Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Salinas › NPI 1043262959
Physician

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.

33Billing provider infoCOUNTY OF MONTEREY
SALINAS, CA 93906
33aNPI1043262959assigned 05/17/2006
28Total paid$22.62M
24GClaims295,523
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#3 of 2,679
Median peer was paid$13K
This provider vs. median1,794×

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.

Entity ProliferationAuthorized official EDGCOMB, JULIA controls 11+ related entities in our dataset. Read more
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
201825,295$2.14M
201929,824$2.10M
202050,601$3.92M
202156,341$4.36M
202239,836$2.99M
202344,485$3.43M
2024incomplete49,141$3.66M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialEDGCOMB, JULIA (DIRECTOR/COO CLINIC SERVICES DIV.)
Parent organizationMONTEREY COUNTY HEALTH DEPT
Same official

Other billing entities under EDGCOMB, JULIA

Full network →
ProviderLocationPaid
County of MontereySeaside, CA$41.21M
County of MontereySalinas, CA$37.44M
County of MontereySalinas, CA$31.98M
County of MontereySalinas, CA$27.02M
County of MontereyMarina, CA$5.45M
County of MontereySalinas, CA$3.58M
County of MontereySalinas, CA$634K
County of MontereySalinas, CA$487K
County of MontereySalinas, CA$169K
County of MontereySalinas, CA$86K
County of MontereySeaside, CA$81K

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