Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

SVMHS Clinics

SVMHS Clinics was paid $34.15M by Medicaid between Jan 2018 and Nov 2024, across 316 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoSVMHS CLINICS
SALINAS, CA 93901
33aNPI1093158347assigned 04/16/2013
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$34.15M
24GClaims1,010,943
24DCodes billed316
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in California

Rank by total paid#1 of 136
Median peer was paid$38K
This provider vs. median905×

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

$0$250K$500K$750K2018201920202021202220232024
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
201895,630$3.21M
2019106,978$3.59M
202096,852$3.31M
2021129,825$4.78M
2022192,075$5.12M
2023217,812$7.60M
2024incomplete171,771$6.54M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 27% 149,645 143,304 $9.06M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 113,478 109,321 $3.85M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.2% 50,549 23,549 $1.78M
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.4% 11,641 11,608 $1.50M
59425 4.2% 15,579 11,601 $1.44M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.0% 27,271 11,192 $1.38M
99223 Prolong inpt eval add15 m 3.0% 10,676 10,584 $1.03M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.0% 8,063 8,056 $697K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.9% 18,742 5,957 $650K
99239 Hospital discharge day management, more than 30 minutes 1.8% 10,859 10,773 $609K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.7% 5,488 4,659 $566K
99222 Initial hospital care, per day, moderate complexity 1.5% 6,960 6,905 $519K
304 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.5% 14,840 $513K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.2% 5,085 $413K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1.1% 7,915 $374K
99243 1.1% 3,164 $359K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.0% 15,795 $342K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 2,911 $330K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 54,425 $308K
76830 Ultrasound, transvaginal <1% 2,724 $253K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,080 $236K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 2,285 $231K
83036 Hemoglobin; glycosylated (A1C) <1% 33,028 $219K
99238 Hospital discharge day management, 30 minutes or less <1% 5,086 $199K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,897 $180K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,897 $180K
11765 <1% 2,302 $179K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,082 $178K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,119 $173K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,825 $172K
95811 <1% 1,703 $163K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,652 $153K
70450 Computed tomography, head or brain; without contrast material <1% 5,832 $149K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,774 $145K
84443 Thyroid stimulating hormone (TSH) <1% 10,376 $144K
99244 Office or other outpatient consultation, moderate to high complexity <1% 796 $140K
71046 Radiologic examination, chest; 2 views <1% 8,652 $136K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,589 $134K
64405 <1% 3,531 $132K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 898 $119K
80061 Lipid panel <1% 10,901 $116K
64615 <1% 1,409 $114K
72141 <1% 1,489 $114K
0001A <1% 2,852 $110K
0002A <1% 2,722 $108K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 16,477 $103K
G9012 Other specified case management service not elsewhere classified <1% 3,607 $100K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 2,978 $98K
80053 Comprehensive metabolic panel <1% 11,146 $97K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,143 $96K
73221 <1% 1,029 $96K
76642 <1% 3,432 $96K
76801 <1% 1,293 $95K
74178 <1% 606 $94K
71045 Radiologic examination, chest; single view <1% 17,516 $94K
