Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP

NPI: 1578538609 · SAN FRANCISCO, CA 94110 · Gastroenterology Physician · NPI assigned 02/22/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official VILLANUEVA, JUANITA controls 20+ related entities in our dataset. Read more

$275K
Total Medicaid Paid
17,445
Total Claims
15,732
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVILLANUEVA, JUANITA (DIRECTOR)
NPI Enumeration Date02/22/2006

Related Entities

Other providers sharing the same authorized official: VILLANUEVA, JUANITA

ProviderCityStateTotal Paid
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $5.67M
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $5.50M
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $2.43M
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $1.51M
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $1.33M
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $849K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $828K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $820K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $721K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $519K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $288K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $258K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $176K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $174K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $118K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $33K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $29K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $28K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $24K
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,475 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 779 776 $65K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,076 1,071 $58K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,007 1,003 $49K
99232 Subsequent hospital care, per day, moderate complexity 1,668 939 $41K
99152 4,797 4,749 $30K
99233 Prolong inpt eval add15 m 500 281 $17K
99255 136 131 $4K
99254 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) 604 602 $3K
99153 Mod sedat endo service >5yrs 1,025 1,011 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 42 42 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 15 14 $0.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,302 2,887 $0.00
74177 Computed tomography, abdomen and pelvis; with contrast material 225 219 $0.00
71250 52 52 $0.00
71046 Radiologic examination, chest; 2 views 185 182 $0.00
73590 14 12 $0.00
70450 Computed tomography, head or brain; without contrast material 84 79 $0.00
71045 Radiologic examination, chest; single view 1,787 1,537 $0.00