Clinica Sierra Vista
Clinica Sierra Vista was paid $64.97M by Medicaid between Jan 2018 and Dec 2024, across 196 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
BAKERSFIELD, CA 93301
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 174,904 | $4.90M | |
| 2019 | 188,068 | $4.16M | |
| 2020 | 171,140 | $4.39M | |
| 2021 | 150,322 | $4.71M | |
| 2022 | 183,230 | $7.11M | |
| 2023 | 414,104 | $12.08M | |
| 2024incomplete | 683,055 | $27.61M |
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 | 32% | 461,305 | 422,458 | $20.82M |
| 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 | 12% | 155,298 | 144,030 | $8.03M |
| G9012 | Other specified case management service not elsewhere classified | 10.0% | 47,419 | 34,337 | $6.48M |
| 59425 | 6.4% | 46,456 | 32,551 | $4.17M | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 109,616 | 100,751 | $3.34M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 3.5% | 18,485 | 13,237 | $2.29M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.8% | 11,392 | 11,143 | $1.80M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 22,186 | 21,569 | $1.37M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.7% | 24,735 | 20,435 | $1.11M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 15,559 | 15,227 | $992K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 19,255 | 18,900 | $964K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 15,229 | 14,309 | $887K |
184 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 10,655 | $834K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 7,039 | $820K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 10,040 | $782K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 6,366 | $739K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.0% | 16,443 | $665K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 3,366 | $474K |
| 90686 | <1% | 28,441 | $416K | |
| 90715 | <1% | 11,296 | $361K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 7,314 | $348K |
| 90739 | <1% | 2,942 | $295K | |
| 90750 | <1% | 1,800 | $291K | |
| 90677 | <1% | 5,837 | $273K | |
| 90651 | <1% | 10,258 | $254K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,443 | $228K |
| 99205 | Prolong outpt/office vis | <1% | 1,319 | $207K |
| 92250 | <1% | 5,394 | $206K | |
| 90707 | <1% | 10,002 | $194K | |
| 96156 | <1% | 13,702 | $183K | |
| 90746 | <1% | 2,057 | $177K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 8,259 | $175K |
| 90670 | <1% | 13,567 | $165K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 227 | $153K |
| 90688 | <1% | 7,511 | $150K | |
| 90716 | <1% | 9,473 | $139K | |
| 99188 | <1% | 6,845 | $129K | |
| 99401 | <1% | 8,561 | $127K | |
| 90633 | <1% | 11,504 | $123K | |
| 97803 | <1% | 9,990 | $120K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 11,010 | $115K |
| 90734 | <1% | 7,370 | $114K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,150 | $108K |
| 92551 | <1% | 7,759 | $104K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16,167 | $103K |
| 99381 | <1% | 1,279 | $94K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17,806 | $92K |
| 90648 | <1% | 8,544 | $92K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,069 | $91K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,546 | $90K |
| 90680 | <1% | 8,250 | $89K | |
| 90698 | <1% | 7,889 | $87K | |
| 99385 | <1% | 780 | $86K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,378 | $86K |
| 59430 | <1% | 1,148 | $86K | |
| 97802 | <1% | 5,095 | $85K | |
| 81025 | <1% | 30,075 | $83K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 6,752 | $79K |
| 99383 | <1% | 1,038 | $77K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 167 | $70K |
| 92552 | <1% | 3,105 | $69K | |
| 81002 | <1% | 44,218 | $66K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,833 | $64K |
| J3490 | Unclassified drugs | <1% | 1,515 | $62K |
| 90736 | <1% | 284 | $61K | |
| 90744 | <1% | 5,475 | $59K | |
| 93000 | <1% | 1,784 | $59K | |
| 90723 | <1% | 5,382 | $58K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 7,958 | $56K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 2,191 | $53K |
| 90656 | <1% | 3,208 | $53K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,062 | $51K |
| 99173 | <1% | 11,954 | $50K | |
| 99460 | <1% | 786 | $49K | |
| 90837 | Psychotherapy session, about an hour | <1% | 612 | $48K |
| 90700 | <1% | 4,382 | $48K | |
| 99384 | <1% | 516 | $47K | |
| 83655 | <1% | 4,372 | $46K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 2,406 | $41K |
| 90658 | <1% | 1,437 | $39K | |
| 90732 | <1% | 646 | $37K | |
| 11981 | <1% | 138 | $35K | |
| 99386 | <1% | 356 | $34K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 2,378 | $33K |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 632 | $31K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 643 | $30K |
| 82962 | <1% | 15,833 | $30K | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 2,276 | $28K |
| 90756 | <1% | 1,481 | $26K | |
| 85018 | <1% | 15,466 | $26K | |
| 99382 | <1% | 413 | $25K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,158 | $24K |
| 96150 | <1% | 1,437 | $23K | |
| 99000 | <1% | 10,267 | $22K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,130 | $21K |
