Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sansum Clinic

Sansum Clinic was paid $24.40M by Medicaid between Jan 2018 and Nov 2024, across 196 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoSANSUM CLINIC
SANTA BARBARA, CA 93105
33aNPI1932121514assigned 07/24/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$24.40M
24GClaims274,618
24DCodes billed196
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in California

Rank by total paid#3 of 170
Median peer was paid$145K
This provider vs. median169×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201841,706$2.22M
201929,653$2.41M
202025,375$2.49M
202144,161$4.49M
202254,047$5.15M
202349,435$4.79M
2024incomplete30,241$2.85M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 26% 54,309 51,355 $6.25M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 52,175 49,176 $3.94M
78815 Positron emission tomography (PET) for limited area imaging 8.7% 1,973 1,891 $2.13M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.1% 12,509 12,331 $1.73M
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 4.3% 4,740 4,689 $1.06M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.8% 3,817 3,255 $680K
92015 Determination of refractive state 2.1% 8,529 8,496 $523K
90460 Immunization administration through 18 years of age via any route, first or only component 2.1% 11,447 10,918 $506K
59425 2.0% 4,278 3,061 $495K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.9% 2,889 2,886 $469K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.8% 3,731 3,713 $445K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1.7% 1,662 1,582 $421K
184 more codes
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.7% 10,303 $416K
92060 1.3% 4,541 $322K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 1,834 $298K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 2,553 $287K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.1% 2,734 $265K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.0% 1,599 $247K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,205 $237K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,706 $206K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,423 $206K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,216 $205K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,485 $197K
99051 <1% 3,455 $194K
90461 <1% 2,808 $136K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,578 $132K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 408 $121K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 855 $101K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,207 $96K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 899 $83K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 360 $76K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 438 $76K
92551 <1% 3,519 $68K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 706 $67K
71046 Radiologic examination, chest; 2 views <1% 2,125 $66K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,762 $65K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 306 $60K
95811 <1% 418 $52K
92134 <1% 2,302 $52K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,349 $48K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 376 $46K
99205 Prolong outpt/office vis <1% 180 $42K
17110 <1% 425 $42K
11102 <1% 445 $42K
67028 Intravitreal injection of a pharmacologic agent <1% 536 $39K
92557 <1% 1,135 $39K
99244 Office or other outpatient consultation, moderate to high complexity <1% 131 $38K
20610 <1% 839 $37K
99173 <1% 4,017 $36K
93000 <1% 2,726 $36K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 344 $36K
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session <1% 95 $36K
99232 Hospital visit by a doctor, follow-up day <1% 703 $35K
77336 <1% 428 $30K
94729 <1% 613 $30K
J0178 Injection, aflibercept, 1 mg <1% 16 $29K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 665 $27K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 791 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,310 $27K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 193 $27K
97803 <1% 473 $25K
99152 <1% 1,635 $24K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 415 $23K
17000 <1% 505 $20K
11721 <1% 1,261 $20K
77014 <1% 186 $19K
99243 <1% 87 $17K
97161 <1% 189 $17K
92567 <1% 1,059 $16K
