County of Monterey
County of Monterey was paid $22.62M 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) — 87% of everything it billed.
SALINAS, CA 93906
Next to other Internal Medicine Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 25,295 | $2.14M | |
| 2019 | 29,824 | $2.10M | |
| 2020 | 50,601 | $3.92M | |
| 2021 | 56,341 | $4.36M | |
| 2022 | 39,836 | $2.99M | |
| 2023 | 44,485 | $3.43M | |
| 2024incomplete | 49,141 | $3.66M |
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 | 87% | 103,416 | 89,965 | $19.68M |
| 59425 | 3.1% | 8,789 | 5,415 | $708K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 77,258 | 71,618 | $579K |
| 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% | 22,129 | 21,495 | $186K |
| 98960 | <1% | 4,064 | 3,719 | $162K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 6,791 | 3,971 | $139K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,064 | 1,059 | $124K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,303 | 5,094 | $83K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,910 | 1,901 | $80K |
| 90686 | <1% | 3,547 | 3,522 | $67K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 3,057 | 1,892 | $61K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,502 | 1,426 | $60K |
80 more codes
| 90677 | <1% | 273 | $53K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 851 | $44K |
| 90715 | <1% | 1,258 | $44K | |
| 92551 | <1% | 2,578 | $40K | |
| 90750 | <1% | 223 | $40K | |
| 59430 | <1% | 407 | $36K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 750 | $34K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 855 | $32K |
| 99205 | Prolong outpt/office vis | <1% | 342 | $31K |
| J3490 | Unclassified drugs | <1% | 559 | $30K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 264 | $27K |
| 90739 | <1% | 222 | $27K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 536 | $19K |
| 99401 | <1% | 865 | $18K | |
| 90688 | <1% | 783 | $16K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 165 | $14K |
| 90670 | <1% | 413 | $14K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 341 | $13K |
| 90651 | <1% | 182 | $13K | |
| 99173 | <1% | 1,882 | $12K | |
| 96156 | <1% | 490 | $12K | |
| 90746 | <1% | 219 | $11K | |
| 85018 | <1% | 5,119 | $11K | |
| 90662 | <1% | 171 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 531 | $9K |
| 81025 | <1% | 2,751 | $8K | |
| 90656 | <1% | 316 | $7K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 310 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 712 | $6K |
| G9920 | Screening performed and negative | <1% | 152 | $6K |
| 81002 | <1% | 4,418 | $6K | |
| 90837 | Psychotherapy session, about an hour | <1% | 68 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 168 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 198 | $5K |
| 90648 | <1% | 268 | $3K | |
| 11976 | <1% | 30 | $2K | |
| 90716 | <1% | 47 | $2K | |
| 90680 | <1% | 116 | $2K | |
| 99188 | <1% | 65 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 192 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 138 | $1K |
| 90723 | <1% | 103 | $1K | |
| 90732 | <1% | 12 | $1K | |
| 90633 | <1% | 89 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 50 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 49 | $930.15 |
| 90697 | <1% | 62 | $792.00 | |
| 90632 | <1% | 28 | $724.16 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 174 | $604.45 |
| H0049 | Alcohol and/or drug screening | <1% | 13 | $420.00 |
| 90700 | <1% | 27 | $346.50 | |
| 90734 | <1% | 26 | $343.13 | |
| 90619 | <1% | 27 | $337.50 | |
| 90671 | <1% | 26 | $310.50 | |
| 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% | 198 | $250.25 |
| 97803 | <1% | 14 | $176.68 | |
| 90685 | <1% | 13 | $175.50 | |
| 93000 | <1% | 32 | $172.67 | |
| 86580 | <1% | 28 | $164.90 | |
| 90710 | <1% | 12 | $162.00 | |
| 82947 | <1% | 46 | $151.41 | |
| 99000 | <1% | 14 | $51.86 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 3,901 | $37.87 |
| 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% | 289 | $19.03 |
| Z6300 | 0% | 349 | $0.00 | |
| Z6400 | 0% | 356 | $0.00 | |
| Z6414 | 0% | 1,254 | $0.00 | |
| 99442 | 0% | 90 | $0.00 | |
| 99499 | 0% | 31 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 15 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 12 | $0.00 |
| 99397 | 0% | 18 | $0.00 | |
| Z1034 | 0% | 11,340 | $0.00 | |
| Z6410 | 0% | 6,500 | $0.00 | |
| Z6402 | 0% | 250 | $0.00 | |
| Z6204 | 0% | 209 | $0.00 | |
| Z1038 | 0% | 287 | $0.00 | |
| Z6406 | 0% | 361 | $0.00 | |
| Z1032 | 0% | 105 | $0.00 | |
| 99443 | 0% | 55 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| County of Monterey | Seaside, CA | $41.21M |
| County of Monterey | Salinas, CA | $37.44M |
| County of Monterey | Salinas, CA | $31.98M |
| County of Monterey | Salinas, CA | $27.02M |
| County of Monterey | Marina, CA | $5.45M |
| County of Monterey | Salinas, CA | $3.58M |
| County of Monterey | Salinas, CA | $634K |
| County of Monterey | Salinas, CA | $487K |
| County of Monterey | Salinas, CA | $169K |
| County of Monterey | Salinas, CA | $86K |
| County of Monterey | Seaside, CA | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.