Clinic
UCSF Health Medical Foundation
UCSF Health Medical Foundation was paid $10.20M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is 99284, emergency room visit (serious) — 12% of everything it billed.
33Billing provider infoUCSF HEALTH MEDICAL FOUNDATION
OAKLAND, CA 94609
OAKLAND, CA 94609
33aNPI1922124866assigned 03/22/2007
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$10.20M
24GClaims353,919
24DCodes billed123
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in California
Rank by total paid#15 of 170
Median peer was paid$145K
This provider vs. median71×
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 | 80,743 | $2.54M | |
| 2019 | 78,239 | $2.41M | |
| 2020 | 51,315 | $1.55M | |
| 2021 | 44,953 | $1.06M | |
| 2022 | 36,138 | $652K | |
| 2023 | 34,792 | $910K | |
| 2024incomplete | 27,739 | $1.08M |
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 | 12% | 28,106 | 27,854 | $1.26M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 48,720 | 48,250 | $1.22M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 11% | 6,490 | 5,855 | $1.14M |
| 76813 | 11% | 9,059 | 8,025 | $1.13M | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.3% | 9,301 | 9,142 | $847K |
| 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 | 6.4% | 19,063 | 18,127 | $653K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 50,482 | 47,430 | $594K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.8% | 9,855 | 8,388 | $589K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.2% | 5,566 | 2,362 | $330K |
| G9920 | Screening performed and negative | 2.4% | 11,523 | 11,426 | $248K |
| 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 | 2.0% | 2,423 | 2,367 | $207K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 7,566 | 7,531 | $171K |
111 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 5,910 | $168K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 33,875 | $153K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.5% | 1,967 | $152K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 4,823 | $141K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 1,746 | $124K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,044 | $97K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,327 | $93K |
| 59025 | Fetal non-stress test | <1% | 9,394 | $81K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,196 | $73K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,409 | $71K |
| S0265 | Genetic counseling, under physician supervision, each 15 minutes | <1% | 1,326 | $63K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,183 | $61K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 576 | $44K |
| 99205 | Prolong outpt/office vis | <1% | 422 | $42K |
| 92060 | <1% | 1,636 | $41K | |
| 92015 | Determination of refractive state | <1% | 4,126 | $37K |
| 90837 | Psychotherapy session, about an hour | <1% | 226 | $32K |
| 90461 | <1% | 5,415 | $29K | |
| 90480 | <1% | 617 | $28K | |
| 99223 | Prolong inpt eval add15 m | <1% | 274 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,230 | $25K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 284 | $22K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 421 | $19K |
| 95819 | <1% | 509 | $18K | |
| 92551 | <1% | 20,133 | $17K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 216 | $15K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 290 | $13K |
| 95951 | <1% | 40 | $11K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 81 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 493 | $10K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 44 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 191 | $7K |
| 97803 | <1% | 203 | $7K | |
| 90686 | <1% | 3,824 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 408 | $6K |
| Z4306 | <1% | 117 | $6K | |
| 0124A | <1% | 127 | $6K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 191 | $5K |
| Z4305 | <1% | 36 | $4K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 58 | $3K |
| 81003 | <1% | 1,939 | $3K | |
| 76820 | <1% | 79 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 82 | $3K |
| 99254 | <1% | 27 | $2K | |
| 99188 | <1% | 242 | $2K | |
| 76801 | <1% | 21 | $2K | |
| 99221 | <1% | 26 | $1K | |
| Z4304 | <1% | 27 | $1K | |
| 92552 | <1% | 955 | $1K | |
| 0154A | <1% | 37 | $1K | |
| 96127 | <1% | 5,537 | $1K | |
| 90670 | <1% | 413 | $907.12 | |
| 92002 | <1% | 34 | $843.59 | |
| 90698 | <1% | 404 | $763.43 | |
| 83655 | <1% | 109 | $735.60 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 109 | $494.58 |
| 0072A | <1% | 267 | $480.00 | |
| 99241 | <1% | 12 | $472.46 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 116 | $469.68 |
| 95816 | <1% | 12 | $426.35 | |
| 90651 | <1% | 115 | $322.82 | |
| 0071A | <1% | 385 | $309.20 | |
| 90680 | <1% | 95 | $297.23 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 20 | $284.87 |
| 99000 | <1% | 203 | $233.48 | |
| 99173 | <1% | 18,199 | $211.12 | |
| 90656 | <1% | 197 | $180.86 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $177.94 |
| 90744 | <1% | 27 | $152.73 | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 140 | $116.42 |
| 81002 | <1% | 567 | $115.51 | |
| 99072 | <1% | 1,075 | $98.00 | |
| 87400 | <1% | 204 | $91.78 | |
| 92283 | <1% | 21 | $81.06 | |
| 90697 | <1% | 13 | $75.00 | |
| 85018 | <1% | 1,181 | $74.50 | |
| 90633 | <1% | 82 | $45.08 | |
| 94760 | <1% | 338 | $44.86 | |
| 90619 | <1% | 75 | $36.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 69 | $29.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 86 | $19.48 |
| 90671 | <1% | 12 | $18.01 | |
| 80061 | Lipid panel | <1% | 14 | $11.42 |
| 90710 | <1% | 12 | $9.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 37 | $0.59 |
| 90685 | <1% | 29 | $0.06 | |
| 90688 | <1% | 71 | $0.05 | |
| 91315 | 0% | 12 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 80 | $0.00 |
| 90696 | 0% | 13 | $0.00 | |
| 99174 | 0% | 17 | $0.00 | |
| 91307 | 0% | 152 | $0.00 | |
| 0074A | 0% | 38 | $0.00 | |
| 86580 | 0% | 13 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 36416 | 0% | 39 | $0.00 | |
| 0111A | 0% | 12 | $0.00 | |
| 90734 | 0% | 42 | $0.00 | |
| 96160 | 0% | 353 | $0.00 | |
| 99051 | 0% | 416 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 141 | $0.00 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 86 | $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% | 80 | $0.00 |
| 0004A | 0% | 12 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 99177 | 0% | 33 | $0.00 | |
| 0054A | 0% | 12 | $0.00 | |
| 91321 | 0% | 12 | $0.00 | |
| 91322 | 0% | 12 | $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% | 29 | $0.00 |
| 91308 | 0% | 18 | $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 officialHU, JIMMY (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| UCSF Health Medical Foundation | Emeryville, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.