Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Dignity Health Medical Foundation

Dignity Health Medical Foundation was paid $14.76M by Medicaid between Jan 2018 and Dec 2024, across 261 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 14% of everything it billed.

33Billing provider infoDIGNITY HEALTH MEDICAL FOUNDATION
SACRAMENTO, CA 95816
33aNPI1700803418assigned 07/17/2006
28Total paid$14.76M
24GClaims1,136,375
24DCodes billed261
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in California

Rank by total paid#10 of 170
Median peer was paid$145K
This provider vs. median102×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018119,250$1.80M
2019143,286$1.52M
2020124,215$1.43M
2021142,245$1.71M
2022148,052$1.78M
2023225,467$2.95M
2024incomplete233,860$3.55M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74177 Computed tomography, abdomen and pelvis; with contrast material 14% 58,039 56,824 $2.11M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 11% 107,137 49,640 $1.69M
70450 Computed tomography, head or brain; without contrast material 7.6% 74,452 71,559 $1.13M
99223 Prolong inpt eval add15 m 7.1% 38,102 36,790 $1.05M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.0% 73,594 29,821 $1.03M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5.8% 29,874 29,462 $854K
71045 Radiologic examination, chest; single view 5.4% 238,354 218,995 $799K
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 4.9% 29,569 28,437 $719K
74176 Computed tomography, abdomen and pelvis; without contrast material 3.5% 20,235 19,516 $520K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3.2% 101,180 88,735 $466K
99239 Hospital discharge day management, more than 30 minutes 3.1% 33,412 32,531 $459K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.7% 7,348 3,480 $394K
249 more codes
71046 Radiologic examination, chest; 2 views 2.6% 79,305 $380K
71275 Computed tomographic angiography, chest, with contrast material 1.5% 8,585 $229K
78815 Positron emission tomography (PET) for limited area imaging 1.3% 1,099 $196K
72125 Computed tomography, cervical spine; without contrast material 1.2% 9,766 $174K
77067 Screening mammography, bilateral, including computer-aided detection 1.1% 6,762 $169K
70551 Magnetic resonance imaging, brain; without contrast material 1.1% 8,064 $156K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 6,522 $132K
Z0104 <1% 966 $122K
70496 <1% 2,623 $99K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,578 $98K
99213 Doctor's office visit, returning patient (routine) <1% 6,102 $94K
70498 <1% 2,620 $92K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 8,877 $81K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 4,053 $72K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 7,572 $72K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,342 $66K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 6,580 $56K
73630 <1% 11,461 $55K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,724 $49K
99254 <1% 3,126 $48K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 6,480 $39K
90961 <1% 1,200 $37K
99222 Initial hospital care, per day, moderate complexity <1% 2,176 $36K
73030 <1% 6,529 $33K
74018 <1% 9,946 $33K
76830 Ultrasound, transvaginal <1% 5,458 $31K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 659 $31K
76642 <1% 4,340 $30K
99204 Doctor's office visit, new patient (more involved) <1% 1,029 $27K
71250 <1% 1,803 $26K
73130 <1% 5,361 $25K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 2,195 $24K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,203 $22K
73610 <1% 5,093 $22K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 192 $20K
0011A <1% 546 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,714 $19K
77066 Tomosynthesis, mammo <1% 1,439 $18K
72100 <1% 3,977 $18K
99253 <1% 1,566 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,618 $18K
0012A <1% 460 $18K
93000 <1% 1,615 $18K
73110 <1% 3,351 $17K
90962 <1% 552 $17K
73564 <1% 3,116 $17K
99215 Doctor's office visit, returning patient (complex) <1% 879 $17K
93971 <1% 3,309 $16K
99152 <1% 2,034 $15K
99285 Emergency room visit (most serious) <1% 144 $15K
99203 Doctor's office visit, new patient (routine) <1% 511 $15K
73562 <1% 2,806 $13K
99480 Subsequent intensive care, per day, low birth weight infant <1% 114 $12K
99255 <1% 978 $12K
92015 Determination of refractive state <1% 1,796 $11K
77065 Tomosynthesis, mammo <1% 670 $11K
70486 <1% 1,252 $11K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 699 $11K
73502 <1% 2,201 $11K
93970 <1% 1,301 $11K
93016 <1% 1,877 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 91 $10K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 1,450 $9K
49083 <1% 344 $9K
72141 <1% 1,011 $8K
76801 <1% 796 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 61 $7K
Z1034 <1% 125 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 501 $6K
76770 <1% 1,045 $6K
43235 <1% 107 $6K
93458 <1% 77 $6K
74174 <1% 433 $6K
74178 <1% 311 $6K
72040 <1% 1,564 $5K
99350 Prolong home eval add 15m <1% 203 $5K
73221 <1% 716 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 779 $5K
