Clinic
Barton Healthcare System
Barton Healthcare System was paid $22.66M by Medicaid between Jan 2018 and Dec 2024, across 76 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 infoBARTON HEALTHCARE SYSTEM
SOUTH LAKE TAHOE, CA 96150
SOUTH LAKE TAHOE, CA 96150
33aNPI1053310326assigned 07/19/2005
33bProvider typeRural Health Clinic/Center
28Total paid$22.66M
24GClaims258,428
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#17 of 215
Median peer was paid$3.62M
This provider vs. median6.3×
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 | 28,404 | $4.27M | |
| 2019 | 30,033 | $2.97M | |
| 2020 | 43,299 | $3.85M | |
| 2021 | 41,863 | $3.53M | |
| 2022 | 37,459 | $2.74M | |
| 2023 | 40,196 | $2.93M | |
| 2024incomplete | 37,174 | $2.37M |
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% | 73,860 | 64,474 | $20.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 52,762 | 40,921 | $750K |
| 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 | 2.9% | 3,583 | 2,876 | $647K |
| 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% | 21,708 | 16,881 | $429K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,471 | 3,481 | $91K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,281 | 693 | $90K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 16,233 | 5,699 | $80K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,808 | 4,724 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,974 | 2,264 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,052 | 1,508 | $46K |
| 90686 | <1% | 6,207 | 5,074 | $35K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,332 | 925 | $34K |
64 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 838 | $26K |
| 92551 | <1% | 4,195 | $22K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,080 | $22K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 544 | $16K |
| 85018 | <1% | 11,550 | $13K | |
| 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 | <1% | 325 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,333 | $12K |
| 92552 | <1% | 1,283 | $10K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 169 | $7K |
| 96127 | <1% | 2,628 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,013 | $6K |
| 90670 | <1% | 1,422 | $6K | |
| 90715 | <1% | 334 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,242 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 973 | $5K |
| 99173 | <1% | 4,835 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 190 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 415 | $3K |
| 90656 | <1% | 305 | $3K | |
| 90651 | <1% | 235 | $3K | |
| 90648 | <1% | 1,216 | $3K | |
| 99188 | <1% | 358 | $3K | |
| 81003 | <1% | 2,343 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 87 | $2K |
| 81025 | <1% | 1,334 | $2K | |
| 90677 | <1% | 262 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 516 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 194 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 38 | $1K |
| 90685 | <1% | 429 | $1K | |
| 80305 | <1% | 279 | $1K | |
| 99382 | <1% | 52 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 50 | $1K |
| 83655 | <1% | 287 | $1K | |
| G9920 | Screening performed and negative | <1% | 66 | $870.00 |
| 90723 | <1% | 527 | $720.00 | |
| 99381 | <1% | 14 | $516.69 | |
| 90734 | <1% | 199 | $369.93 | |
| 36416 | <1% | 8,377 | $339.81 | |
| 90633 | <1% | 437 | $324.00 | |
| 90710 | <1% | 377 | $315.00 | |
| Q3014 | Telehealth originating site facility fee | <1% | 12 | $215.73 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | $206.25 |
| 90681 | <1% | 76 | $112.00 | |
| 87807 | <1% | 23 | $96.27 | |
| 99201 | <1% | 28 | $74.94 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 24 | $53.52 |
| 90461 | <1% | 1,677 | $49.50 | |
| 99000 | <1% | 58 | $14.52 | |
| 96161 | <1% | 314 | $12.27 | |
| 3078F | 0% | 2,284 | $0.00 | |
| 90700 | 0% | 54 | $0.00 | |
| 3077F | 0% | 158 | $0.00 | |
| 99408 | 0% | 13 | $0.00 | |
| 3075F | 0% | 393 | $0.00 | |
| 93000 | 0% | 13 | $0.00 | |
| 3074F | 0% | 2,584 | $0.00 | |
| 1126F | 0% | 1,966 | $0.00 | |
| 3079F | 0% | 679 | $0.00 | |
| 1125F | 0% | 306 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 928 | $0.00 |
| 3080F | 0% | 114 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $0.00 |
| 90697 | 0% | 51 | $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 officialPURVANCE, CLINTON (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Barton Healthcare System | South Lake Tahoe, CA | $10.76M |
| Barton Healthcare System | South Lake Tahoe, CA | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.