Clinic
Reproductive Health Care Center
Reproductive Health Care Center was paid $283K by Medicaid between Jan 2018 and Apr 2023, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoREPRODUCTIVE HEALTH CARE CENTER
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1225164056assigned 02/26/2007
33bProvider typeClinic/Center
28Total paid$283K
24GClaims13,785
24DCodes billed35
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#198 of 504
Median peer was paid$102K
This provider vs. median2.8×
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 | 7,348 | $181K | |
| 2019 | 6,421 | $103K | |
| 2023 | 16 | $20.68 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 4,828 | 4,432 | $124K |
| 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 | 22% | 1,304 | 1,243 | $64K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.7% | 211 | 208 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.2% | 321 | 321 | $15K |
| 99385 | 5.1% | 142 | 142 | $15K | |
| 97802 | 2.6% | 280 | 279 | $7K | |
| 97803 | 2.4% | 318 | 317 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 420 | 397 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 537 | 503 | $3K |
| 90688 | 1.1% | 253 | 250 | $3K | |
| 99000 | 1.0% | 861 | 832 | $3K | |
| 81003 | <1% | 1,564 | 1,498 | $3K |
23 more codes
| 99386 | <1% | 45 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 45 | $2K |
| 92551 | <1% | 259 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 105 | $2K |
| 82962 | <1% | 999 | $2K | |
| 93000 | <1% | 73 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 26 | $894.54 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | $882.06 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 57 | $855.00 |
| 99173 | <1% | 252 | $638.70 | |
| 81025 | <1% | 145 | $313.01 | |
| 90686 | <1% | 78 | $125.00 | |
| 3008F | <1% | 16 | $20.68 | |
| 3079F | 0% | 56 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 37 | $0.00 |
| 3074F | 0% | 124 | $0.00 | |
| 3080F | 0% | 48 | $0.00 | |
| 3075F | 0% | 12 | $0.00 | |
| 3077F | 0% | 124 | $0.00 | |
| 90649 | 0% | 31 | $0.00 | |
| 3078F | 0% | 94 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 40 | $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 officialKUMAR, ANEETA (MANAGER)