Uc San Diego Health Community Group

Uc San Diego Health Community Group was paid $9K by Medicaid between Apr 2020 and Oct 2024, across 5 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 62% of everything it billed.

33Billing provider infoUC SAN DIEGO HEALTH COMMUNITY GROUP
SAN DIEGO, CA 92103

33aNPI1659864247assigned 06/08/2018

33bProvider typeCommunity Health Clinic/Center

28Total paid$9K

24GClaims2,251

24DCodes billed5

24AFirst – last monthApr 2020 – Oct 2024

Compared with peers

Next to other Community Health Clinic/Center providers in California

Rank by total paid#254 of 288

Median peer was paid$2.15M

This provider vs. median0.0×

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 PRICE, MICHAEL controls 20+ 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
2020	635	$2K
2021	147	$942.98
2022	504	$3K
2023	495	$3K
2024incomplete	470	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	62%	166	155	$6K
99000		19%	635	607	$2K
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	10.0%	13	13	$942.98
36415	Collection of venous blood by venipuncture	8.2%	1,420	1,138	$779.54
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	17	13	$49.80

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 officialPRICE, MICHAEL (DIRECTOR, REVENUE CYCLE & OPERATION)

Same official

Other billing entities under PRICE, MICHAEL

Full network →

Provider	Location	Paid
Regents of the University of California	San Diego, CA	$15.53M
Regents of the University of California	San Diego, CA	$11.14M
Regents of the University of California	San Diego, CA	$2.59M
Regents of the University of California	San Diego, CA	$1.77M
Regents of the University of California	San Diego, CA	$1.58M
Regents of the University of California	San Diego, CA	$1.31M
Regents of the University of California	San Diego, CA	$1.17M
Regents of the University of California	San Diego, CA	$709K
Burlington United Methodist Family Services, INC.	Oakland, MD	$617K
Regents of the University of California	San Diego, CA	$545K
Regents of the University of California	San Diego, CA	$543K
Regents of the University of California	San Diego, CA	$523K
Regents of the University of California	San Diego, CA	$159K
Regents of the University of California	San Diego, CA	$119K
Regents of the University of California	San Diego, CA	$112K
Regents of the University of California	Encinitas, CA	$99K
Regents of the University of California - UCSD Medical Group	San Diego, CA	$71K
Burlington United Methodist Family Services, INC.	Moorefield, WV	$36K
Regents of the University of California	San Diego, CA	$29K
Regents of the University of California	San Diego, CA	$27K

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