Community Foundation Medical Group
Community Foundation Medical Group was paid $6.81M by Medicaid between Jan 2018 and Dec 2024, across 255 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 14% of everything it billed.
33Billing provider infoCOMMUNITY FOUNDATION MEDICAL GROUP
FRESNO, CA 93711
FRESNO, CA 93711
33aNPI1811258510assigned 05/30/2012
33bProvider typePodiatrist
28Total paid$6.81M
24GClaims917,015
24DCodes billed255
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Podiatrist providers in California
Rank by total paid#2 of 330
Median peer was paid$11K
This provider vs. median596×
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 | 193,670 | $2.09M | |
| 2019 | 165,852 | $1.33M | |
| 2020 | 175,431 | $1.51M | |
| 2021 | 170,686 | $979K | |
| 2022 | 95,675 | $438K | |
| 2023 | 64,671 | $248K | |
| 2024incomplete | 51,030 | $214K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 93,432 | 33,052 | $932K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10.0% | 60,252 | 24,739 | $680K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 9.7% | 9,399 | 9,106 | $658K |
| 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 | 7.4% | 63,285 | 54,870 | $501K |
| Z1034 | 6.0% | 7,020 | 5,745 | $409K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 6,816 | 5,836 | $311K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 100,251 | 83,645 | $283K |
| 99223 | Prolong inpt eval add15 m | 4.0% | 18,912 | 18,117 | $272K |
| 76813 | 3.9% | 5,246 | 4,905 | $267K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.1% | 3,769 | 3,746 | $211K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.7% | 18,823 | 17,980 | $181K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.5% | 13,088 | 12,695 | $170K |
243 more codes
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.4% | 7,765 | $162K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 13,023 | $146K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.1% | 7,056 | $146K |
| Q4186 | Epifix, per square centimeter (add-on, list separately in addition to primary procedure) | 1.8% | 922 | $122K |
| 59425 | 1.7% | 14,780 | $113K | |
| 59514 | 1.4% | 2,756 | $93K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.2% | 1,794 | $80K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 5,195 | $68K |
| Z1032 | <1% | 450 | $65K | |
| 93304 | <1% | 1,573 | $60K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12,191 | $57K |
| Z6410 | <1% | 4,236 | $47K | |
| 93320 | <1% | 1,770 | $41K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 7,185 | $31K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 6,388 | $30K |
| Z6500 | <1% | 245 | $30K | |
| Z4305 | <1% | 296 | $29K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 6,678 | $27K |
| 99381 | <1% | 2,449 | $27K | |
| Z4304 | <1% | 437 | $23K | |
| 93321 | <1% | 1,348 | $23K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 2,414 | $23K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 15,559 | $22K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 4,583 | $19K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 953 | $18K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,744 | $18K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 2,951 | $17K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 37,159 | $16K |
| 11721 | <1% | 3,515 | $16K | |
| 77014 | <1% | 2,532 | $14K | |
| 99460 | <1% | 3,198 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,713 | $13K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 1,075 | $11K |
| 77427 | <1% | 1,377 | $10K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12,800 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,185 | $10K |
| 99253 | <1% | 1,736 | $9K | |
| 93325 | <1% | 4,218 | $9K | |
| 90680 | <1% | 8,452 | $9K | |
| 93000 | <1% | 5,343 | $8K | |
| 90670 | <1% | 11,390 | $7K | |
| 90744 | <1% | 6,795 | $7K | |
| J9202 | Goserelin acetate implant, per 3.6 mg | <1% | 201 | $7K |
| 91010 | <1% | 1,166 | $7K | |
| 99205 | Prolong outpt/office vis | <1% | 704 | $6K |
| 50590 | <1% | 112 | $6K | |
| 59430 | <1% | 3,122 | $6K | |
| 99401 | <1% | 9,488 | $6K | |
| Z6400 | <1% | 246 | $6K | |
| 96151 | <1% | 2,896 | $6K | |
