Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN RAFAEL › MARIN COMMUNITY CLINIC

MARIN COMMUNITY CLINIC

NPI: 1154503399 · SAN RAFAEL, CA 94901 · Federally Qualified Health Center (FQHC) · NPI assigned 11/29/2007

$109.98M
Total Medicaid Paid
1,263,910
Total Claims
1,088,461
Beneficiaries
164
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHIPP, BRENDA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date11/29/2007

Related Entities

Other providers sharing the same authorized official: SHIPP, BRENDA

ProviderCityStateTotal Paid
MARIN COMMUNITY CLINIC SAN RAFAEL CA $6.28M
MARIN COMMUNITY CLINIC SAN RAFAEL CA $3.56M
MARIN COMMUNITY CLINIC NOVATO CA $2.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104,701 $14.22M
2019 164,863 $17.71M
2020 174,618 $14.38M
2021 232,253 $20.66M
2022 190,627 $13.16M
2023 211,680 $15.54M
2024 185,168 $14.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 328,025 287,598 $62.92M
00003 Internal/system code - not a standard HCPCS code 156,822 153,117 $40.23M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 213,979 173,373 $872K
H1001 Prenatal care, at-risk enhanced service; antepartum management 9,008 6,581 $554K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,219 4,872 $300K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 126,643 105,806 $292K
90686 22,894 20,738 $232K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 301 256 $197K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33,496 28,556 $178K
98940 7,575 4,684 $151K
G9012 Other specified case management service not elsewhere classified 411 373 $151K
90791 Psychiatric diagnostic evaluation 2,742 2,096 $146K
J3490 Unclassified drugs 3,536 2,820 $144K
97803 6,496 5,109 $138K
90750 806 706 $128K
90832 Psychotherapy, 30 minutes with patient 6,540 4,747 $124K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15,341 13,289 $118K
97802 3,164 2,881 $113K
G9920 Screening performed and negative 5,943 5,625 $112K
90715 5,164 4,634 $106K
0001A 2,176 1,309 $105K
0002A 2,161 1,306 $105K
0012A 2,210 1,449 $104K
59425 1,708 1,263 $102K
99401 7,558 5,174 $87K
90834 Psychotherapy, 45 minutes with patient 3,805 2,654 $79K
90651 6,565 5,777 $74K
0011A 1,591 1,038 $73K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,072 3,650 $73K
90670 10,865 10,074 $72K
59430 1,143 952 $70K
99215 Prolong outpt/office vis 1,772 1,333 $69K
97810 3,834 2,462 $67K
90698 11,226 9,768 $66K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 2,068 1,310 $63K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 5,782 3,750 $63K
11981 322 269 $62K
H1000 Prenatal care, at-risk assessment 491 440 $62K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 2,252 1,953 $60K
96156 5,710 4,048 $57K
90744 9,270 7,862 $57K
90633 8,474 7,197 $51K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,681 2,527 $50K
H2000 Comprehensive multidisciplinary evaluation 5,541 3,080 $50K
90716 4,399 3,752 $49K
H1003 Prenatal care, at-risk enhanced service; education 3,939 2,871 $48K
97811 2,279 1,579 $43K
90707 3,364 2,968 $42K
0031A 876 568 $39K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 976 831 $39K
90688 2,567 2,550 $38K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 20,529 18,044 $38K
90681 4,849 4,337 $35K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,305 6,499 $29K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11,629 10,359 $28K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,325 1,204 $28K
90743 552 469 $27K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,004 846 $27K
90734 2,733 2,673 $26K
0071A 496 303 $25K
81025 9,139 7,844 $23K
0072A 446 268 $23K
S4993 Contraceptive pills for birth control 291 269 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,032 778 $20K
90710 2,363 2,215 $18K
90696 2,159 2,073 $17K
90746 246 211 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 600 476 $15K
A4267 Contraceptive supply, condom, male, each 1,550 1,497 $15K
S9452 Nutrition classes, non-physician provider, per session 1,752 1,336 $15K
90713 1,942 1,493 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 11,988 10,121 $15K
90847 Family psychotherapy with the patient present, 50 minutes 285 146 $14K
99381 709 494 $14K
90691 313 313 $13K
90662 211 201 $13K
90656 1,992 1,411 $12K
99402 666 584 $11K
90700 1,394 1,249 $11K
0013A 211 162 $11K
90619 1,038 847 $10K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 950 837 $10K
90685 889 885 $10K
92551 15,243 14,944 $9K
0053A 168 117 $9K
90472 Immunization administration, each additional vaccine (list separately) 5,059 4,480 $8K
90714 1,051 749 $8K
90647 1,041 939 $8K
99403 700 527 $8K
58300 82 38 $7K
90677 2,624 1,605 $7K
90682 571 565 $6K
71046 Radiologic examination, chest; 2 views 376 177 $5K
0003A 100 77 $5K
99238 Hospital discharge day management, 30 minutes or less 232 189 $5K
90792 Psychiatric diagnostic evaluation with medical services 133 112 $5K
G9919 Screening performed and positive and provision of recommendations 166 151 $5K
87428 68 59 $4K
90687 743 718 $4K
11976 69 40 $4K
99462 169 114 $4K
96127 606 528 $3K
97804 49 25 $3K
0112A 42 42 $3K
99460 58 45 $2K
90649 40 37 $2K
11982 20 14 $2K
96151 237 189 $2K
93000 203 169 $2K
85018 7,596 7,394 $1K
72100 94 44 $1K
83036 Hemoglobin; glycosylated (A1C) 911 871 $1K
81003 609 486 $1K
0052A 24 15 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 20 17 $1K
81002 740 682 $935.25
99382 273 157 $848.34
96152 86 78 $723.26
90480 112 112 $720.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,364 2,361 $691.74
S5000 Prescription drug, generic 78 56 $599.22
99283 Emergency department visit for the evaluation and management, moderate severity 2,307 1,893 $530.33
90674 56 56 $504.00
90658 27 27 $489.56
96150 24 24 $403.92
99384 46 41 $394.68
90672 291 190 $372.76
S9446 Patient education, not otherwise classified, non-physician provider, group, per session 116 69 $348.44
86580 818 790 $329.28
J1885 Injection, ketorolac tromethamine, per 15 mg 63 55 $326.68
88720 212 136 $235.34
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 18 18 $231.66
99078 14 12 $39.34
99000 19 13 $36.30
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 324 322 $27.96
82962 156 152 $20.00
90660 126 81 $18.61
92015 Determination of refractive state 282 282 $8.01
Z6204 2,836 2,360 $0.00
Z1034 11,609 10,614 $0.00
Z1032 257 256 $0.00
Z6402 1,246 1,231 $0.00
Z1038 312 308 $0.00
Z6410 3,709 2,860 $0.00
Z6406 8,156 6,621 $0.00
Z6404 925 820 $0.00
36416 355 353 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 82 82 $0.00
Z6306 56 43 $0.00
90474 25 25 $0.00
Z6414 3,501 2,268 $0.00
Z6208 1,401 1,163 $0.00
99173 2,095 2,094 $0.00
Z6400 4,546 4,166 $0.00
Z6300 1,049 1,029 $0.00
Z6304 2,938 2,574 $0.00
Z6200 968 951 $0.00
Z6308 1,480 1,195 $0.00
Z6412 56 43 $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 115 112 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 27 27 $0.00
Z6206 55 42 $0.00
Z6408 57 44 $0.00
Z6302 28 27 $0.00