Clinic
Sansum Clinic
Sansum Clinic was paid $699K by Medicaid between Mar 2018 and Jul 2024, across 5 billing codes. Its largest line is 0490, — 92% of everything it billed.
33Billing provider infoSANSUM CLINIC
SANTA BARBARA, CA 93105
SANTA BARBARA, CA 93105
33aNPI1649296807assigned 07/14/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$699K
24GClaims1,506
24DCodes billed5
24AFirst – last monthMar 2018 – Jul 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in California
Rank by total paid#111 of 347
Median peer was paid$191K
This provider vs. median3.7×
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 | 38 | $15K | |
| 2019 | 108 | $3K | |
| 2020 | 250 | $107K | |
| 2021 | 545 | $300K | |
| 2022 | 444 | $247K | |
| 2023 | 53 | $19K | |
| 2024incomplete | 68 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0490 | 92% | 1,131 | 984 | $640K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.8% | 148 | 146 | $41K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.7% | 89 | 89 | $19K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 69 | 69 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 69 | 69 | $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 officialHINE, CHAD (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Sansum Clinic | Santa Barbara, CA | $24.40M |
| Sansum Clinic | Santa Barbara, CA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.