Clinic
Dignity Health Medical Foundation
Dignity Health Medical Foundation was paid $10.62M by Medicaid between Jan 2018 and Nov 2024, across 129 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 18% of everything it billed.
33Billing provider infoDIGNITY HEALTH MEDICAL FOUNDATION
SANTA CRUZ, CA 95065
SANTA CRUZ, CA 95065
33aNPI1598961245assigned 06/21/2007
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$10.62M
24GClaims247,308
24DCodes billed129
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in California
Rank by total paid#14 of 170
Median peer was paid$145K
This provider vs. median73×
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 | 31,137 | $1.38M | |
| 2019 | 34,404 | $1.42M | |
| 2020 | 29,021 | $1.11M | |
| 2021 | 35,998 | $1.57M | |
| 2022 | 37,208 | $1.67M | |
| 2023 | 47,623 | $2.13M | |
| 2024incomplete | 31,917 | $1.35M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 29,600 | 10,712 | $1.88M |
| 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 | 17% | 46,553 | 43,776 | $1.78M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 56,480 | 53,217 | $1.47M |
| 59425 | 5.5% | 8,737 | 7,279 | $584K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 10,801 | 3,329 | $545K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.1% | 6,420 | 6,410 | $434K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 6,374 | 6,095 | $424K |
| 99223 | Prolong inpt eval add15 m | 3.7% | 2,949 | 2,902 | $390K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 3,151 | 3,145 | $257K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 2,731 | 2,729 | $204K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.9% | 3,086 | 3,052 | $197K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 1,819 | 1,814 | $186K |
117 more codes
| 90961 | 1.6% | 949 | $171K | |
| 92551 | 1.4% | 7,601 | $151K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 1,821 | $135K |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 1,231 | $132K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 1.2% | 566 | $126K |
| 90686 | 1.1% | 6,874 | $121K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.0% | 2,759 | $110K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 749 | $103K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 790 | $100K |
| 99205 | Prolong outpt/office vis | <1% | 415 | $79K |
| 87428 | <1% | 1,128 | $69K | |
| 59025 | Fetal non-stress test | <1% | 2,064 | $69K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 502 | $64K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,589 | $64K |
| 90670 | <1% | 3,520 | $58K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 363 | $54K |
| 98960 | <1% | 540 | $43K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 53 | $42K |
| 99173 | <1% | 5,915 | $39K | |
| 90697 | <1% | 1,067 | $30K | |
| 0012A | <1% | 769 | $30K | |
| 90723 | <1% | 1,672 | $29K | |
| 0011A | <1% | 789 | $28K | |
| 90633 | <1% | 1,531 | $27K | |
| 99243 | <1% | 178 | $22K | |
| 90680 | <1% | 1,225 | $20K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,621 | $19K |
| 76830 | Ultrasound, transvaginal | <1% | 162 | $18K |
| 90648 | <1% | 967 | $16K | |
| Z1034 | <1% | 296 | $16K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 516 | $15K |
| 90647 | <1% | 729 | $13K | |
| 90677 | <1% | 691 | $12K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 17 | $12K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 123 | $12K |
| 90651 | <1% | 469 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 454 | $9K |
| 90681 | <1% | 542 | $9K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 114 | $8K |
| 51798 | <1% | 681 | $8K | |
| 90962 | <1% | 55 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 788 | $7K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 42 | $7K |
| 90656 | <1% | 373 | $7K | |
| 90710 | <1% | 352 | $6K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 26 | $6K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 39 | $6K |
| 93793 | <1% | 482 | $6K | |
| 90734 | <1% | 311 | $6K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 66 | $6K |
| 99462 | <1% | 162 | $5K | |
| 90700 | <1% | 305 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 101 | $5K |
| 81002 | <1% | 3,459 | $5K | |
| 85018 | <1% | 2,138 | $5K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 38 | $5K |
| 99460 | <1% | 57 | $4K | |
| 99254 | <1% | 28 | $4K | |
| 90716 | <1% | 221 | $4K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 40 | $4K |
| 99306 | Prolong nursin fac eval 15m | <1% | 64 | $4K |
| 90707 | <1% | 179 | $3K | |
| 73564 | <1% | 94 | $3K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | $3K |
| 20610 | <1% | 67 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 58 | $3K |
| 20553 | <1% | 63 | $2K | |
| 99253 | <1% | 27 | $2K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 39 | $2K |
| 0071A | <1% | 56 | $2K | |
| 0072A | <1% | 58 | $2K | |
| 85610 | <1% | 565 | $2K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | $2K |
| 90715 | <1% | 110 | $2K | |
| 99221 | <1% | 20 | $2K | |
| 59430 | <1% | 25 | $2K | |
| 90696 | <1% | 97 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 42 | $1K |
| 99383 | <1% | 13 | $1K | |
| 76642 | <1% | 14 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 235 | $1K |
| 94010 | <1% | 41 | $1K | |
| 99381 | <1% | 14 | $1K | |
| 64483 | <1% | 20 | $1K | |
| 81025 | <1% | 336 | $1K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 54 | $1K |
| 73030 | <1% | 43 | $896.60 | |
| 99305 | <1% | 28 | $892.94 | |
| 0001A | <1% | 20 | $800.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 108 | $773.46 |
| 90649 | <1% | 42 | $747.00 | |
| 0064A | <1% | 20 | $740.00 | |
| 0002A | <1% | 17 | $680.00 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 17 | $659.77 |
| 90685 | <1% | 36 | $651.77 | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 20 | $584.12 |
| 83655 | <1% | 40 | $530.32 | |
| 0082A | <1% | 13 | $520.00 | |
| 99316 | <1% | 12 | $419.40 | |
| 90698 | <1% | 40 | $360.00 | |
| 96127 | <1% | 48 | $305.49 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 21 | $274.89 |
| 90744 | <1% | 12 | $108.00 | |
| 87807 | <1% | 12 | $104.88 | |
| 99000 | <1% | 28 | $100.11 | |
| 82247 | <1% | 20 | $93.34 | |
| 82962 | <1% | 22 | $54.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 13 | $47.24 |
| 71045 | Radiologic examination, chest; single view | <1% | 72 | $32.64 |
| 81003 | <1% | 14 | $27.68 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 16 | $4.44 |
| 3078F | 0% | 224 | $0.00 | |
| 3077F | 0% | 16 | $0.00 | |
| 3074F | 0% | 129 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 35 | $0.00 |
| 90694 | 0% | 15 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $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 | 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 | Merced, CA | $2.22M |
| 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.