Clinic
Petaluma Health Center INC
Petaluma Health Center INC was paid $7.62M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoPETALUMA HEALTH CENTER INC
POINT REYES STATION, CA 94956
POINT REYES STATION, CA 94956
33aNPI1053420844assigned 08/29/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.62M
24GClaims76,380
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#338 of 826
Median peer was paid$4.05M
This provider vs. median1.9×
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 | 8,906 | $959K | |
| 2019 | 9,807 | $862K | |
| 2020 | 12,905 | $906K | |
| 2021 | 11,208 | $1.04M | |
| 2022 | 9,578 | $1.08M | |
| 2023 | 11,454 | $1.21M | |
| 2024incomplete | 12,522 | $1.56M |
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 | 80% | 30,257 | 25,811 | $6.08M |
| 00003 | Internal/system code - not a standard HCPCS code | 19% | 7,394 | 6,078 | $1.41M |
| 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% | 18,032 | 12,250 | $56K |
| 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% | 10,428 | 6,916 | $28K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,034 | 1,190 | $26K |
| 97810 | <1% | 489 | 293 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,068 | 2,461 | $5K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 376 | 147 | $5K |
| 90686 | <1% | 181 | 142 | $2K | |
| H0049 | Alcohol and/or drug screening | <1% | 83 | 83 | $1K |
| 99497 | <1% | 27 | 16 | $974.26 | |
| 80305 | <1% | 53 | 42 | $514.71 |
19 more codes
| 99283 | Emergency room visit (moderate) | <1% | 1,145 | $138.76 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 56 | $109.66 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 93 | $87.70 |
| 92551 | <1% | 136 | $67.32 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 125 | $13.38 |
| 81002 | <1% | 19 | $6.45 | |
| 85018 | <1% | 27 | $4.14 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 79 | $0.00 |
| 99000 | 0% | 79 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 491 | $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% | 211 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 13 | $0.00 |
| 99173 | 0% | 40 | $0.00 | |
| 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 | 0% | 188 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 192 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 15 | $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% | 12 | $0.00 |
| 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 | 0% | 21 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 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 officialJOUANEH, MOLLY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Petaluma Health Center INC | Bolinas, CA | $2.06M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.