | $10.48 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 299 | $1.85 |
| 82962 | <1% | 268 | $1.83 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 21 | $0.26 |
| 3078F | 0% | 5,974 | $0.00 | |
| 69209 | 0% | 121 | $0.00 | |
| 3077F | 0% | 431 | $0.00 | |
| 0502F | 0% | 886 | $0.00 | |
| 47562 | 0% | 13 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 146 | $0.00 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 0% | 14 | $0.00 |
| 73140 | 0% | 26 | $0.00 | |
| 82947 | 0% | 13 | $0.00 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 0% | 19 | $0.00 |
| 10060 | 0% | 33 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 14 | $0.00 |
| 99051 | 0% | 14 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 50 | $0.00 |
| 3074F | 0% | 6,896 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 34 | $0.00 |
| 3079F | 0% | 1,596 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 166 | $0.00 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 723 | $0.00 |
| 90656 | 0% | 26 | $0.00 | |
| 3044F | 0% | 2,105 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 304 | $0.00 |
| 99439 | 0% | 75 | $0.00 | |
| 76830 | Ultrasound, transvaginal | 0% | 12 | $0.00 |
| 73564 | 0% | 35 | $0.00 | |
| 3075F | 0% | 612 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 345 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 13 | $0.00 |
| 3080F | 0% | 263 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 244 | $0.00 |
| 99217 | 0% | 15 | $0.00 | |
| 99406 | 0% | 14 | $0.00 | |
| 97802 | 0% | 16 | $0.00 | |
| 0503F | 0% | 30 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 64 | $0.00 |
| 29700 | 0% | 24 | $0.00 | |
| 99412 | 0% | 12 | $0.00 | |
| 71045 | Radiologic examination, chest; single view | 0% | 27 | $0.00 |
| 36556 | 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 officialSOLDO, STEPHEN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Saint Agnes Medical Providers INC | Fresno, CA | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.