Clinic
Marin Community Clinic
Marin Community Clinic was paid $109.98M by Medicaid between Jan 2018 and Dec 2024, across 164 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 57% of everything it billed.
33Billing provider infoMARIN COMMUNITY CLINIC
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
33aNPI1154503399assigned 11/29/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$109.98M
24GClaims1,263,910
24DCodes billed164
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#18 of 826
Median peer was paid$4.05M
This provider vs. median27×
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 | 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 | |
| 2024incomplete | 185,168 | $14.31M |
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 | 57% | 328,025 | 287,598 | $62.92M |
| 00003 | Internal/system code - not a standard HCPCS code | 37% | 156,822 | 153,117 | $40.23M |
| 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% | 213,979 | 173,373 | $872K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 9,008 | 6,581 | $554K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,219 | 4,872 | $300K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 126,643 | 105,806 | $292K |
| 90686 | <1% | 22,894 | 20,738 | $232K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 301 | 256 | $197K |
| 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% | 33,496 | 28,556 | $178K |
| 98940 | <1% | 7,575 | 4,684 | $151K | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 411 | 373 | $151K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,742 | 2,096 | $146K |
152 more codes
| J3490 | Unclassified drugs | <1% | 3,536 | $144K |
| 97803 | <1% | 6,496 | $138K | |
| 90750 | <1% | 806 | $128K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,540 | $124K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 15,341 | $118K |
| 97802 | <1% | 3,164 | $113K | |
| G9920 | Screening performed and negative | <1% | 5,943 | $112K |
| 90715 | <1% | 5,164 | $106K | |
| 0001A | <1% | 2,176 | $105K | |
| 0002A | <1% | 2,161 | $105K | |
| 0012A | <1% | 2,210 | $104K | |
| 59425 | <1% | 1,708 | $102K | |
| 99401 | <1% | 7,558 | $87K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,805 | $79K |
| 90651 | <1% | 6,565 | $74K | |
| 0011A | <1% | 1,591 | $73K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,072 | $73K |
| 90670 | <1% | 10,865 | $72K | |
| 59430 | <1% | 1,143 | $70K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,772 | $69K |
| 97810 | <1% | 3,834 | $67K | |
| 90698 | <1% | 11,226 | $66K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,068 | $63K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 5,782 | $63K |
| 11981 | <1% | 322 | $62K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 491 | $62K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 2,252 | $60K |
| 96156 | <1% | 5,710 | $57K | |
| 90744 | <1% | 9,270 | $57K | |
| 90633 | <1% | 8,474 | $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 | <1% | 2,681 | $50K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 5,541 | $50K |
| 90716 | <1% | 4,399 | $49K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 3,939 | $48K |
| 97811 | <1% | 2,279 | $43K | |
| 90707 | <1% | 3,364 | $42K | |
| 0031A | <1% | 876 | $39K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 976 | $39K |
| 90688 | <1% | 2,567 | $38K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 20,529 | $38K |
| 90681 | <1% | 4,849 | $35K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 7,305 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 11,629 | $28K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,325 | $28K |
| 90743 | <1% | 552 | $27K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,004 | $27K |
| 90734 | <1% | 2,733 | $26K | |
| 0071A | <1% | 496 | $25K | |
| 81025 | <1% | 9,139 | $23K | |
| 0072A | <1% | 446 | $23K | |
| S4993 | Contraceptive pills for birth control | <1% | 291 | $22K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,032 | $20K |
| 90710 | <1% | 2,363 | $18K | |
| 90696 | <1% | 2,159 | $17K | |
