Prenatal Diagnosis of Northern California Medical Group INC.

Prenatal Diagnosis of Northern California Medical Group INC. was paid $1.49M by Medicaid between Jan 2018 and Dec 2019, across 12 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 47% of everything it billed.

33Billing provider infoPRENATAL DIAGNOSIS OF NORTHERN CALIFORNIA MEDICAL GROUP INC.
SACRAMENTO, CA 95815

33aNPI1649471798assigned 05/29/2007

33bProvider typeClinical Medical Laboratory

28Total paid$1.49M

24GClaims15,616

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#169 of 561

Median peer was paid$222K

This provider vs. median6.7×

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	7,166	$725K
2019	8,450	$770K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	47%	5,024	4,814	$700K
76813		18%	2,726	2,441	$276K
76801		11%	1,890	1,886	$161K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	9.0%	2,815	2,571	$134K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	8.1%	1,501	1,497	$122K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	2.6%	576	562	$40K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	1.2%	317	310	$18K
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	1.1%	203	199	$17K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.1%	248	248	$16K
76820		<1%	216	192	$7K
76819	Fetal biophysical profile; without non-stress testing	<1%	49	41	$4K
S0265	Genetic counseling, under physician supervision, each 15 minutes	<1%	51	51	$2K

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 officialHERSHEY, DOUGLAS (MEDICAL DIRECTOR)

Same official

Other billing entities under HERSHEY, DOUGLAS

Full network →

Provider	Location	Paid
Families First Support Services, LLC	Shelby, NC	$7.44M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.