Pacific Clinics
Pacific Clinics was paid $9.21M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 71% of everything it billed.
33Billing provider infoPACIFIC CLINICS
CAMPBELL, CA 95008
CAMPBELL, CA 95008
33aNPI1255496105assigned 12/22/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$9.21M
24GClaims132,762
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#143 of 435
Median peer was paid$2.89M
This provider vs. median3.2×
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 | 7,064 | $0.00 | |
| 2019 | 11,495 | $0.00 | |
| 2020 | 10,812 | $1.00 | |
| 2021 | 20,685 | $334K | |
| 2022 | 19,771 | $2.03M | |
| 2023 | 30,418 | $3.63M | |
| 2024incomplete | 32,517 | $3.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 71% | 33,667 | 24,232 | $6.52M |
| H0043 | Supported housing, per diem | 16% | 5,136 | 3,996 | $1.52M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 6.1% | 10,750 | 8,481 | $561K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 3.6% | 929 | 747 | $336K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.2% | 1,027 | 442 | $206K |
| T2051 | Supports brokerage, self-directed, waiver; per diem | <1% | 39 | 37 | $19K |
| 97139 | <1% | 184 | 128 | $19K | |
| H2014 | Skills training and development, per 15 minutes | <1% | 18,231 | 3,537 | $15K |
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | <1% | 12 | 12 | $5K |
| T2020 | Day habilitation, waiver; per diem | <1% | 169 | 102 | $4K |
| 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% | 304 | 292 | $3K |
| 99499 | <1% | 32 | 27 | $3K |
11 more codes
| H2026 | Ongoing support to maintain employment, per diem | <1% | 32 | $704.00 |
| 99358 | Prolong nursin fac eval 15m | <1% | 12 | $604.80 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 68 | $332.97 |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 0% | 34,755 | $0.00 |
| H2012 | Behavioral health day treatment, per hour | 0% | 3,359 | $0.00 |
| 96131 | 0% | 898 | $0.00 | |
| S5110 | Home care training, family; per 15 minutes | 0% | 2,200 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 6,088 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 13,905 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 570 | $0.00 |
| 96130 | 0% | 395 | $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 officialMCCARTHY, KATHRYN (CHIEF EXECUTIVE OFFICER / PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pacific Clinics | San Jose, CA | $6K |
| Pacific Clinics | Pasadena, CA | $5K |
| Pacific Clinics | Santa Fe Springs, CA | $171.25 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.