72131 <1% 784 $5K
76536 <1% 1,047 $5K
70491 <1% 507 $5K
95816 <1% 299 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 56 $4K
99238 Hospital discharge day management, 30 minutes or less <1% 793 $4K
51798 <1% 441 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,712 $4K
99284 Emergency room visit (serious) <1% 54 $4K
93018 <1% 1,335 $4K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 34 $4K
93296 <1% 687 $3K
20610 <1% 76 $3K
99407 <1% 699 $3K
73590 <1% 1,492 $3K
77062 <1% 626 $3K
71020 <1% 366 $3K
93294 <1% 392 $3K
76813 <1% 304 $3K
76981 <1% 420 $3K
73560 <1% 843 $3K
95251 <1% 231 $3K
99308 Subsequent nursing facility care, per day, straightforward <1% 329 $2K
19083 <1% 76 $2K
90686 <1% 158 $2K
11721 <1% 281 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 24 $2K
72110 <1% 431 $2K
99349 <1% 75 $2K
76870 <1% 473 $2K
72170 <1% 723 $2K
93460 <1% 14 $2K
72146 <1% 300 $2K
93880 <1% 355 $2K
73700 <1% 337 $2K
76857 <1% 684 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 641 $2K
73140 <1% 683 $2K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 1,095 $2K
76775 <1% 412 $2K
70487 <1% 182 $2K
96112 <1% 20 $1K
73080 <1% 897 $1K
59514 <1% 13 $1K
71010 <1% 301 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 39 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 394 $1K
99292 <1% 42 $1K
77061 <1% 221 $1K
77080 <1% 336 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 96 $1K
95811 <1% 13 $1K
70544 <1% 180 $1K
72070 <1% 433 $1K
93295 <1% 58 $1K
36561 <1% 28 $1K
96111 <1% 13 $977.73
76882 <1% 362 $962.40
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 195 $956.28
99221 <1% 102 $949.73
59025 Fetal non-stress test <1% 494 $947.09
73090 <1% 700 $901.90
71271 <1% 43 $901.43
99283 Emergency room visit (moderate) <1% 233 $880.85
99205 Prolong outpt/office vis <1% 182 $873.34
99310 Prolong nursin fac eval 15m <1% 22 $858.00
72128 <1% 218 $818.50
72197 <1% 140 $785.66
J1030 Injection, methylprednisolone acetate, 40 mg <1% 104 $764.14
77001 <1% 347 $763.48
0031A <1% 18 $680.00
90834 Psychotherapy session, about 45 minutes <1% 924 $611.84
0002A <1% 16 $600.00
77012 <1% 45 $586.36
0001A <1% 15 $560.00
99306 Prolong nursin fac eval 15m <1% 14 $550.68
99245 <1% 58 $546.77
72081 <1% 15 $534.34
73701 <1% 120 $524.52
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 28 $495.04
99406 <1% 459 $493.57
73552 <1% 353 $490.65
72050 <1% 145 $487.97
74181 <1% 118 $475.22
69210 <1% 16 $469.98
93015 <1% 12 $445.60
76937 <1% 235 $444.76
0004A <1% 12 $430.00
74019 <1% 249 $427.34
94726 <1% 268 $398.05
72158 <1% 37 $393.96
93297 <1% 163 $391.50
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 19 $385.55
94060 <1% 338 $344.53
99497 <1% 140 $342.41
93288 <1% 43 $339.99
74170 <1% 18 $327.94
90785 <1% 280 $318.37
73620 <1% 170 $315.08
73522 <1% 147 $312.67
72193 <1% 32 $289.51
73060 <1% 347 $267.41
99236 Prolong inpt eval add15 m <1% 12 $249.20
95822 <1% 15 $247.13
76376 <1% 96 $225.22
72072 <1% 140 $224.59
93308 <1% 48 $211.64
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 25 $186.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 99 $165.25
71101 <1% 141 $157.46
78582 <1% 13 $154.78
76819 Fetal biophysical profile; without non-stress testing <1% 32 $150.18
93321 <1% 64 $141.00
94729 <1% 323 $136.36
73600 <1% 14 $129.58
20611 <1% 13 $129.10
70360 <1% 247 $127.32
73120 <1% 40 $120.74
10005 <1% 40 $111.69
73100 <1% 89 $105.34
70220 <1% 18 $97.38
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 50 $96.68
74230 <1% 19 $94.46
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% 31 $87.94
72192 <1% 43 $84.80
93975 <1% 13 $83.38
77336 <1% 25 $80.42
J1040 Injection, methylprednisolone acetate, 80 mg <1% 43 $72.72
73070 <1% 52 $69.42
93925 <1% 14 $67.81
95117 <1% 19 $67.29
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 14 $48.76
73000 <1% 91 $44.30
81003 <1% 39 $36.73
70160 <1% 12 $36.19
92134 <1% 29 $35.40
95819 <1% 12 $34.46
73660 <1% 97 $26.72
81002 <1% 12 $16.59
93926 <1% 14 $15.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 14 $11.50
93017 <1% 14 $7.54
J2785 Injection, regadenoson, 0.1 mg <1% 14 $0.48
3074F <1% 335 $0.01
3078F <1% 428 $0.01
3075F 0% 103 $0.00
96156 0% 47 $0.00
G0008 Administration of influenza virus vaccine 0% 16 $0.00
99443 0% 56 $0.00
3079F 0% 110 $0.00
92567 0% 62 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 0% 27 $0.00
74183 0% 54 $0.00
32555 0% 39 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 0% 13 $0.00
73200 0% 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 17 $0.00
99441 0% 14 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 13 $0.00
3077F 0% 82 $0.00
99401 0% 33 $0.00
72220 0% 53 $0.00
97803 0% 33 $0.00
99442 0% 105 $0.00
59425 0% 101 $0.00
93923 0% 12 $0.00
92557 0% 24 $0.00
73718 0% 21 $0.00
81025 0% 22 $0.00
78472 0% 13 $0.00
H1003 Prenatal care, at-risk enhanced service; education 0% 13 $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
Same official

Other billing entities under HYLEN, THERESA

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