MATHIESEN MEMORIAL HEALTH CLINIC
NPI: 1255595484
· JAMESTOWN, CA 95327
· 261QM1300X
$24.28M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,859 |
$1.02M |
| 2019 |
4,860 |
$1.17M |
| 2020 |
8,884 |
$1.80M |
| 2021 |
17,014 |
$3.54M |
| 2022 |
15,798 |
$4.20M |
| 2023 |
22,189 |
$5.58M |
| 2024 |
24,498 |
$6.97M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
32,269 |
24,520 |
$19.42M |
| G0467 |
Fqhc visit, estab pt |
9,817 |
7,049 |
$3.30M |
| 00003 |
|
880 |
592 |
$633K |
| 99214 |
|
16,018 |
14,348 |
$429K |
| 99213 |
|
13,282 |
11,808 |
$308K |
| G0470 |
Fqhc visit, mh estab pt |
228 |
158 |
$107K |
| 90837 |
|
3,228 |
2,404 |
$71K |
| G0466 |
Fqhc visit new patient |
54 |
27 |
$7K |
| 96372 |
|
1,535 |
1,357 |
$3K |
| 97810 |
|
1,400 |
921 |
$2K |
| 99204 |
|
500 |
499 |
$1K |
| 99212 |
|
1,082 |
1,050 |
$1K |
| 90687 |
|
101 |
101 |
$991.74 |
| 99203 |
|
644 |
640 |
$919.83 |
| 99215 |
Prolong outpt/office vis |
402 |
386 |
$855.02 |
| 99000 |
|
3,844 |
3,309 |
$663.02 |
| 99202 |
|
120 |
120 |
$560.98 |
| 81003 |
|
378 |
361 |
$560.97 |
| G2025 |
Dis site tele svcs rhc/fqhc |
235 |
209 |
$560.95 |
| 90688 |
|
738 |
724 |
$451.94 |
| 97811 |
|
1,375 |
906 |
$117.17 |
| J3420 |
Vitamin b12 injection |
95 |
90 |
$10.00 |
| J1885 |
Ketorolac tromethamine inj |
75 |
58 |
$1.00 |
| 87804 |
|
260 |
127 |
$0.18 |
| 87426 |
|
182 |
175 |
$0.09 |
| 83036 |
|
366 |
365 |
$0.05 |
| 87807 |
|
85 |
83 |
$0.05 |
| 80305 |
|
3,238 |
2,785 |
$0.03 |
| 82962 |
|
28 |
28 |
$0.03 |
| 87880 |
|
53 |
52 |
$0.01 |
| 97026 |
|
1,525 |
1,025 |
$0.01 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
15 |
14 |
$0.00 |
| D1110 |
|
101 |
101 |
$0.00 |
| A4550 |
Surgical trays |
12 |
12 |
$0.00 |
| 90472 |
|
38 |
33 |
$0.00 |
| 90658 |
|
54 |
54 |
$0.00 |
| D1120 |
|
16 |
16 |
$0.00 |
| 90715 |
|
48 |
44 |
$0.00 |
| 90833 |
|
33 |
33 |
$0.00 |
| D9430 |
|
13 |
12 |
$0.00 |
| D0330 |
|
48 |
47 |
$0.00 |
| 90460 |
|
14 |
14 |
$0.00 |
| 90834 |
|
99 |
74 |
$0.00 |
| 90471 |
|
1,038 |
1,015 |
$0.00 |
| D0210 |
|
151 |
150 |
$0.00 |
| D2392 |
|
30 |
28 |
$0.00 |
| D0150 |
|
215 |
214 |
$0.00 |
| D7140 |
|
22 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
51 |
51 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |
| 36415 |
|
37 |
37 |
$0.00 |
| 17000 |
|
12 |
12 |
$0.00 |