| 86580 | <1% | 5,981 | $19K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 228 | $19K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,868 | $19K |
| 99201 | <1% | 647 | $18K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 376 | $17K |
| 99462 | <1% | 492 | $16K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 619 | $15K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,022 | $14K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 213 | $13K |
| 90696 | <1% | 1,146 | $12K | |
| 90685 | <1% | 1,071 | $12K | |
| 90713 | <1% | 928 | $11K | |
| 99242 | <1% | 150 | $10K | |
| 90681 | <1% | 840 | $9K | |
| 69210 | <1% | 269 | $8K | |
| 90620 | <1% | 668 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 21,613 | $8K |
| 58300 | <1% | 121 | $8K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 137 | $7K |
| 76801 | <1% | 117 | $7K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,059 | $6K |
| 92015 | Determination of refractive state | <1% | 596 | $6K |
| 98940 | <1% | 257 | $5K | |
| 96151 | <1% | 503 | $5K | |
| 94060 | <1% | 98 | $5K | |
| 90678 | <1% | 14 | $5K | |
| 73562 | <1% | 309 | $5K | |
| 90682 | <1% | 94 | $4K | |
| 73030 | <1% | 229 | $4K | |
| 11976 | <1% | 53 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 301 | $3K |
| 90662 | <1% | 93 | $3K | |
| 57454 | <1% | 25 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 37 | $3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 285 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 70 | $2K |
| 72110 | <1% | 60 | $2K | |
| 72100 | <1% | 98 | $2K | |
| 90632 | <1% | 30 | $2K | |
| 74018 | <1% | 102 | $2K | |
| 88720 | <1% | 438 | $2K | |
| 96127 | <1% | 306 | $2K | |
| 90381 | <1% | 162 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 292 | $2K |
| 87807 | <1% | 193 | $2K | |
| 11982 | <1% | 12 | $2K | |
| J0735 | Injection, clonidine hydrochloride, 1 mg | <1% | 97 | $2K |
| 73560 | <1% | 106 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 5,114 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 316 | $1K |
| 90380 | <1% | 118 | $1K | |
| 81003 | <1% | 494 | $1K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 82 | $1K |
| 3078F | <1% | 129,992 | $1K | |
| 74019 | <1% | 41 | $899.67 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 225 | $836.19 |
| 73630 | <1% | 46 | $778.18 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 13 | $657.80 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 9,907 | $617.75 |
| 90649 | <1% | 56 | $617.25 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 12 | $588.00 |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 108 | $564.90 |
| 90710 | <1% | 50 | $545.40 | |
| 73610 | <1% | 30 | $512.48 | |
| 3079F | <1% | 70,673 | $492.76 | |
| 92133 | <1% | 12 | $483.72 | |
| 90621 | <1% | 50 | $472.50 | |
| 90657 | <1% | 41 | $436.50 | |
| 73502 | <1% | 13 | $382.51 | |
| 87806 | <1% | 13 | $364.22 | |
| 72081 | <1% | 13 | $329.50 | |
| 90714 | <1% | 14 | $260.47 | |
| 72070 | <1% | 12 | $255.60 | |
| A9150 | Non-prescription drugs | <1% | 141 | $195.94 |
| A4267 | Contraceptive supply, condom, male, each | <1% | 510 | $189.90 |
| 73120 | <1% | 15 | $171.74 | |
| 90674 | <1% | 15 | $162.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 16 | $161.48 |
| 86803 | <1% | 13 | $150.84 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 528 | $145.64 |
| J1815 | Injection, insulin, per 5 units | <1% | 26 | $141.70 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 122 | $128.59 |
| 99403 | <1% | 16 | $123.62 | |
| 87430 | <1% | 14 | $114.52 | |
| 69209 | <1% | 13 | $86.58 | |
| 36416 | <1% | 150 | $23.40 | |
| 3077F | <1% | 23,459 | $16.99 | |
| 3074F | <1% | 152,171 | $10.71 | |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | <1% | 151 | $0.94 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 13 | $0.09 |
| 3046F | 0% | 101 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 13 | $0.00 |
| 2022F | 0% | 13 | $0.00 | |
| 3075F | 0% | 34,475 | $0.00 | |
| 3080F | 0% | 9,151 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 287 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 41 | $0.00 |
| 3044F | 0% | 735 | $0.00 | |
| 3072F | 0% | 57 | $0.00 | |
| 2023F | 0% | 61 | $0.00 | |
| 88142 | 0% | 54 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Clinica Sierra Vista | Bakersfield, CA | $33.77M |
| Clinica Sierra Vista | Lamont, CA | $29.67M |
| Clinica Sierra Vista | Fresno, CA | $23.94M |
| Clinica Sierra Vista | Bakersfield, CA | $23.33M |
| Clinica Sierra Vista | Fresno, CA | $23.08M |
| Clinica Sierra Vista | Bakersfield, CA | $21.29M |
| Clinica Sierra Vista | Bakersfield, CA | $17.29M |
| Clinica Sierra Vista | Bakersfield, CA | $14.66M |
| Clinica Sierra Vista | Fresno, CA | $14.10M |
| Clinica Sierra Vista | Arvin, CA | $14.09M |
| Clinica Sierra Vista | Lebec, CA | $7.87M |
| Clinica Sierra Vista | Delano, CA | $7.36M |
| Clinica Sierra Vista | Bakersfield, CA | $6.28M |
| Clinica Sierra Vista | Bakersfield, CA | $5.91M |
| Clinica Sierra Vista | Fresno, CA | $5.86M |
| Clinica Sierra Vista | Fresno, CA | $5.78M |
| Clinica Sierra Vista | Bakersfield, CA | $5.55M |
| Clinica Sierra Vista | Bakersfield, CA | $4.15M |
| Clinica Sierra Vista | Fresno, CA | $3.75M |
| Clinica Sierra Vista | Fresno, CA | $3.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.