Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DIGNITY HEALTH MEDICAL FOUNDATION

NPI: 1861410581 · STOCKTON, CA 95219 · Multi-Specialty Clinic/Center · NPI assigned 07/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HYLEN, THERESA controls 16+ related entities in our dataset. Read more

$2.76M
Total Medicaid Paid
94,532
Total Claims
79,899
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHYLEN, THERESA (CHIEF FINANCIAL OFFICER)
Parent OrganizationDIGNITY HEALTH MEDICAL FOUNDATION
NPI Enumeration Date07/18/2006

Related Entities

Other providers sharing the same authorized official: HYLEN, THERESA

ProviderCityStateTotal 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 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 FONTANA CA $3K
DIGNITY HEALTH MEDICAL FOUNDATION ELK GROVE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,446 $312K
2019 11,590 $374K
2020 13,275 $356K
2021 16,822 $451K
2022 16,105 $387K
2023 16,415 $538K
2024 12,879 $347K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,379 29,917 $414K
77014 8,867 890 $337K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,329 4,274 $272K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,585 17,657 $264K
77427 1,446 588 $215K
51798 2,781 2,677 $141K
99232 Subsequent hospital care, per day, moderate complexity 3,765 1,548 $135K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,894 2,851 $135K
77300 487 422 $113K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 163 162 $72K
99244 Office or other outpatient consultation, moderate to high complexity 629 629 $72K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 368 361 $72K
52000 495 493 $49K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 135 135 $47K
99215 Prolong outpt/office vis 4,092 3,964 $44K
99254 485 465 $39K
77301 111 97 $33K
45380 Colonoscopy, flexible; with biopsy, single or multiple 131 131 $31K
77334 295 230 $30K
77338 159 141 $29K
90686 1,291 1,288 $25K
77263 151 147 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,013 1,999 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 733 705 $15K
0012A 351 351 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 269 269 $13K
43259 69 68 $12K
81003 4,549 4,280 $11K
99221 268 259 $10K
0011A 289 289 $10K
43235 52 52 $9K
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 563 530 $9K
95819 146 144 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 256 62 $6K
99222 Initial hospital care, per day, moderate complexity 136 135 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 178 167 $5K
77470 54 52 $4K
90656 195 195 $4K
99205 Prolong outpt/office vis 26 26 $3K
77290 71 52 $3K
95911 13 13 $3K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 102 94 $3K
0064A 50 50 $2K
95251 91 91 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 522 461 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 64 62 $1K
99243 12 12 $999.60
51700 12 12 $822.19
77332 38 36 $783.53
95816 19 19 $616.80
99252 14 13 $590.72
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 126 121 $443.05
83036 Hemoglobin; glycosylated (A1C) 22 22 $213.62
99406 24 24 $202.63
99385 104 104 $136.92
82962 24 24 $78.72
99386 24 24 $72.72
99441 15 15 $0.00