Clinic
Dignity Health Medical Foundation
Dignity Health Medical Foundation was paid $3K by Medicaid between Feb 2020 and Dec 2024, across 88 billing codes. Its largest line is 90686, — 94% of everything it billed.
33Billing provider infoDIGNITY HEALTH MEDICAL FOUNDATION
FONTANA, CA 92336
FONTANA, CA 92336
33aNPI1780226852assigned 10/10/2019
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$3K
24GClaims190,676
24DCodes billed88
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in California
Rank by total paid#147 of 170
Median peer was paid$145K
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 HYLEN, THERESA controls 16+ 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 | 20,106 | $2K | |
| 2021 | 34,216 | $234.96 | |
| 2022 | 40,344 | $0.00 | |
| 2023 | 44,260 | $0.00 | |
| 2024incomplete | 51,750 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 94% | 128 | 128 | $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 | 2.2% | 1,187 | 1,187 | $56.63 |
| 99188 | 1.4% | 1,420 | 1,386 | $35.64 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 1,462 | 1,430 | $34.34 |
| 92551 | <1% | 5,856 | 5,833 | $11.02 | |
| 81002 | <1% | 1,789 | 1,718 | $4.26 | |
| 85018 | <1% | 3,376 | 3,341 | $2.05 | |
| 99443 | <1% | 14 | 14 | $0.97 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,909 | 1,904 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 4,077 | 3,072 | $0.00 |
| 99173 | 0% | 6,862 | 6,839 | $0.00 | |
| 3077F | 0% | 1,444 | 1,390 | $0.00 |
76 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 4,441 | $0.00 |
| 96160 | 0% | 584 | $0.00 | |
| 3078F | 0% | 6,384 | $0.00 | |
| 81025 | 0% | 681 | $0.00 | |
| 90461 | 0% | 2,226 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 5,274 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,446 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,648 | $0.00 |
| 91300 | 0% | 476 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,627 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 932 | $0.00 |
| 59425 | 0% | 124 | $0.00 | |
| 0053A | 0% | 24 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 5,393 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 104 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 664 | $0.00 |
| 91313 | 0% | 13 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,503 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,915 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 95 | $0.00 |
| 99177 | 0% | 121 | $0.00 | |
| 3051F | 0% | 13 | $0.00 | |
| 0002A | 0% | 166 | $0.00 | |
| 0013A | 0% | 36 | $0.00 | |
| 0124A | 0% | 43 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 56 | $0.00 |
| 91312 | 0% | 43 | $0.00 | |
| 0071A | 0% | 62 | $0.00 | |
| 0004A | 0% | 26 | $0.00 | |
| 0003A | 0% | 15 | $0.00 | |
| 99382 | 0% | 12 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 12 | $0.00 |
| 99442 | 0% | 16 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 19,639 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 3,060 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 2,809 | $0.00 |
| 96127 | 0% | 1,794 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,808 | $0.00 |
| 1125F | 0% | 3,005 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 20,822 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 665 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 14,312 | $0.00 |
| 3075F | 0% | 2,218 | $0.00 | |
| 36416 | 0% | 3,344 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 2,246 | $0.00 |
| 3079F | 0% | 2,980 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 27,253 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 319 | $0.00 |
| 1126F | 0% | 7,864 | $0.00 | |
| 3074F | 0% | 5,928 | $0.00 | |
| 3044F | 0% | 227 | $0.00 | |
| 99385 | 0% | 420 | $0.00 | |
| 91305 | 0% | 129 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 433 | $0.00 |
| 3080F | 0% | 207 | $0.00 | |
| 0011A | 0% | 232 | $0.00 | |
| 99384 | 0% | 99 | $0.00 | |
| 93000 | 0% | 93 | $0.00 | |
| 91306 | 0% | 214 | $0.00 | |
| 96161 | 0% | 105 | $0.00 | |
| 91301 | 0% | 418 | $0.00 | |
| 90474 | 0% | 41 | $0.00 | |
| 0001A | 0% | 184 | $0.00 | |
| 99441 | 0% | 265 | $0.00 | |
| 91307 | 0% | 120 | $0.00 | |
| 99386 | 0% | 13 | $0.00 | |
| 0064A | 0% | 190 | $0.00 | |
| 82043 | 0% | 72 | $0.00 | |
| 0012A | 0% | 234 | $0.00 | |
| 86580 | 0% | 60 | $0.00 | |
| 0134A | 0% | 13 | $0.00 | |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | 0% | 33 | $0.00 |
| 0072A | 0% | 16 | $0.00 | |
| 99383 | 0% | 64 | $0.00 | |
| 3008F | 0% | 13 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 16 | $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
| Provider | Location | Paid |
|---|---|---|
| Dignity Health Medical Foundation | Sacramento, CA | $14.76M |
| Dignity Health Medical Foundation | Santa Cruz, CA | $10.62M |
| Dignity Health Medical Foundation | Bakersfield, CA | $8.04M |
| Dignity Health Medical Foundation | Woodland, CA | $6.11M |
| Dignity Health Medical Foundation | Camarillo, CA | $4.19M |
| Dignity Health Medical Foundation | Redding, CA | $3.70M |
| Dignity Health Medical Foundation | Stockton, CA | $2.76M |
| Dignity Health Medical Foundation | Merced, CA | $2.22M |
| Dignity Health Medical Foundation | Belmont, CA | $2.11M |
| Dignity Health Medical Foundation | Northridge, CA | $1.93M |
| Dignity Health Medical Foundation | Rancho Cordova, CA | $1.28M |
| Dignity Health Medical Foundation | Grass Valley, CA | $536K |
| Dignity Health Medical Foundation | San Francisco, CA | $349K |
| Dignity Health Medical Foundation | Highland, CA | $257K |
| Dignity Health Medical Foundation | Rancho Cordova, CA | $32K |
| Dignity Health Medical Foundation | Elk Grove, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.