Clinica Sierra Vista
Clinica Sierra Vista was paid $23.08M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
FRESNO, CA 93706
Next to other Case Manager/Care Coordinator 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 | 33,124 | $2.41M | |
| 2019 | 64,571 | $2.48M | |
| 2020 | 86,771 | $3.39M | |
| 2021 | 90,211 | $3.67M | |
| 2022 | 105,541 | $3.09M | |
| 2023 | 120,606 | $3.87M | |
| 2024incomplete | 125,447 | $4.19M |
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 | 96% | 155,052 | 142,724 | $22.23M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 186,895 | 113,101 | $234K |
| G0467 | Community health center visit, returning patientFederally 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% | 4,496 | 4,062 | $156K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,921 | 2,138 | $105K |
| 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 | <1% | 36,420 | 24,609 | $65K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12,536 | 9,856 | $64K |
| 0012A | <1% | 673 | 673 | $44K | |
| 0011A | <1% | 688 | 688 | $43K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,200 | 1,571 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 466 | 462 | $34K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 998 | 620 | $28K |
| 0064A | <1% | 149 | 148 | $9K |
93 more codes
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,877 | $8K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 571 | $5K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 253 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18,118 | $3K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 403 | $2K |
| 0134A | <1% | 35 | $2K | |
| 0004A | <1% | 27 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 7,001 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,033 | $2K |
| 0013A | <1% | 21 | $1K | |
| 90750 | <1% | 397 | $531.11 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,771 | $510.70 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,491 | $405.37 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,047 | $235.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,883 | $166.19 |
| 90715 | <1% | 558 | $154.10 | |
| 92250 | <1% | 1,831 | $89.92 | |
| 90746 | <1% | 682 | $70.32 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,371 | $63.80 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,587 | $61.69 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,995 | $59.20 |
| 93000 | <1% | 1,309 | $56.44 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 555 | $55.88 |
| 81002 | <1% | 20,566 | $50.10 | |
| 73562 | <1% | 113 | $45.98 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,782 | $43.05 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,123 | $42.66 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,795 | $35.07 |
| 81025 | <1% | 10,885 | $34.19 | |
| 72100 | <1% | 198 | $29.79 | |
| 90688 | <1% | 1,705 | $23.24 | |
| 99201 | <1% | 225 | $22.52 | |
| 82962 | <1% | 5,784 | $15.77 | |
| 85018 | <1% | 2,056 | $4.03 | |
| 3077F | 0% | 7,174 | $0.00 | |
| 3078F | 0% | 31,672 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 755 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 492 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 252 | $0.00 |
| 3046F | 0% | 324 | $0.00 | |
| 73130 | 0% | 28 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 471 | $0.00 |
| 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 | 0% | 38 | $0.00 |
| 69210 | 0% | 251 | $0.00 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | 0% | 71 | $0.00 |
| 73630 | 0% | 79 | $0.00 | |
| 99242 | 0% | 14 | $0.00 | |
| 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 | 0% | 18 | $0.00 |
| 90658 | 0% | 64 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 83 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 39 | $0.00 |
| 73030 | 0% | 128 | $0.00 | |
| 81003 | 0% | 32 | $0.00 | |
| 69209 | 0% | 101 | $0.00 | |
| 74018 | 0% | 64 | $0.00 | |
| 73140 | 0% | 17 | $0.00 | |
| 90662 | 0% | 19 | $0.00 | |
| J7510 | Prednisolone oral, per 5 mg | 0% | 13 | $0.00 |
| 73610 | 0% | 13 | $0.00 | |
| 72110 | 0% | 12 | $0.00 | |
| 96379 | 0% | 30 | $0.00 | |
| 90686 | 0% | 272 | $0.00 | |
| 3074F | 0% | 32,255 | $0.00 | |
| 86580 | 0% | 283 | $0.00 | |
| 3075F | 0% | 8,317 | $0.00 | |
| 99000 | 0% | 285 | $0.00 | |
| 3080F | 0% | 2,300 | $0.00 | |
| 72040 | 0% | 51 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 421 | $0.00 |
| 90677 | 0% | 118 | $0.00 | |
| 3079F | 0% | 13,243 | $0.00 | |
| Z7610 | 0% | 65 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 340 | $0.00 |
| 90739 | 0% | 306 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 483 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 257 | $0.00 |
| 36416 | 0% | 91 | $0.00 | |
| 73502 | 0% | 45 | $0.00 | |
| 3044F | 0% | 788 | $0.00 | |
| 90657 | 0% | 19 | $0.00 | |
| 90743 | 0% | 132 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 267 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 303 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 421 | $0.00 |
| 73560 | 0% | 103 | $0.00 | |
| 73120 | 0% | 19 | $0.00 | |
| 73620 | 0% | 50 | $0.00 | |
| 71045 | Radiologic examination, chest; single view | 0% | 57 | $0.00 |
| 90656 | 0% | 20 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 119 | $0.00 |
| 99443 | 0% | 12 | $0.00 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 12 | $0.00 |
| 91301 | 0% | 21 | $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 | $64.97M |
| 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 | 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.