Behavioral
Sonora Community Hospital
Sonora Community Hospital was paid $41.36M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 51% of everything it billed.
33Billing provider infoSONORA COMMUNITY HOSPITAL
SONORA, CA 95370
SONORA, CA 95370
33aNPI1003014952assigned 07/03/2007
33bProvider typePsychologist
28Total paid$41.36M
24GClaims480,816
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in California
Rank by total paid#3 of 211
Median peer was paid$79K
This provider vs. median526×
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 | 57,242 | $5.49M | |
| 2019 | 58,570 | $4.96M | |
| 2020 | 70,388 | $5.05M | |
| 2021 | 91,317 | $8.44M | |
| 2022 | 67,179 | $5.89M | |
| 2023 | 70,497 | $5.90M | |
| 2024incomplete | 65,623 | $5.63M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 51% | 150,990 | 123,858 | $21.16M |
| 00003 | Internal/system code - not a standard HCPCS code | 40% | 73,179 | 52,522 | $16.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 69,732 | 48,694 | $919K |
| 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 | 1.9% | 41,132 | 27,480 | $800K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 5,630 | 3,736 | $319K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 8,638 | 3,178 | $229K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 5,371 | 4,872 | $222K |
| 59425 | <1% | 2,954 | 1,991 | $163K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,845 | 4,257 | $151K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,633 | 4,779 | $139K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,462 | 5,952 | $93K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 3,207 | 2,106 | $86K |
80 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,038 | $63K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,564 | $60K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,112 | $43K |
| 90686 | <1% | 3,210 | $36K | |
| 31231 | <1% | 1,291 | $29K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 612 | $26K |
| 90715 | <1% | 613 | $16K | |
| 90677 | <1% | 606 | $13K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 596 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 487 | $13K |
| 90670 | <1% | 3,381 | $12K | |
| J3490 | Unclassified drugs | <1% | 130 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 415 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 526 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 179 | $9K |
| 99243 | <1% | 356 | $9K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,045 | $7K |
| 99205 | Prolong outpt/office vis | <1% | 165 | $7K |
| 80305 | <1% | 818 | $5K | |
| 83655 | <1% | 402 | $5K | |
| 90723 | <1% | 2,270 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 97 | $4K |
| 90648 | <1% | 2,004 | $4K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 141 | $4K |
| 85018 | <1% | 2,270 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,027 | $3K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 185 | $3K |
| 31575 | <1% | 79 | $3K | |
| 90746 | <1% | 57 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 165 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 716 | $3K |
| 99460 | <1% | 106 | $2K | |
| 90633 | <1% | 927 | $2K | |
| 90685 | <1% | 701 | $2K | |
| 92504 | <1% | 265 | $2K | |
| 99307 | <1% | 585 | $2K | |
| 17000 | <1% | 73 | $2K | |
| 90680 | <1% | 957 | $2K | |
| 90688 | <1% | 114 | $2K | |
| 17110 | <1% | 36 | $1K | |
| 90656 | <1% | 256 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 16 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 107 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 44 | $956.98 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 29 | $923.54 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 25 | $755.40 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 74 | $754.40 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $689.09 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 68 | $616.70 |
| 90674 | <1% | 79 | $548.84 | |
| 82962 | <1% | 260 | $496.07 | |
| 81003 | <1% | 276 | $455.64 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 71 | $451.75 |
| 99462 | <1% | 23 | $300.68 | |
| 81025 | <1% | 104 | $277.69 | |
| 17003 | <1% | 23 | $244.35 | |
| 92250 | <1% | 55 | $169.87 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 42 | $160.93 |
| 90707 | <1% | 12 | $157.96 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 56 | $156.10 |
| 99406 | <1% | 24 | $114.51 | |
| 90710 | <1% | 41 | $99.00 | |
| 99441 | <1% | 17 | $94.26 | |
| 3008F | <1% | 10,886 | $76.06 | |
| 1160F | <1% | 10,995 | $76.06 | |
| 1159F | <1% | 14,103 | $76.06 | |
| 90649 | <1% | 17 | $27.00 | |
| Z1034 | 0% | 8,663 | $0.00 | |
| 3075F | 0% | 841 | $0.00 | |
| 3079F | 0% | 1,649 | $0.00 | |
| 3074F | 0% | 3,712 | $0.00 | |
| 3080F | 0% | 554 | $0.00 | |
| 99443 | 0% | 322 | $0.00 | |
| 3078F | 0% | 3,038 | $0.00 | |
| 3077F | 0% | 1,068 | $0.00 | |
| Z7500 | 0% | 30 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 36 | $0.00 |
| 99442 | 0% | 59 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 16 | $0.00 |
| 90653 | 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 officialMCCULLOCH, GREGORY (CEO)
Parent organizationSONORA COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Sonora Community Hospital | Sonora, CA | $22.82M |
| Sonora Community Hospital | Sonora, CA | $723K |
| Sonora Community Hospital | Sonora, CA | $371K |
| Sonora Community Hospital | Sonora, CA | $210K |
| Sonora Community Hospital | Groveland, CA | $120K |
| Sonora Community Hospital | Hanford, CA | $34K |
| Sonora Community Hospital | Sonora, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.