Clinic
T H E Clinic INC
T H E Clinic INC was paid $49.92M by Medicaid between Jan 2018 and Dec 2024, across 208 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoT H E CLINIC INC
LOS ANGELES, CA 90062
LOS ANGELES, CA 90062
33aNPI1023287679assigned 02/28/2008
33bProvider typeClinic/Center
28Total paid$49.92M
24GClaims1,365,502
24DCodes billed208
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#10 of 504
Median peer was paid$102K
This provider vs. median491×
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 | 110,222 | $6.61M | |
| 2019 | 189,749 | $6.52M | |
| 2020 | 168,980 | $6.58M | |
| 2021 | 183,697 | $7.69M | |
| 2022 | 200,670 | $6.38M | |
| 2023 | 220,890 | $7.93M | |
| 2024incomplete | 291,294 | $8.23M |
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 | 89% | 294,682 | 226,155 | $44.41M |
| 00003 | Internal/system code - not a standard HCPCS code | 8.5% | 18,036 | 14,983 | $4.26M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 86,597 | 77,320 | $544K |
| 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% | 16,706 | 16,005 | $94K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26,205 | 21,986 | $82K |
| 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% | 506 | 506 | $77K |
| 98942 | <1% | 17,628 | 11,416 | $64K | |
| 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% | 4,242 | 3,192 | $63K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,642 | 856 | $56K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 13,954 | 13,770 | $21K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 13,913 | 13,734 | $20K |
| 97803 | <1% | 22,956 | 20,202 | $19K |
196 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,055 | $11K |
| 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 | <1% | 52,223 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,675 | $8K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 752 | $8K |
| 0012A | <1% | 399 | $8K | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,638 | $8K |
| 0011A | <1% | 427 | $8K | |
| 90649 | <1% | 923 | $8K | |
| 80061 | Lipid panel | <1% | 18,344 | $7K |
| 0002A | <1% | 332 | $7K | |
| 0519 | <1% | 57 | $6K | |
| 0001A | <1% | 333 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,512 | $6K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 8,508 | $5K |
| 81528 | Oncology (colorectal) screening, quantitative real-time target and signal amplification | <1% | 1,537 | $5K |
| 97810 | <1% | 2,602 | $5K | |
| 97811 | <1% | 2,580 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 22,276 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,219 | $4K |
| 81025 | <1% | 5,891 | $4K | |
| 90686 | <1% | 4,969 | $4K | |
| 80053 | Comprehensive metabolic panel | <1% | 21,245 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 22,907 | $4K |
| 80074 | <1% | 8,231 | $3K | |
| 0013A | <1% | 140 | $3K | |
| 86592 | <1% | 12,195 | $3K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,428 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 10,114 | $3K |
| 90658 | <1% | 789 | $3K | |
| J3490 | Unclassified drugs | <1% | 33 | $3K |
| 0004A | <1% | 107 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,762 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,014 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 290 | $2K |
| 83655 | <1% | 2,444 | $2K | |
| 0071A | <1% | 118 | $2K | |
| 86689 | <1% | 2,542 | $2K | |
| 97802 | <1% | 2,237 | $1K | |
| 81001 | <1% | 16,638 | $1K | |
| 57410 | <1% | 305 | $1K | |
| 90633 | <1% | 685 | $1K | |
| 90734 | <1% | 389 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 57 | $1K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 14 | $1K |
| 88141 | <1% | 1,724 | $1K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 5,190 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 494 | $1K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 586 | $1K |
| 86701 | <1% | 511 | $1K | |
| 99442 | <1% | 8,861 | $964.62 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 1,026 | $932.21 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,550 | $882.96 |
| 0072A | <1% | 56 | $855.14 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 371 | $839.59 |
| 82274 | <1% | 3,674 | $779.88 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 658 | $763.00 |
| 90670 | <1% | 708 | $719.71 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 343 | $713.32 |
| 86580 | <1% | 1,287 | $665.59 | |
| 82948 | <1% | 11,016 | $641.31 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 18,958 | $633.32 |
| 85018 | <1% | 5,340 | $601.12 | |
| 94760 | <1% | 1,960 | $591.18 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,031 | $582.60 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 658 | $581.56 |
| 87799 | <1% | 425 | $580.30 | |
| 87512 | <1% | 425 | $567.96 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 107 | $565.28 |
| 90698 | <1% | 406 | $527.55 | |
| 87481 | <1% | 425 | $498.69 | |
| 81000 | <1% | 5,768 | $482.06 | |
| 99441 | <1% | 7,079 | $407.49 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 107 | $395.64 |
| 3044F | <1% | 3,453 | $386.50 | |
| 86703 | <1% | 350 | $385.01 | |