11056 <1% 3,663 $89K
64450 <1% 3,533 $83K
11721 <1% 4,358 $76K
76536 <1% 894 $75K
90837 Psychotherapy session, about an hour <1% 790 $73K
76770 <1% 1,147 $72K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 408 $72K
95251 <1% 2,714 $67K
93000 <1% 6,335 $64K
73562 <1% 2,411 $64K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,477 $60K
52000 <1% 394 $60K
20610 <1% 2,777 $59K
99242 <1% 730 $59K
77066 Tomosynthesis, mammo <1% 1,503 $57K
51700 <1% 1,618 $57K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes <1% 1,412 $56K
77049 <1% 326 $55K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,416 $54K
73630 <1% 2,516 $51K
84439 <1% 6,506 $51K
17110 <1% 509 $48K
72110 <1% 985 $47K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 587 $47K
11750 <1% 358 $47K
72197 <1% 272 $43K
82962 <1% 30,151 $42K
90686 <1% 2,432 $41K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 310 $40K
A9585 Injection, gadobutrol, 0.1 ml <1% 2,916 $39K
93298 <1% 1,551 $37K
73610 <1% 1,658 $37K
99255 <1% 201 $35K
71250 <1% 943 $34K
97799 <1% 1,019 $32K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,648 $31K
20552 <1% 1,137 $31K
76870 <1% 474 $30K
77065 Tomosynthesis, mammo <1% 1,013 $29K
99426 <1% 549 $29K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 653 $28K
73030 <1% 1,348 $27K
80048 Basic metabolic panel (calcium, ionized) <1% 3,990 $26K
91320 <1% 199 $24K
77062 <1% 1,014 $23K
93296 <1% 2,861 $23K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 568 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 345 $22K
71275 Computed tomographic angiography, chest, with contrast material <1% 409 $22K
0054A <1% 540 $21K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 568 $21K
73564 <1% 906 $20K
95816 <1% 413 $20K
0004A <1% 490 $20K
73130 <1% 939 $19K
72100 <1% 838 $19K
73110 <1% 774 $18K
74018 <1% 1,886 $18K
76882 <1% 433 $17K
70496 <1% 314 $17K
93970 <1% 487 $16K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 538 $16K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each <1% 73 $16K
70491 <1% 219 $15K
73560 <1% 644 $15K
92228 <1% 473 $15K
82043 <1% 2,893 $14K
72125 Computed tomography, cervical spine; without contrast material <1% 464 $14K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,244 $14K
93018 <1% 1,704 $14K
72050 <1% 299 $14K
82951 <1% 1,309 $14K
93971 <1% 776 $14K
82570 <1% 2,951 $13K
98926 <1% 337 $13K
0012A <1% 318 $13K
93294 <1% 1,386 $13K
73502 <1% 558 $12K
0124A <1% 303 $12K
73100 <1% 384 $12K
20550 <1% 318 $12K
90480 <1% 301 $12K
99497 <1% 273 $12K
77061 <1% 507 $11K
0011A <1% 334 $11K
72040 <1% 488 $11K
99245 <1% 108 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,677 $11K
83970 <1% 406 $10K
0071A <1% 248 $10K
70498 <1% 229 $10K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 666 $10K
G9920 Screening performed and negative <1% 226 $10K
97802 <1% 80 $10K
0072A <1% 235 $9K
99460 <1% 129 $9K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 878 $8K
51798 <1% 1,249 $8K
99254 <1% 51 $8K
Z1034 <1% 142 $7K
73140 <1% 385 $7K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose <1% 271 $7K
99152 <1% 671 $7K
11900 <1% 134 $7K
99205 Prolong outpt/office vis <1% 121 $6K
73080 <1% 421 $6K
76881 <1% 101 $5K
90670 <1% 362 $5K
36415 Collection of venous blood by venipuncture <1% 8,171 $5K
73590 <1% 415 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 224 $5K
0003A <1% 126 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,541 $5K
57288 <1% 18 $5K
82728 <1% 443 $5K
80076 <1% 798 $5K
81025 <1% 1,653 $5K
72072 <1% 137 $5K
94060 <1% 252 $5K
81001 <1% 1,716 $4K
76813 <1% 33 $4K
92250 <1% 102 $4K
72131 <1% 98 $4K
78815 Positron emission tomography (PET) for limited area imaging <1% 66 $4K
11102 <1% 54 $4K
84153 <1% 266 $4K
G9008 Coordinated care fee, physician coordinated care oversight services <1% 42 $4K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 506 $4K
93880 <1% 159 $4K
84460 <1% 977 $4K
