Clinic
El Centro Regional Medical Center
El Centro Regional Medical Center was paid $50.04M by Medicaid between Jan 2018 and Dec 2024, across 77 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 infoEL CENTRO REGIONAL MEDICAL CENTER
EL CENTRO, CA 92243
EL CENTRO, CA 92243
33aNPI1144300476assigned 10/17/2006
33bProvider typeRural Health Clinic/Center
28Total paid$50.04M
24GClaims821,696
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#7 of 215
Median peer was paid$3.62M
This provider vs. median14×
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 | 103,600 | $8.07M | |
| 2019 | 111,289 | $7.20M | |
| 2020 | 136,971 | $7.66M | |
| 2021 | 151,073 | $8.32M | |
| 2022 | 120,176 | $6.60M | |
| 2023 | 120,204 | $6.63M | |
| 2024incomplete | 78,383 | $5.56M |
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% | 293,423 | 226,074 | $39.99M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 291,497 | 220,918 | $4.44M |
| 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 | 3.8% | 99,952 | 85,622 | $1.90M |
| 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 | 3.8% | 18,269 | 13,426 | $1.88M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19,558 | 17,235 | $277K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,130 | 2,105 | $170K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 2,152 | 1,433 | $168K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 4,274 | 4,150 | $158K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,145 | 4,133 | $123K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,433 | 3,429 | $119K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 3,062 | 2,905 | $111K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 2,190 | 2,183 | $107K |
65 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,377 | $93K |
| 59425 | <1% | 1,585 | $77K | |
| 90656 | <1% | 4,542 | $67K | |
| 90715 | <1% | 2,670 | $49K | |
| J3490 | Unclassified drugs | <1% | 860 | $49K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,308 | $37K |
| 90686 | <1% | 6,191 | $22K | |
| 0270 | <1% | 2,281 | $22K | |
| 90732 | <1% | 184 | $17K | |
| 90649 | <1% | 2,674 | $16K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 338 | $14K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 965 | $13K |
| 90734 | <1% | 1,782 | $10K | |
| 81002 | <1% | 6,634 | $9K | |
| 90670 | <1% | 1,602 | $9K | |
| 92552 | <1% | 1,411 | $9K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 4,008 | $8K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,981 | $8K |
| 93000 | <1% | 347 | $7K | |
| 90633 | <1% | 1,222 | $7K | |
| 90685 | <1% | 1,011 | $6K | |
| 90698 | <1% | 991 | $5K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 502 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 95 | $4K |
| 94760 | <1% | 2,589 | $3K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 268 | $3K |
| 90680 | <1% | 359 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 249 | $3K |
| 0250 | <1% | 462 | $3K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 12 | $2K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 314 | $2K |
| 90710 | <1% | 359 | $2K | |
| 90744 | <1% | 562 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 92 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 16 | $2K |
| 99173 | <1% | 1,353 | $1K | |
| 90696 | <1% | 252 | $1K | |
| G0466 | Community health center visit, new patient | <1% | 12 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,374 | $1K |
| 57454 | <1% | 16 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 280 | $1K |
| 90700 | <1% | 138 | $981.06 | |
| 90716 | <1% | 154 | $900.00 | |
| 84703 | <1% | 675 | $582.05 | |
| 90647 | <1% | 84 | $567.06 | |
| 90707 | <1% | 63 | $387.00 | |
| 90619 | <1% | 272 | $84.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $69.94 |
| J1815 | Injection, insulin, per 5 units | <1% | 13 | $58.09 |
| 90620 | <1% | 116 | $3.43 | |
| 3074F | 0% | 1,699 | $0.00 | |
| Z1034 | 0% | 2,079 | $0.00 | |
| 3075F | 0% | 736 | $0.00 | |
| Z7610 | 0% | 325 | $0.00 | |
| 00001 | 0% | 90 | $0.00 | |
| 3079F | 0% | 125 | $0.00 | |
| 90677 | 0% | 26 | $0.00 | |
| 99001 | 0% | 5,609 | $0.00 | |
| 3078F | 0% | 696 | $0.00 | |
| T1101 | 0% | 313 | $0.00 | |
| 0900 | 0% | 62 | $0.00 | |
| 3077F | 0% | 43 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 106 | $0.00 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 0% | 27 | $0.00 |
| Z7500 | 0% | 15 | $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 officialBENAVIDEZ, TISHA (PATIENT FINANCIAL SERVICES DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| El Centro Regional Medical Center | El Centro, CA | $49.37M |
| El Centro Regional Medical Center | Calexico, CA | $27.78M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.