Physician
Northbay Healthcare Group
Northbay Healthcare Group was paid $32.74M by Medicaid between Jan 2018 and Nov 2024, across 162 billing codes. Its largest line is 99284, emergency room visit (serious) — 22% of everything it billed.
33Billing provider infoNORTHBAY HEALTHCARE GROUP
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
33aNPI1780736736assigned 01/18/2007
33bProvider typeRheumatology Physician
28Total paid$32.74M
24GClaims603,375
24DCodes billed162
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rheumatology Physician providers in California
Rank by total paid#2 of 147
Median peer was paid$43K
This provider vs. median756×
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 | 65,611 | $1.81M | |
| 2019 | 63,808 | $1.92M | |
| 2020 | 81,302 | $3.98M | |
| 2021 | 89,980 | $4.36M | |
| 2022 | 108,023 | $6.79M | |
| 2023 | 111,359 | $7.70M | |
| 2024incomplete | 83,292 | $6.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 22% | 71,123 | 68,818 | $7.27M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 15% | 33,562 | 32,921 | $4.83M |
| 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 | 11% | 113,159 | 107,098 | $3.67M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.7% | 14,503 | 14,245 | $1.87M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.5% | 28,979 | 28,085 | $1.80M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.9% | 33,476 | 15,107 | $1.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 78,788 | 73,949 | $1.08M |
| 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 | 3.2% | 12,285 | 12,137 | $1.05M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.2% | 6,098 | 5,043 | $1.04M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2.6% | 966 | 919 | $867K |
| 99223 | Prolong inpt eval add15 m | 2.5% | 9,856 | 9,483 | $813K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 15,421 | 7,170 | $614K |
150 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 32,180 | $560K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.5% | 20,733 | $479K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.3% | 1,435 | $422K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.0% | 5,554 | $332K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 688 | $276K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 5,253 | $275K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,164 | $267K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 2,709 | $252K |
| 97139 | <1% | 8,383 | $215K | |
| 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% | 2,415 | $192K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 4,710 | $180K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,328 | $175K |
| 95886 | <1% | 1,026 | $143K | |
| 90686 | <1% | 9,884 | $133K | |
| 99255 | <1% | 910 | $129K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,834 | $126K |
| 59025 | Fetal non-stress test | <1% | 5,347 | $118K |
| 97802 | <1% | 849 | $118K | |
| 93000 | <1% | 3,679 | $99K | |
| 97803 | <1% | 1,949 | $87K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 82 | $79K |
| 99205 | Prolong outpt/office vis | <1% | 729 | $77K |
| 97750 | <1% | 1,833 | $76K | |
| 95912 | <1% | 202 | $70K | |
| 92557 | <1% | 1,280 | $58K | |
| 97010 | <1% | 3,042 | $57K | |
| 64615 | <1% | 383 | $54K | |
| 20610 | <1% | 1,203 | $54K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,026 | $53K |
| 99292 | <1% | 259 | $50K | |
| 93297 | <1% | 3,515 | $50K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,590 | $46K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 75 | $41K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 309 | $41K |
| 59425 | <1% | 448 | $39K | |
| 90670 | <1% | 4,159 | $38K | |
| 51798 | <1% | 1,254 | $31K | |
| 94729 | <1% | 494 | $31K | |
| 11721 | <1% | 1,353 | $29K | |
| 52000 | <1% | 359 | $27K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 976 | $25K |
| 94060 | <1% | 390 | $24K | |
| 90647 | <1% | 2,613 | $24K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,841 | $23K |
| 93296 | <1% | 947 | $23K | |
| 90723 | <1% | 2,490 | $22K | |
| 90715 | <1% | 642 | $22K | |
| Z1034 | <1% | 396 | $20K | |
| 94010 | <1% | 541 | $19K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 128 | $19K |
