Clinic
County of Stanislaus
County of Stanislaus was paid $517K by Medicaid between Jan 2018 and Jul 2024, across 53 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 27% of everything it billed.
33Billing provider infoCOUNTY OF STANISLAUS
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1164745840assigned 03/09/2010
33bProvider typeState or Local Public Health Clinic/Center
28Total paid$517K
24GClaims28,482
24DCodes billed53
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other State or Local Public Health Clinic/Center providers in California
Rank by total paid#9 of 33
Median peer was paid$108K
This provider vs. median4.8×
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 | 13,101 | $222K | |
| 2019 | 4,354 | $68K | |
| 2020 | 2,334 | $34K | |
| 2021 | 732 | $11K | |
| 2022 | 1,808 | $40K | |
| 2023 | 2,396 | $51K | |
| 2024incomplete | 3,757 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 27% | 5,913 | 4,969 | $142K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 20% | 4,967 | 4,568 | $103K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 8.5% | 1,039 | 1,032 | $44K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 8.4% | 1,039 | 1,032 | $44K |
| 97139 | 8.3% | 1,910 | 313 | $43K | |
| 97799 | 4.2% | 954 | 189 | $21K | |
| 90716 | 3.6% | 1,028 | 1,022 | $18K | |
| 83655 | 2.7% | 566 | 566 | $14K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 3,260 | 3,008 | $13K |
| 90707 | 1.8% | 640 | 640 | $9K | |
| 90715 | 1.8% | 816 | 813 | $9K | |
| 97750 | 1.6% | 177 | 93 | $8K |
41 more codes
| 97161 | <1% | 114 | $4K | |
| 86703 | <1% | 248 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 70 | $4K |
| 90714 | <1% | 170 | $3K | |
| 87177 | <1% | 260 | $3K | |
| 90651 | <1% | 242 | $3K | |
| 90734 | <1% | 174 | $3K | |
| 90633 | <1% | 459 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 63 | $2K |
| 92552 | <1% | 122 | $2K | |
| 90686 | <1% | 498 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 41 | $2K |
| 88313 | <1% | 33 | $2K | |
| J3490 | Unclassified drugs | <1% | 37 | $2K |
| 90713 | <1% | 214 | $1K | |
| 86592 | <1% | 247 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 28 | $971.32 |
| 90696 | <1% | 72 | $950.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,346 | $924.91 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $899.68 |
| 90744 | <1% | 107 | $775.00 | |
| 87209 | <1% | 34 | $743.58 | |
| 85018 | <1% | 321 | $664.47 | |
| 90670 | <1% | 141 | $495.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | $450.00 |
| D1206 | Topical application of fluoride varnish | <1% | 17 | $408.00 |
| 99173 | <1% | 103 | $374.16 | |
| 90688 | <1% | 14 | $273.00 | |
| 81003 | <1% | 40 | $78.40 | |
| 81025 | <1% | 25 | $70.00 | |
| 90662 | <1% | 204 | $54.79 | |
| 86580 | <1% | 12 | $40.32 | |
| 90674 | <1% | 42 | $25.00 | |
| 90647 | <1% | 169 | $25.00 | |
| 90723 | <1% | 277 | $25.00 | |
| 90677 | 0% | 34 | $0.00 | |
| 94760 | 0% | 34 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 72 | $0.00 |
| 90648 | 0% | 13 | $0.00 | |
| 90700 | 0% | 24 | $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 | $18.59M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.