Physician
San Fernando Community Hospital
San Fernando Community Hospital was paid $31.08M by Medicaid between Jan 2018 and Dec 2024, across 110 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoSAN FERNANDO COMMUNITY HOSPITAL
SAN FERNANDO, CA 91340
SAN FERNANDO, CA 91340
33aNPI1245669555assigned 11/06/2013
33bProvider typeFamily Medicine Physician
28Total paid$31.08M
24GClaims584,249
24DCodes billed110
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#13 of 2,511
Median peer was paid$13K
This provider vs. median2,419×
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 | 34,058 | $3.27M | |
| 2019 | 58,805 | $4.00M | |
| 2020 | 78,716 | $3.96M | |
| 2021 | 89,815 | $5.36M | |
| 2022 | 83,028 | $4.17M | |
| 2023 | 119,268 | $5.20M | |
| 2024incomplete | 120,559 | $5.11M |
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 | 77% | 130,939 | 96,630 | $24.03M |
| 00003 | Internal/system code - not a standard HCPCS code | 20% | 26,201 | 20,143 | $6.37M |
| 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% | 91,238 | 61,877 | $279K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 11,968 | 6,999 | $111K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,441 | 4,005 | $36K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,361 | 1,561 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,781 | 2,903 | $20K |
| 97802 | <1% | 16,071 | 13,892 | $17K | |
| 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 | <1% | 1,651 | 1,319 | $14K |
| 90839 | <1% | 442 | 392 | $14K | |
| 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% | 6,559 | 4,808 | $14K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,511 | 1,320 | $13K |
98 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,879 | $11K |
| 0004A | <1% | 128 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,753 | $8K |
| 92551 | <1% | 3,992 | $8K | |
| 0002A | <1% | 112 | $7K | |
| 0001A | <1% | 110 | $7K | |
| 86769 | <1% | 721 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,342 | $5K |
| 0011A | <1% | 77 | $5K | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 5,615 | $5K |
| 90670 | <1% | 2,515 | $4K | |
| 90658 | <1% | 3,327 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 573 | $4K |
| 0012A | <1% | 50 | $3K | |
| 0001F | <1% | 42,904 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 770 | $3K |
| 97803 | <1% | 9,379 | $3K | |
| 99442 | <1% | 9,116 | $3K | |
| 90710 | <1% | 749 | $2K | |
| 90686 | <1% | 1,647 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,154 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 546 | $2K |
| 2001F | <1% | 51,344 | $2K | |
| H0049 | Alcohol and/or drug screening | <1% | 220 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14,238 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 186 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 370 | $2K |
| 90715 | <1% | 575 | $2K | |
| 3008F | <1% | 51,140 | $1K | |
| 90633 | <1% | 1,318 | $1K | |
| 90698 | <1% | 1,561 | $974.56 | |
| 90671 | <1% | 385 | $872.96 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,501 | $831.08 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 194 | $795.10 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 453 | $695.97 |
| 81000 | <1% | 6,828 | $686.14 | |
| 90697 | <1% | 271 | $626.34 | |
| 90651 | <1% | 138 | $580.14 | |
| 90656 | <1% | 317 | $557.51 | |
| 83037 | <1% | 5,706 | $513.69 | |
| 90680 | <1% | 1,445 | $494.23 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 584 | $464.00 |
| 85018 | <1% | 1,146 | $405.94 | |
| 90744 | <1% | 976 | $353.27 | |
| 76801 | <1% | 366 | $265.40 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,800 | $243.05 |
| 90700 | <1% | 244 | $234.56 | |
| 99381 | <1% | 174 | $224.85 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 373 | $221.10 |
| 90649 | <1% | 32 | $172.08 | |
| 86580 | <1% | 129 | $161.57 | |
| 96156 | <1% | 376 | $90.36 | |
| 90648 | <1% | 199 | $76.27 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 786 | $76.23 |
| 97804 | <1% | 90 | $76.20 | |
| 3074F | <1% | 11,267 | $47.75 | |
| 3078F | <1% | 11,714 | $37.35 | |
| 90716 | <1% | 60 | $27.00 | |
| 90662 | <1% | 63 | $25.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 94 | $18.60 |
| 90707 | <1% | 49 | $18.00 | |
| 99401 | <1% | 120 | $16.66 | |
| 90474 | <1% | 304 | $14.46 | |
| 90677 | <1% | 19 | $9.00 | |
| 90696 | <1% | 26 | $9.00 | |
| 96161 | <1% | 357 | $8.50 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 3,223 | $0.92 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 307 | $0.59 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,797 | $0.56 |
| 3079F | <1% | 1,431 | $0.01 | |
| 1055F | 0% | 2,202 | $0.00 | |
| Z6406 | 0% | 286 | $0.00 | |
| 3044F | 0% | 82 | $0.00 | |
| 3075F | 0% | 895 | $0.00 | |
| Z6204 | 0% | 954 | $0.00 | |
| Z6410 | 0% | 1,251 | $0.00 | |
| 90732 | 0% | 122 | $0.00 | |
| Z6402 | 0% | 131 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 12 | $0.00 |
| 90733 | 0% | 22 | $0.00 | |
| 99457 | 0% | 14 | $0.00 | |
| 3080F | 0% | 44 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 12 | $0.00 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 157 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 13 | $0.00 |
| Z6400 | 0% | 1,143 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 924 | $0.00 |
| 90473 | 0% | 1,032 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 475 | $0.00 |
| Z6300 | 0% | 130 | $0.00 | |
| Z6304 | 0% | 260 | $0.00 | |
| 2028F | 0% | 128 | $0.00 | |
| 3077F | 0% | 830 | $0.00 | |
| A4550 | Surgical trays | 0% | 15 | $0.00 |
| Z6200 | 0% | 131 | $0.00 | |
| 90461 | 0% | 42 | $0.00 | |
| Z6414 | 0% | 12 | $0.00 | |
| Z6500 | 0% | 12 | $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 officialSIMONS, AUDREY (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| San Fernando Community Health Center | San Fernando, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.