Clinic
County of Stanislaus
County of Stanislaus was paid $18.59M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 74% of everything it billed.
33Billing provider infoCOUNTY OF STANISLAUS
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1093910275assigned 06/18/2007
33bProvider typeClinic/Center
28Total paid$18.59M
24GClaims339,093
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#36 of 504
Median peer was paid$102K
This provider vs. median183×
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 | 40,630 | $2.94M | |
| 2019 | 46,587 | $2.60M | |
| 2020 | 58,110 | $2.88M | |
| 2021 | 58,935 | $3.17M | |
| 2022 | 48,315 | $2.43M | |
| 2023 | 46,157 | $2.38M | |
| 2024incomplete | 40,359 | $2.19M |
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 | 74% | 102,355 | 93,321 | $13.70M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 54,648 | 46,245 | $1.08M |
| 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 | 5.3% | 49,269 | 39,642 | $984K |
| 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 | 4.1% | 14,590 | 13,296 | $757K |
| 59425 | 2.8% | 6,517 | 4,934 | $514K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 10,950 | 6,692 | $256K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 1,200 | 818 | $136K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,088 | 3,900 | $134K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 11,541 | 8,925 | $110K |
| J3490 | Unclassified drugs | <1% | 2,760 | 2,495 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,120 | 1,786 | $71K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 2,114 | 1,750 | $67K |
75 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 861 | $64K |
| 90686 | <1% | 6,251 | $61K | |
| 92552 | <1% | 5,288 | $57K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,013 | $55K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,431 | $51K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,062 | $47K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 755 | $46K |
| Z7500 | <1% | 3,601 | $44K | |
| 59025 | Fetal non-stress test | <1% | 1,528 | $40K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 651 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,366 | $23K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 281 | $22K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,268 | $20K |
| 81025 | <1% | 7,352 | $16K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 346 | $16K |
| 85018 | <1% | 11,429 | $14K | |
| 0011A | <1% | 224 | $10K | |
| 0012A | <1% | 217 | $10K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 569 | $9K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 39 | $7K |
| 81003 | <1% | 4,019 | $7K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 1,405 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 396 | $6K |
| 99173 | <1% | 2,619 | $6K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 156 | $5K |
| 90715 | <1% | 250 | $4K | |
| 90670 | <1% | 920 | $3K | |
| 90656 | <1% | 339 | $3K | |
| 82948 | <1% | 1,221 | $3K | |
| 90677 | <1% | 107 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 334 | $2K |
| 99401 | <1% | 99 | $2K | |
| 97803 | <1% | 120 | $2K | |
| 90662 | <1% | 492 | $2K | |
| G9920 | Screening performed and negative | <1% | 108 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 148 | $1K |
| 96156 | <1% | 75 | $920.74 | |
| 96127 | <1% | 135 | $721.50 | |
| 59430 | <1% | 12 | $665.28 | |
| 99000 | <1% | 149 | $576.78 | |
| 90651 | <1% | 81 | $455.50 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 69 | $425.96 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $413.18 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 29 | $406.00 |
| 92250 | <1% | 12 | $396.00 | |
| 90648 | <1% | 643 | $285.30 | |
| 90633 | <1% | 210 | $237.60 | |
| 90734 | <1% | 14 | $175.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 13 | $165.36 |
| 90723 | <1% | 280 | $78.30 | |
| 90696 | <1% | 12 | $59.40 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 83 | $51.00 |
| 90680 | <1% | 144 | $48.60 | |
| 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% | 67 | $39.87 |
| 90619 | <1% | 14 | $39.60 | |
| 90707 | <1% | 13 | $19.80 | |
| 90716 | <1% | 13 | $19.80 | |
| 90697 | <1% | 39 | $9.90 | |
| Z6500 | 0% | 315 | $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% | 396 | $0.00 |
| Z6400 | 0% | 1,382 | $0.00 | |
| 3078F | 0% | 495 | $0.00 | |
| Z6304 | 0% | 57 | $0.00 | |
| 3077F | 0% | 174 | $0.00 | |
| Z1034 | 0% | 5,262 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 14 | $0.00 |
| 3075F | 0% | 49 | $0.00 | |
| Z6204 | 0% | 230 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 470 | $0.00 |
| Z6410 | 0% | 316 | $0.00 | |
| 3044F | 0% | 61 | $0.00 | |
| 3079F | 0% | 84 | $0.00 | |
| Z6406 | 0% | 122 | $0.00 | |
| 3074F | 0% | 117 | $0.00 | |
| Z1032 | 0% | 12 | $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 officialDUVALL, HEATHER (MANAGING DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| County of Stanislaus | Modesto, CA | $27.46M |
| County of Stanislaus | Modesto, CA | $517K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.