Clinic
The Davis Street Community Center Incorporated
The Davis Street Community Center Incorporated was paid $11.00M by Medicaid between Jan 2018 and Dec 2024, across 48 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 infoTHE DAVIS STREET COMMUNITY CENTER INCORPORATED
SAN LEANDRO, CA 94577
SAN LEANDRO, CA 94577
33aNPI1215358924assigned 12/23/2013
33bProvider typeCommunity Health Clinic/Center
28Total paid$11.00M
24GClaims115,601
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#30 of 288
Median peer was paid$2.15M
This provider vs. median5.1×
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 | 13,488 | $1.65M | |
| 2019 | 13,264 | $1.23M | |
| 2020 | 15,203 | $1.29M | |
| 2021 | 17,115 | $1.59M | |
| 2022 | 16,612 | $1.56M | |
| 2023 | 15,352 | $1.41M | |
| 2024incomplete | 24,567 | $2.27M |
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% | 35,942 | 28,091 | $6.28M |
| 00003 | Internal/system code - not a standard HCPCS code | 31% | 15,227 | 12,214 | $3.44M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 28,624 | 17,454 | $435K |
| 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 | 3.3% | 15,816 | 8,932 | $363K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 4,392 | 1,294 | $133K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 2,421 | 868 | $122K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 664 | 535 | $66K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 760 | 439 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,915 | 1,162 | $19K |
| 99205 | Prolong outpt/office vis | <1% | 312 | 229 | $18K |
| 90686 | <1% | 1,014 | 1,009 | $16K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 291 | 239 | $15K |
36 more codes
| 90746 | <1% | 236 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,906 | $12K |
| 97802 | <1% | 625 | $7K | |
| 99385 | <1% | 146 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 62 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 90 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 59 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 415 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 93 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 375 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 182 | $2K |
| 90658 | <1% | 70 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 108 | $2K |
| 59425 | <1% | 24 | $1K | |
| 85018 | <1% | 1,067 | $1K | |
| 99383 | <1% | 137 | $1K | |
| 57410 | <1% | 14 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 50 | $678.15 |
| 99382 | <1% | 62 | $659.07 | |
| 82962 | <1% | 260 | $401.07 | |
| 92551 | <1% | 69 | $390.68 | |
| 90656 | <1% | 16 | $321.71 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 199 | $287.98 |
| 90698 | <1% | 41 | $282.81 | |
| 99201 | <1% | 46 | $273.88 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $246.46 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 12 | $178.48 |
| 99384 | <1% | 12 | $178.26 | |
| 81001 | <1% | 48 | $121.88 | |
| 90633 | <1% | 13 | $46.48 | |
| 81003 | <1% | 33 | $32.60 | |
| 96127 | <1% | 18 | $28.63 | |
| 36416 | 0% | 155 | $0.00 | |
| 99386 | 0% | 12 | $0.00 | |
| 90461 | 0% | 31 | $0.00 | |
| 99173 | 0% | 523 | $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 officialMCMILLEN, ROSALIA (CHIEF FISCAL OFFICER)