| 3008F | <1% | 48,504 | $368.01 | |
| 90715 | <1% | 170 | $355.90 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 421 | $353.10 |
| 3078F | <1% | 51,968 | $347.44 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 28,518 | $339.54 |
| 90744 | <1% | 233 | $332.65 | |
| 3077F | <1% | 6,256 | $323.47 | |
| 90656 | <1% | 198 | $311.15 | |
| 87081 | <1% | 257 | $264.66 | |
| 82043 | <1% | 2,717 | $237.51 | |
| 90680 | <1% | 40 | $213.00 | |
| 92250 | <1% | 69 | $208.55 | |
| 82270 | <1% | 3,458 | $193.10 | |
| 99000 | <1% | 1,387 | $180.91 | |
| S3645 | Hiv-1 antibody testing of oral mucosal transudate | <1% | 3,243 | $168.00 |
| 3046F | <1% | 2,567 | $156.00 | |
| 87490 | <1% | 854 | $150.00 | |
| 82728 | <1% | 504 | $149.16 | |
| 3075F | <1% | 8,822 | $138.85 | |
| 90677 | <1% | 194 | $124.50 | |
| 3074F | <1% | 53,523 | $119.88 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 85 | $102.22 |
| 84153 | <1% | 402 | $98.06 | |
| 3045F | <1% | 2,635 | $90.00 | |
| 92015 | Determination of refractive state | <1% | 1,263 | $80.02 |
| 82746 | <1% | 427 | $79.51 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 224 | $78.88 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 30 | $75.00 |
| 90716 | <1% | 25 | $75.00 | |
| 88142 | <1% | 99 | $74.20 | |
| 3079F | <1% | 15,434 | $74.02 | |
| 87070 | <1% | 505 | $73.12 | |
| 1170F | <1% | 30,043 | $69.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 184 | $66.49 |
| 84436 | <1% | 457 | $61.45 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 24 | $60.00 |
| 87536 | <1% | 194 | $59.00 | |
| 90710 | <1% | 76 | $50.00 | |
| 83550 | <1% | 120 | $48.24 | |
| 86480 | <1% | 49 | $40.00 | |
| 99401 | <1% | 317 | $39.86 | |
| 86803 | <1% | 166 | $37.71 | |
| D1206 | Topical application of fluoride varnish | <1% | 45 | $31.50 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 3,242 | $30.00 |
| 87650 | <1% | 87 | $30.00 | |
| 84702 | <1% | 88 | $26.48 | |
| 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% | 37 | $24.66 |
| 91301 | <1% | 749 | $22.30 | |
| 80076 | <1% | 61 | $19.14 | |
| 83540 | <1% | 132 | $16.98 | |
| 86804 | <1% | 62 | $16.52 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,055 | $15.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 115 | $15.00 |
| 91307 | <1% | 155 | $13.38 | |
| 87340 | <1% | 66 | $9.91 | |
| 90621 | <1% | 12 | $9.00 | |
| 91300 | <1% | 542 | $4.46 | |
| 82272 | <1% | 119 | $2.53 | |
| 1160F | 0% | 10,553 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 153 | $0.00 |
| 3015F | 0% | 2,027 | $0.00 | |
| 1159F | 0% | 21,409 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 531 | $0.00 |
| 4145F | 0% | 218 | $0.00 | |
| 90700 | 0% | 36 | $0.00 | |
| 0502F | 0% | 1,474 | $0.00 | |
| H0006 | Alcohol and/or drug services; case management | 0% | 126 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 13 | $0.00 |
| 86709 | 0% | 23 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 549 | $0.00 |
| 2028F | 0% | 169 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 146 | $0.00 |
| 86360 | 0% | 177 | $0.00 | |
| 81329 | 0% | 24 | $0.00 | |
| 84146 | 0% | 12 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 166 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 310 | $0.00 |
| 99409 | 0% | 83 | $0.00 | |
| 82465 | 0% | 12 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 61 | $0.00 |
| 90648 | 0% | 12 | $0.00 | |
| 2022F | 0% | 12 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 33 | $0.00 |
| S0613 | Annual gynecological examination; clinical breast examination without pelvic evaluation | 0% | 14 | $0.00 |
| 82652 | 0% | 25 | $0.00 | |
| 00001 | 0% | 6,209 | $0.00 | |
| 3080F | 0% | 2,142 | $0.00 | |
| 00018 | 0% | 169,053 | $0.00 | |
| 1125F | 0% | 3,369 | $0.00 | |
| 3017F | 0% | 158 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 12,053 | $0.00 |
| 1126F | 0% | 730 | $0.00 | |
| 2023F | 0% | 142 | $0.00 | |
| D1330 | 0% | 1,046 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 275 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,953 | $0.00 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 22 | $0.00 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 16 | $0.00 |
| 0501F | 0% | 266 | $0.00 | |
| 99443 | 0% | 99 | $0.00 | |
| 3066F | 0% | 2,381 | $0.00 | |
| 3014F | 0% | 259 | $0.00 | |
| 87807 | 0% | 12 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 404 | $0.00 |
| 86593 | 0% | 597 | $0.00 | |
| 87181 | 0% | 145 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 166 | $0.00 |
| 86140 | 0% | 40 | $0.00 | |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 0% | 37 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 41 | $0.00 |
| 92551 | 0% | 274 | $0.00 | |
| 90657 | 0% | 12 | $0.00 | |
| D1310 | 0% | 47 | $0.00 | |
| 99172 | 0% | 275 | $0.00 | |
| 98943 | 0% | 23 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 82950 | 0% | 26 | $0.00 | |
| 90732 | 0% | 13 | $0.00 | |
| 82607 | 0% | 29 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 16 | $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 officialPHILLIPS, RISE (PRESIDENT/CEO)