University of California SFGH Medical Group

University of California SFGH Medical Group was paid $721K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 72% of everything it billed.

33Billing provider infoUNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
SAN FRANCISCO, CA 94110

33aNPI1912972027assigned 02/22/2006

33bProvider typeNeurology Physician

28Total paid$721K

24GClaims10,827

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Neurology Physician providers in California

Rank by total paid#51 of 296

Median peer was paid$50K

This provider vs. median14×

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 VILLANUEVA, JUANITA controls 20+ 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
2018	2,065	$86K
2019	1,713	$84K
2020	2,111	$145K
2021	1,943	$127K
2022	902	$90K
2023	1,345	$122K
2024incomplete	748	$67K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	72%	5,489	1,842	$518K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	20%	4,473	1,463	$143K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.1%	360	161	$22K
95720		2.9%	186	79	$21K
95951		<1%	45	26	$6K
99255		<1%	121	120	$4K
99222	Initial hospital care, per day, moderate complexity	<1%	32	32	$3K
99223	Prolong inpt eval add15 m	<1%	27	26	$2K
99254		<1%	65	65	$2K
99239	Hospital discharge day management, more than 30 minutes	<1%	29	29	$1K

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 officialVILLANUEVA, JUANITA (PROVIDER ENROLLMENT)

Same official

Other billing entities under VILLANUEVA, JUANITA

Full network →

Provider	Location	Paid
University of California SFGH Medical Group	San Francisco, CA	$5.67M
University of California SFGH Medical Group	San Francisco, CA	$5.50M
University of California SFGH Medical Group	San Francisco, CA	$2.43M
University of California SFGH Medical Group	San Francisco, CA	$1.51M
University of California SFGH Medical Group	San Francisco, CA	$1.33M
University of California SFGH Medical Group	San Francisco, CA	$849K
University of California SFGH Medical Group	San Francisco, CA	$828K
University of California SFGH Medical Group	San Francisco, CA	$820K
University of California SFGH Medical Group	San Francisco, CA	$519K
University of California SFGH Medical Group	San Francisco, CA	$288K
University of California SFGH Medical Group	San Francisco, CA	$275K
University of California SFGH Medical Group	San Francisco, CA	$258K
University of California SFGH Medical Group	San Francisco, CA	$176K
University of California SFGH Medical Group	San Francisco, CA	$174K
University of California SFGH Medical Group	San Francisco, CA	$118K
University of California SFGH Medical Group	San Francisco, CA	$33K
University of California SFGH Medical Group	San Francisco, CA	$29K
University of California SFGH Medical Group	San Francisco, CA	$28K
University of California SFGH Medical Group	San Francisco, CA	$24K
University of California SFGH Medical Group	San Francisco, CA	$23K

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