Clinic
Mark Twain Medical Center
Mark Twain Medical Center was paid $3.47M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoMARK TWAIN MEDICAL CENTER
SAN ANDREAS, CA 95249
SAN ANDREAS, CA 95249
33aNPI1205002938assigned 05/02/2008
33bProvider typeRural Health Clinic/Center
28Total paid$3.47M
24GClaims30,458
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#111 of 215
Median peer was paid$3.62M
This provider vs. median1.0×
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 | 4,541 | $448K | |
| 2019 | 4,189 | $367K | |
| 2020 | 4,022 | $429K | |
| 2021 | 2,963 | $348K | |
| 2022 | 3,768 | $382K | |
| 2023 | 6,003 | $747K | |
| 2024incomplete | 4,972 | $753K |
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 | 91% | 18,575 | 16,915 | $3.15M |
| 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 | 2.8% | 3,142 | 2,996 | $97K |
| 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 | 2.0% | 1,745 | 1,535 | $71K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 3,229 | 3,020 | $63K |
| G0378 | Hospital observation service, per hour | 1.0% | 1,608 | 1,426 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,507 | 1,417 | $25K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 170 | 169 | $14K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 236 | 230 | $10K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 52 | 39 | $3K |
| 90686 | <1% | 41 | 41 | $1K | |
| 0521 | <1% | 36 | 35 | $841.00 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $634.20 |
5 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $553.56 |
| 99406 | <1% | 46 | $478.86 | |
| 96127 | <1% | 18 | $427.80 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 16 | $202.88 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 13 | $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 officialROBERTS, CHRIS (CFO)
Parent organizationMARK TWAIN MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Mark Twain Medical Center | Angels Camp, CA | $5.48M |
| County of San Joaquin | French Camp, CA | $2.95M |
| Chris R Roberts DDS, PC | Denver, CO | $2.34M |
| Mark Twain Medical Center | Arnold, CA | $1.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.