University of California SFGH Medical Group
University of California SFGH Medical Group was paid $275K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 24% of everything it billed.
SAN FRANCISCO, CA 94110
Next to other Gastroenterology Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,431 | $49K | |
| 2019 | 1,725 | $32K | |
| 2020 | 2,326 | $51K | |
| 2021 | 2,550 | $61K | |
| 2022 | 1,701 | $12K | |
| 2023 | 3,237 | $46K | |
| 2024incomplete | 3,475 | $24K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 24% | 779 | 776 | $65K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 21% | 1,076 | 1,071 | $58K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 18% | 1,007 | 1,003 | $49K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 1,668 | 939 | $41K |
| 99152 | 11% | 4,797 | 4,749 | $30K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.4% | 500 | 281 | $17K |
| 99255 | 1.6% | 136 | 131 | $4K | |
| 99254 | 1.4% | 147 | 145 | $4K | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 604 | 602 | $3K |
| 99153 | Mod sedat endo service >5yrs | <1% | 1,025 | 1,011 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 42 | 42 | $2K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 0% | 15 | 14 | $0.00 |
7 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 3,302 | $0.00 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 0% | 225 | $0.00 |
| 71250 | 0% | 52 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 185 | $0.00 |
| 73590 | 0% | 14 | $0.00 | |
| 70450 | Computed tomography, head or brain; without contrast material | 0% | 84 | $0.00 |
| 71045 | Radiologic examination, chest; single view | 0% | 1,787 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.