Physician
Northern California Medical Assoc INC
Northern California Medical Assoc INC was paid $32K by Medicaid between May 2020 and Mar 2021, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 44% of everything it billed.
33Billing provider infoNORTHERN CALIFORNIA MEDICAL ASSOC INC
SANTA ROSA, CA 95404
SANTA ROSA, CA 95404
33aNPI1689226649assigned 07/10/2019
33bProvider typeHepatology Physician
28Total paid$32K
24GClaims214
24DCodes billed5
24AFirst – last monthMay 2020 – Mar 2021
Compared with peers
Next to other Hepatology Physician providers in California
Rank by total paid#8 of 9
Median peer was paid$164K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 161 | $23K | |
| 2021 | 53 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 44% | 71 | 71 | $14K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 42% | 44 | 44 | $14K |
| 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 | 7.5% | 58 | 54 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 16 | 16 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 25 | 25 | $799.20 |
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 officialDEWALD, SALLY (BUSINESS SERVICES MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Northern California Medical Assoc INC | Santa Rosa, CA | $45K |
| Northern California Medical Assoc INC | Santa Rosa, CA | $11K |
| Northern California Medical Assoc INC | Sonoma, CA | $901.94 |
| Northern California Medical Assoc INC | Santa Rosa, CA | $80.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.