| 95911 | <1% | 75 | $18K | |
| 99356 | <1% | 342 | $18K | |
| 95909 | <1% | 109 | $18K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 83 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 889 | $15K |
| 59430 | <1% | 168 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,586 | $15K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 268 | $14K |
| 95812 | <1% | 313 | $14K | |
| 93970 | <1% | 64 | $13K | |
| 94726 | <1% | 217 | $12K | |
| 90651 | <1% | 779 | $11K | |
| 99152 | <1% | 397 | $11K | |
| 93351 | <1% | 37 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 451 | $10K |
| 90633 | <1% | 1,113 | $10K | |
| 93294 | <1% | 543 | $10K | |
| 99254 | <1% | 84 | $9K | |
| 99418 | Prolong nursin fac eval 15m | <1% | 142 | $8K |
| 90710 | <1% | 918 | $8K | |
| 97799 | <1% | 333 | $8K | |
| 96127 | <1% | 1,612 | $8K | |
| 93295 | <1% | 159 | $7K | |
| 99497 | <1% | 74 | $7K | |
| 92504 | <1% | 554 | $6K | |
| 92526 | <1% | 215 | $6K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,390 | $6K |
| 90681 | <1% | 653 | $6K | |
| 99499 | <1% | 259 | $6K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | $5K |
| 31575 | <1% | 198 | $4K | |
| 95910 | <1% | 17 | $4K | |
| 99381 | <1% | 77 | $4K | |
| 90677 | <1% | 286 | $4K | |
| 90672 | <1% | 284 | $4K | |
| 93922 | <1% | 64 | $4K | |
| 92551 | <1% | 2,969 | $3K | |
| 94727 | <1% | 56 | $3K | |
| 97165 | <1% | 75 | $3K | |
| 93015 | <1% | 74 | $3K | |
| 58300 | <1% | 13 | $3K | |
| 81025 | <1% | 432 | $3K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 58 | $3K |
| 90734 | <1% | 261 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 203 | $2K |
| 69210 | <1% | 106 | $2K | |
| 90656 | <1% | 180 | $2K | |
| 99245 | <1% | 12 | $2K | |
| 93308 | <1% | 76 | $2K | |
| 99221 | <1% | 173 | $2K | |
| 81000 | <1% | 542 | $2K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 13 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 53 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 107 | $2K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 40 | $2K |
| 93880 | <1% | 12 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 205 | $2K |
| J3490 | Unclassified drugs | <1% | 13 | $2K |
| 31231 | <1% | 56 | $1K | |
| 97162 | <1% | 204 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 138 | $1K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 43 | $1K |
| 83655 | <1% | 90 | $956.48 | |
| 81002 | <1% | 284 | $948.69 | |
| 93990 | <1% | 26 | $934.44 | |
| 90685 | <1% | 44 | $847.26 | |
| 90662 | <1% | 38 | $750.49 | |
| 90700 | <1% | 74 | $666.00 | |
| 93228 | <1% | 25 | $616.17 | |
| 11056 | <1% | 26 | $587.36 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | $579.32 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 43 | $542.34 |
| 99406 | <1% | 129 | $527.86 | |
| 11720 | <1% | 65 | $523.34 | |
| 90696 | <1% | 55 | $495.00 | |
| 93016 | <1% | 68 | $487.51 | |
| 92700 | <1% | 89 | $456.42 | |
| 93298 | <1% | 19 | $420.27 | |
| 93018 | <1% | 68 | $342.11 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $331.11 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 740 | $252.19 |
| 93280 | <1% | 51 | $242.64 | |
| 99383 | <1% | 13 | $219.32 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 18 | $182.29 |
| 90733 | <1% | 20 | $180.00 | |
| 76937 | <1% | 13 | $178.61 | |
| 11057 | <1% | 14 | $136.05 | |
| 92134 | <1% | 14 | $133.42 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 81 | $72.81 |
| 93325 | <1% | 26 | $47.99 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 54 | $45.22 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 162 | $4.46 |
| 85018 | <1% | 49 | $4.14 | |
| 83037 | 0% | 40 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 38 | $0.00 |
| 90653 | 0% | 43 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 12 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 101 | $0.00 |
| 84999 | 0% | 14 | $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 officialDANGINA, JOSEPH (CFO)
Parent organizationNORTHBAY HEALTHCARE GROUP
| Provider | Location | Paid |
|---|---|---|
| Northbay Healthcare Group | Vacaville, CA | $249K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.