Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

IMPERIAL BEACH COMMUNITY CLINIC

NPI: 1215246996 · SAN DIEGO, CA 92154 · Community Health Clinic/Center · NPI assigned 09/29/2010

$6.25M
Total Medicaid Paid
110,152
Total Claims
95,881
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIRK, CONSTANCE (EXECUTIVE DIRECTOR)
Parent OrganizationIMPERIAL BEACH COMMUNITY CLINIC
NPI Enumeration Date09/29/2010

Related Entities

Other providers sharing the same authorized official: KIRK, CONSTANCE

ProviderCityStateTotal Paid
IMPERIAL BEACH COMMUNITY CLINIC IMPERIAL BEACH CA $12.22M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,972 $779K
2019 10,854 $553K
2020 17,577 $723K
2021 18,615 $799K
2022 15,466 $688K
2023 17,597 $1.20M
2024 19,071 $1.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 68,762 57,761 $6.06M
90832 Psychotherapy, 30 minutes with patient 2,061 1,535 $43K
0011A 514 504 $34K
0012A 413 400 $27K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,126 10,388 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,395 14,238 $14K
G0467 Federally 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 1,993 1,779 $11K
0054A 122 122 $8K
0001A 106 105 $7K
0004A 104 104 $7K
0124A 100 100 $7K
0002A 96 95 $6K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 327 266 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,108 1,974 $631.22
90791 Psychiatric diagnostic evaluation 31 28 $384.24
90686 445 436 $136.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,276 2,240 $111.01
90688 530 529 $45.00
83036 Hemoglobin; glycosylated (A1C) 884 876 $33.31
80305 41 25 $9.07
96127 247 238 $4.76
81025 62 59 $2.80
82962 333 328 $2.00
99215 Prolong outpt/office vis 345 323 $0.00
98940 105 60 $0.00
92081 14 13 $0.00
90734 12 12 $0.00
90472 Immunization administration, each additional vaccine (list separately) 97 93 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 95 95 $0.00
82947 49 49 $0.00
3077F 13 12 $0.00
92552 13 13 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $0.00
1036F 522 502 $0.00
G0008 Administration of influenza virus vaccine 27 27 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 336 146 $0.00
3008F 14 14 $0.00
Z1034 146 108 $0.00
90651 12 12 $0.00
90656 81 81 $0.00
90480 27 27 $0.00
85018 101 99 $0.00
3044F 26 26 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 17 15 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 12 12 $0.00