| 90746 | <1% | 246 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 600 | $15K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 1,550 | $15K |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 1,752 | $15K |
| 90713 | <1% | 1,942 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 11,988 | $15K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 285 | $14K |
| 99381 | <1% | 709 | $14K | |
| 90691 | <1% | 313 | $13K | |
| 90662 | <1% | 211 | $13K | |
| 90656 | <1% | 1,992 | $12K | |
| 99402 | <1% | 666 | $11K | |
| 90700 | <1% | 1,394 | $11K | |
| 0013A | <1% | 211 | $11K | |
| 90619 | <1% | 1,038 | $10K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 950 | $10K |
| 90685 | <1% | 889 | $10K | |
| 92551 | <1% | 15,243 | $9K | |
| 0053A | <1% | 168 | $9K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,059 | $8K |
| 90714 | <1% | 1,051 | $8K | |
| 90647 | <1% | 1,041 | $8K | |
| 99403 | <1% | 700 | $8K | |
| 58300 | <1% | 82 | $7K | |
| 90677 | <1% | 2,624 | $7K | |
| 90682 | <1% | 571 | $6K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 376 | $5K |
| 0003A | <1% | 100 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 232 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 133 | $5K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 166 | $5K |
| 87428 | <1% | 68 | $4K | |
| 90687 | <1% | 743 | $4K | |
| 11976 | <1% | 69 | $4K | |
| 99462 | <1% | 169 | $4K | |
| 96127 | <1% | 606 | $3K | |
| 97804 | <1% | 49 | $3K | |
| 0112A | <1% | 42 | $3K | |
| 99460 | <1% | 58 | $2K | |
| 90649 | <1% | 40 | $2K | |
| 11982 | <1% | 20 | $2K | |
| 96151 | <1% | 237 | $2K | |
| 93000 | <1% | 203 | $2K | |
| 85018 | <1% | 7,596 | $1K | |
| 72100 | <1% | 94 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 911 | $1K |
| 81003 | <1% | 609 | $1K | |
| 0052A | <1% | 24 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 20 | $1K |
| 81002 | <1% | 740 | $935.25 | |
| 99382 | <1% | 273 | $848.34 | |
| 96152 | <1% | 86 | $723.26 | |
| 90480 | <1% | 112 | $720.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,364 | $691.74 |
| S5000 | Prescription drug, generic | <1% | 78 | $599.22 |
| 99283 | Emergency room visit (moderate) | <1% | 2,307 | $530.33 |
| 90674 | <1% | 56 | $504.00 | |
| 90658 | <1% | 27 | $489.56 | |
| 96150 | <1% | 24 | $403.92 | |
| 99384 | <1% | 46 | $394.68 | |
| 90672 | <1% | 291 | $372.76 | |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | <1% | 116 | $348.44 |
| 86580 | <1% | 818 | $329.28 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 63 | $326.68 |
| 88720 | <1% | 212 | $235.34 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 18 | $231.66 |
| 99078 | <1% | 14 | $39.34 | |
| 99000 | <1% | 19 | $36.30 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 324 | $27.96 |
| 82962 | <1% | 156 | $20.00 | |
| 90660 | <1% | 126 | $18.61 | |
| 92015 | Determination of refractive state | <1% | 282 | $8.01 |
| Z6204 | 0% | 2,836 | $0.00 | |
| Z1034 | 0% | 11,609 | $0.00 | |
| Z1032 | 0% | 257 | $0.00 | |
| Z6402 | 0% | 1,246 | $0.00 | |
| Z1038 | 0% | 312 | $0.00 | |
| Z6410 | 0% | 3,709 | $0.00 | |
| Z6406 | 0% | 8,156 | $0.00 | |
| Z6404 | 0% | 925 | $0.00 | |
| 36416 | 0% | 355 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 82 | $0.00 |
| Z6306 | 0% | 56 | $0.00 | |
| 90474 | 0% | 25 | $0.00 | |
| Z6414 | 0% | 3,501 | $0.00 | |
| Z6208 | 0% | 1,401 | $0.00 | |
| 99173 | 0% | 2,095 | $0.00 | |
| Z6400 | 0% | 4,546 | $0.00 | |
| Z6300 | 0% | 1,049 | $0.00 | |
| Z6304 | 0% | 2,938 | $0.00 | |
| Z6200 | 0% | 968 | $0.00 | |
| Z6308 | 0% | 1,480 | $0.00 | |
| Z6412 | 0% | 56 | $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% | 115 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 27 | $0.00 |
| Z6206 | 0% | 55 | $0.00 | |
| Z6408 | 0% | 57 | $0.00 | |
| Z6302 | 0% | 28 | $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 officialSHIPP, BRENDA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Marin Community Clinic | San Rafael, CA | $6.28M |
| Marin Community Clinic | San Rafael, CA | $3.56M |
| Marin Community Clinic | Novato, CA | $2.19M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.