| 99254 | <1% | 1,132 | $6K | |
| 90698 | <1% | 5,766 | $5K | |
| 59025 | Fetal non-stress test | <1% | 7,243 | $5K |
| 99462 | <1% | 2,451 | $5K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 297 | $5K |
| 51798 | <1% | 3,249 | $5K | |
| 97803 | <1% | 8,054 | $5K | |
| 76825 | <1% | 339 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,066 | $4K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 178 | $4K |
| 99221 | <1% | 999 | $4K | |
| 99252 | <1% | 868 | $4K | |
| 93015 | <1% | 521 | $4K | |
| Z6406 | <1% | 265 | $4K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 4,245 | $4K |
| Z4306 | <1% | 76 | $4K | |
| 0002A | <1% | 98 | $4K | |
| 0001A | <1% | 95 | $4K | |
| 81002 | <1% | 7,619 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,712 | $3K |
| 90700 | <1% | 6,594 | $3K | |
| 15275 | <1% | 1,056 | $3K | |
| 90713 | <1% | 4,040 | $3K | |
| 90648 | <1% | 6,111 | $3K | |
| 99283 | Emergency room visit (moderate) | <1% | 165 | $3K |
| 43249 | <1% | 202 | $3K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 1,197 | $3K |
| Z6204 | <1% | 181 | $3K | |
| 99292 | <1% | 248 | $3K | |
| 52000 | <1% | 360 | $3K | |
| Z6304 | <1% | 177 | $3K | |
| 43264 | <1% | 50 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 269 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 8,708 | $2K |
| 0011A | <1% | 70 | $2K | |
| 96367 | <1% | 707 | $2K | |
| 76827 | <1% | 335 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,510 | $2K |
| 99255 | <1% | 196 | $2K | |
| 0012A | <1% | 47 | $2K | |
| 76820 | <1% | 88 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 2,745 | $2K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 26,888 | $2K |
| 99284 | Emergency room visit (serious) | <1% | 42 | $2K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 3,769 | $1K |
| 86300 | <1% | 1,289 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,007 | $1K |
| 43235 | <1% | 25 | $1K | |
| 51700 | <1% | 1,089 | $1K | |
| 82378 | <1% | 1,194 | $1K | |
| 77300 | <1% | 152 | $1K | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 2,542 | $1K |
| 96152 | <1% | 675 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 925 | $1K |
| J2469 | Injection, palonosetron hcl, 25 mcg | <1% | 607 | $1K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 352 | $1K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 648 | $1K |
| 77334 | <1% | 195 | $1K | |
| 99382 | <1% | 391 | $1K | |
| 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 | <1% | 2,416 | $952.41 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,585 | $919.11 |
| 11750 | <1% | 108 | $916.75 | |
| 81003 | <1% | 6,979 | $902.85 | |
| 92552 | <1% | 8,363 | $870.57 | |
| 99245 | <1% | 424 | $851.94 | |
| 91200 | <1% | 518 | $768.88 | |
| 91037 | <1% | 103 | $739.10 | |
| 83540 | <1% | 1,971 | $729.87 | |
| 69210 | <1% | 1,632 | $703.08 | |
| 82977 | <1% | 2,067 | $700.79 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 137 | $668.67 |
| Z1038 | <1% | 12 | $653.16 | |
| 81025 | <1% | 4,229 | $632.84 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 8,202 | $606.80 |
| J1071 | Injection, testosterone cypionate, 1 mg | <1% | 1,500 | $525.53 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 495 | $514.20 |
| 90710 | <1% | 4,348 | $493.29 | |
| 52332 | <1% | 14 | $491.05 | |
| 62323 | <1% | 59 | $484.06 | |
| 99243 | <1% | 146 | $468.13 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,305 | $459.15 |
| 90633 | <1% | 5,050 | $426.17 | |
| 96156 | <1% | 8,599 | $425.36 | |
| 74328 | <1% | 40 | $398.42 | |
| 90686 | <1% | 4,343 | $390.51 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 8,121 | $384.50 |
| 84550 | <1% | 2,009 | $376.02 | |
| 83615 | <1% | 2,024 | $366.44 | |
| 90461 | <1% | 966 | $358.69 | |
| J3490 | Unclassified drugs | <1% | 1,563 | $339.23 |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 297 | $338.61 |
| 11055 | <1% | 240 | $312.35 | |
| 90685 | <1% | 1,111 | $296.61 | |
| 84520 | <1% | 158 | $276.31 | |
| 46600 | <1% | 53 | $275.10 | |
| 84100 | <1% | 2,010 | $270.17 | |
| 99383 | <1% | 394 | $262.56 | |
| 20610 | <1% | 116 | $258.58 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 437 | $247.08 |