81003 <1% 2,738 $4K
90688 <1% 228 $4K
76775 <1% 89 $4K
11100 <1% 47 $4K
29075 <1% 74 $4K
83550 <1% 560 $4K
0052A <1% 91 $4K
83540 <1% 666 $4K
99462 <1% 91 $3K
J1644 Injection, heparin sodium, per 1000 units <1% 1,418 $3K
29065 <1% 57 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 320 $3K
73700 <1% 62 $3K
76819 Fetal biophysical profile; without non-stress testing <1% 97 $3K
93295 <1% 266 $3K
97165 <1% 69 $3K
59025 Fetal non-stress test <1% 90 $3K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 507 $3K
90698 <1% 203 $3K
90656 <1% 148 $3K
77080 <1% 849 $3K
99308 Subsequent nursing facility care, per day, straightforward <1% 150 $3K
0051A <1% 64 $3K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 23 $3K
83001 <1% 151 $2K
85652 <1% 1,009 $2K
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% 169 $2K
83721 <1% 318 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 27 $2K
90662 <1% 689 $2K
74019 <1% 91 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 676 $2K
82607 <1% 211 $2K
93016 <1% 144 $2K
99358 Prolong nursin fac eval 15m <1% 27 $2K
19083 <1% 13 $2K
82550 <1% 386 $2K
29405 <1% 38 $2K
72146 <1% 21 $2K
71101 <1% 84 $2K
73620 <1% 78 $2K
84146 <1% 105 $2K
73120 <1% 79 $2K
64402 <1% 23 $1K
70486 <1% 32 $1K
72170 <1% 86 $1K
71271 <1% 32 $1K
73090 <1% 107 $1K
94729 <1% 97 $1K
86140 <1% 254 $1K
99307 <1% 305 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 76 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 478 $985.26
90682 <1% 24 $981.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 322 $955.78
72070 <1% 54 $947.51
96375 Therapeutic injection; each additional sequential IV push <1% 23 $937.47
73070 <1% 30 $897.87
73060 <1% 69 $750.70
82746 <1% 57 $749.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 12 $715.12
99385 <1% 108 $684.60
99000 <1% 184 $674.09
0053A <1% 15 $600.00
99386 <1% 74 $594.90
82670 <1% 25 $556.80
77001 <1% 50 $541.37
0082A <1% 13 $520.00
51702 <1% 18 $461.03
90715 <1% 12 $457.20
74181 <1% 12 $444.96
17000 <1% 12 $442.86
84075 <1% 134 $431.29
83002 <1% 29 $420.76
90680 <1% 30 $400.50
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 43 $396.00
87428 <1% 14 $395.40
84480 <1% 25 $374.78
82565 <1% 187 $364.11
90677 <1% 45 $355.34
90744 <1% 25 $333.00
83735 <1% 53 $322.76
94726 <1% 42 $308.70
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 14 $308.06
93299 <1% 76 $306.22
73660 <1% 30 $272.94
86431 <1% 56 $269.72
90658 <1% 12 $263.20
93244 <1% 12 $248.00
76937 <1% 29 $237.57
84550 <1% 68 $236.75
85610 <1% 171 $184.03
86580 <1% 54 $159.95
97162 <1% 26 $159.48
99406 <1% 12 $156.20
73552 <1% 13 $155.98
70360 <1% 15 $127.46
84450 <1% 28 $126.00
93280 <1% 13 $121.23
80050 General health panel <1% 13 $113.56
99442 <1% 17 $110.00
87086 Culture, bacterial; quantitative colony count, urine <1% 13 $94.77
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 14 $85.56
36416 <1% 104 $79.24
99241 <1% 13 $76.78
71100 <1% 12 $72.01
G0008 Administration of influenza virus vaccine <1% 1,008 $52.00
99441 <1% 18 $48.36
81002 <1% 29 $40.70
J1010 Injection, methylprednisolone acetate, 1 mg <1% 12 $35.46
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 13 $34.20
G0127 Trimming of dystrophic nails, any number <1% 42 $33.08
1036F <1% 62,958 $32.68
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 3,094 $30.59
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 79 $17.17
3078F 0% 9,255 $0.00
3046F 0% 2,962 $0.00
3077F 0% 2,813 $0.00
3051F 0% 3,278 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 29 $0.00
99387 0% 17 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 0% 48 $0.00
99221 0% 24 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 12 $0.00
3052F 0% 2,032 $0.00
3074F 0% 6,533 $0.00
3075F 0% 2,003 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 0% 218 $0.00
3079F 0% 2,638 $0.00
3044F 0% 7,794 $0.00
3080F 0% 654 $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 officialDELGADO, PEDRO (CEO)