92002 <1% 172 $16K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 999 $16K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 487 $16K
99443 <1% 213 $16K
90686 <1% 1,359 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 81 $15K
99308 Subsequent nursing facility care, per day, straightforward <1% 664 $15K
76642 <1% 147 $15K
94010 <1% 368 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 701 $12K
92285 <1% 552 $12K
73562 <1% 283 $12K
97802 <1% 94 $11K
64566 <1% 130 $11K
94726 <1% 225 $11K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 116 $11K
51798 <1% 723 $9K
97035 <1% 745 $9K
90670 <1% 153 $9K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 123 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 487 $8K
92133 <1% 338 $8K
93296 <1% 559 $8K
31575 <1% 76 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 739 $7K
94060 <1% 184 $7K
64615 <1% 51 $7K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 56 $6K
11100 <1% 63 $6K
73630 <1% 155 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 468 $6K
85018 <1% 2,088 $6K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 266 $6K
93298 <1% 307 $5K
0072A <1% 138 $5K
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% 1,217 $5K
81003 <1% 2,571 $5K
90480 <1% 133 $5K
95251 <1% 165 $5K
J0897 Injection, denosumab, 1 mg <1% 14 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 137 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 472 $5K
99223 Prolong inpt eval add15 m <1% 50 $5K
77080 <1% 278 $5K
92083 <1% 148 $5K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 17 $4K
0071A <1% 115 $4K
69210 <1% 128 $4K
96375 Therapeutic injection; each additional sequential IV push <1% 133 $4K
76536 <1% 34 $3K
98972 <1% 110 $3K
99201 <1% 59 $3K
17003 <1% 159 $3K
0004A <1% 76 $3K
90698 <1% 54 $3K
J2785 Injection, regadenoson, 0.1 mg <1% 30 $3K
0064A <1% 74 $3K
93356 <1% 90 $3K
93016 <1% 171 $2K
77066 Tomosynthesis, mammo <1% 13 $2K
97535 Self-care/home management training, each 15 minutes <1% 43 $2K
99239 Hospital discharge day management, more than 30 minutes <1% 37 $2K
99417 Prolong home eval add 15m <1% 17 $2K
98968 <1% 54 $2K
81025 <1% 144 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 26 $1K
90697 <1% 12 $1K
99222 Initial hospital care, per day, moderate complexity <1% 12 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 73 $1K
0053A <1% 35 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 15 $1K
90680 <1% 102 $1K
76942 <1% 31 $1K
0082A <1% 33 $1K
93295 <1% 75 $1K
99307 <1% 80 $1K
99422 <1% 36 $1K
0012A <1% 246 $1K
99401 <1% 18 $995.40
99310 Prolong nursin fac eval 15m <1% 31 $992.83
93015 <1% 13 $956.64
93018 <1% 76 $945.81
0001A <1% 55 $897.82
G2063 Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes <1% 27 $888.15
96367 <1% 16 $887.35
99153 Mod sedat endo service >5yrs <1% 78 $879.49
73130 <1% 13 $875.07
92226 <1% 49 $814.20
82962 <1% 334 $740.26
90656 <1% 213 $720.80
73030 <1% 25 $677.92
90694 <1% 67 $655.76
0011A <1% 254 $626.79
0081A <1% 15 $600.00
0002A <1% 22 $596.19
99306 Prolong nursin fac eval 15m <1% 13 $578.67
92310 <1% 13 $560.00
90662 <1% 86 $558.37
98971 <1% 27 $489.72
0031A <1% 17 $482.63
90935 Hemodialysis procedure with single evaluation by a physician <1% 12 $470.82
94375 <1% 13 $449.39
96402 <1% 13 $405.68
95117 <1% 20 $328.06
92587 <1% 12 $324.77
85048 <1% 106 $306.88
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) <1% 77 $300.45
96127 <1% 53 $266.88
90734 <1% 15 $245.68
11056 <1% 13 $243.49
90633 <1% 40 $216.20
G0127 Trimming of dystrophic nails, any number <1% 12 $215.34
90474 <1% 12 $173.04
77081 <1% 12 $143.00
81002 <1% 33 $120.45
76514 <1% 12 $119.05
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 15 $93.27
83036 Hemoglobin; glycosylated (A1C) <1% 12 $89.26
G0008 Administration of influenza virus vaccine <1% 203 $67.18
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 39 $38.58
3074F 0% 1,941 $0.00
3079F 0% 159 $0.00
3044F 0% 234 $0.00
4010F 0% 271 $0.00
3078F 0% 2,000 $0.00
3077F 0% 53 $0.00
3046F 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 officialHINE, CHAD (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under HINE, CHAD

Full network →
ProviderLocationPaid
Sansum ClinicSanta Barbara, CA$699K
Sansum ClinicSanta Barbara, CA$20K

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