| 94760 | <1% | 3,089 | $241.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 890 | $238.71 |
| 96402 | <1% | 441 | $229.13 | |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | <1% | 24 | $208.30 |
| Z6208 | <1% | 13 | $199.84 | |
| Z6308 | <1% | 13 | $199.84 | |
| Z6414 | <1% | 13 | $199.84 | |
| 73030 | <1% | 120 | $180.43 | |
| 77338 | <1% | 13 | $179.50 | |
| 99251 | <1% | 35 | $179.01 | |
| 85018 | <1% | 7,379 | $151.15 | |
| 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% | 431 | $137.89 |
| 73562 | <1% | 490 | $132.84 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 123 | $129.90 |
| 99152 | <1% | 811 | $122.86 | |
| 83655 | <1% | 2,224 | $114.18 | |
| 73630 | <1% | 155 | $102.81 | |
| 87420 | <1% | 383 | $101.76 | |
| 51784 | <1% | 14 | $85.96 | |
| 96417 | <1% | 21 | $85.77 | |
| 43248 | <1% | 28 | $66.51 | |
| 99000 | <1% | 620 | $65.95 | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 24 | $50.65 |
| 99173 | <1% | 5,701 | $35.11 | |
| D1206 | Topical application of fluoride varnish | <1% | 1,693 | $33.94 |
| 93298 | <1% | 12 | $30.42 | |
| 90696 | <1% | 1,248 | $27.90 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 154 | $25.42 |
| 84450 | <1% | 167 | $23.87 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 130 | $23.75 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 241 | $22.12 |
| 84460 | <1% | 170 | $21.82 | |
| 77290 | <1% | 27 | $21.04 | |
| 82040 | <1% | 181 | $20.86 | |
| 82247 | <1% | 182 | $20.19 | |
| 84155 | <1% | 165 | $20.15 | |
| 11056 | <1% | 26 | $18.99 | |
| 82947 | <1% | 162 | $18.91 | |
| 84075 | <1% | 171 | $17.86 | |
| 82565 | <1% | 177 | $17.36 | |
| 82310 | <1% | 168 | $16.86 | |
| 84132 | <1% | 164 | $15.89 | |
| 94010 | <1% | 35 | $15.58 | |
| 84295 | <1% | 157 | $14.85 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,039 | $13.14 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 8,334 | $9.12 |
| 76981 | <1% | 34 | $8.06 | |
| 83735 | <1% | 12 | $5.96 | |
| 82374 | <1% | 168 | $5.79 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $5.35 |
| 93288 | <1% | 26 | $4.00 | |
| 72110 | <1% | 13 | $2.08 | |
| 11730 | 0% | 82 | $0.00 | |
| 36416 | 0% | 1,076 | $0.00 | |
| 58100 | 0% | 25 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 169 | $0.00 |
| 90651 | 0% | 406 | $0.00 | |
| 86580 | 0% | 249 | $0.00 | |
| Q4196 | Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) | 0% | 102 | $0.00 |
| 99153 | Mod sedat endo service >5yrs | 0% | 14 | $0.00 |
| 90716 | 0% | 47 | $0.00 | |
| 93227 | 0% | 25 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 38 | $0.00 |
| 17000 | 0% | 112 | $0.00 | |
| 58300 | 0% | 27 | $0.00 | |
| 99384 | 0% | 29 | $0.00 | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 0% | 15 | $0.00 |
| 43259 | 0% | 16 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 26 | $0.00 |
| 36556 | 0% | 14 | $0.00 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 0% | 15 | $0.00 |
| 77263 | 0% | 12 | $0.00 | |
| 99385 | 0% | 13 | $0.00 | |
| 90688 | 0% | 12 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 21 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,392 | $0.00 |
| 99072 | 0% | 453 | $0.00 | |
| 90715 | 0% | 518 | $0.00 | |
| 90734 | 0% | 188 | $0.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 488 | $0.00 |
| 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) | 0% | 14 | $0.00 |
| 11043 | 0% | 25 | $0.00 | |
| 97161 | 0% | 12 | $0.00 | |
| A4550 | Surgical trays | 0% | 19 | $0.00 |
| 90707 | 0% | 49 | $0.00 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 147 | $0.00 |
| 17110 | 0% | 129 | $0.00 | |
| 45300 | 0% | 24 | $0.00 | |
| 99051 | 0% | 89 | $0.00 | |
| 93225 | 0% | 25 | $0.00 | |
| 17003 | 0% | 15 | $0.00 | |
| 47562 | 0% | 13 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 13 | $0.00 |
| 41010 | 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 officialWELLS, SCOTT (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Foundation Medical Group | Fresno, CA | $269K |
| Community Foundation Medical Group | Fresno, CA | $48K |
| Community Foundation Medical Group | Fresno, CA | $942.12 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.