Clinic
Stanislaus Health and Wellness INC
Stanislaus Health and Wellness INC was paid $872K by Medicaid between Aug 2018 and Dec 2024, across 26 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 43% of everything it billed.
33Billing provider infoSTANISLAUS HEALTH AND WELLNESS INC
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1215440631assigned 11/07/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$872K
24GClaims33,731
24DCodes billed26
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#83 of 284
Median peer was paid$147K
This provider vs. median5.9×
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 | 1,086 | $36K | |
| 2019 | 5,504 | $156K | |
| 2020 | 5,586 | $142K | |
| 2021 | 3,438 | $95K | |
| 2022 | 5,377 | $134K | |
| 2023 | 6,812 | $149K | |
| 2024incomplete | 5,928 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 43% | 6,731 | 6,691 | $375K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 8,549 | 7,289 | $205K |
| 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 | 7.0% | 876 | 876 | $61K |
| 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 | 6.5% | 1,495 | 1,357 | $56K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.2% | 1,322 | 1,282 | $46K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.3% | 3,368 | 1,856 | $29K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.2% | 695 | 683 | $28K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 1,029 | 973 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 2,556 | 2,519 | $16K |
| 99417 | Prolong home eval add 15m | 1.6% | 280 | 268 | $14K |
| 99406 | <1% | 652 | 584 | $6K | |
| 99354 | <1% | 100 | 98 | $5K |
14 more codes
| 81002 | <1% | 1,897 | $4K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 205 | $3K |
| 87807 | <1% | 323 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 53 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 142 | $1K |
| 81025 | <1% | 392 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 46 | $585.45 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 42 | $307.04 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 26 | $249.25 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 14 | $144.90 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 2,843 | $86.73 |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 12 | $77.96 |
| 87081 | <1% | 12 | $67.59 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 71 | $2.39 |
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 officialJACOB, GEORGE (PRESIDENT)