Clinic
Mathiesen Memorial Health Clinic
Mathiesen Memorial Health Clinic was paid $24.28M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoMATHIESEN MEMORIAL HEALTH CLINIC
JAMESTOWN, CA 95327
JAMESTOWN, CA 95327
33aNPI1255595484assigned 07/16/2008
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$24.28M
24GClaims96,102
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in California
Rank by total paid#4 of 170
Median peer was paid$145K
This provider vs. median168×
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 | 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 | |
| 2024incomplete | 24,498 | $6.97M |
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 | 80% | 32,269 | 24,520 | $19.42M |
| 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 | 14% | 9,817 | 7,049 | $3.30M |
| 00003 | Internal/system code - not a standard HCPCS code | 2.6% | 880 | 592 | $633K |
| 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 | 1.8% | 16,018 | 14,348 | $429K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 13,282 | 11,808 | $308K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 228 | 158 | $107K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,228 | 2,404 | $71K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% | 54 | 27 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,535 | 1,357 | $3K |
| 97810 | <1% | 1,400 | 921 | $2K | |
| 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% | 500 | 499 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,082 | 1,050 | $1K |
40 more codes
| 90687 | <1% | 101 | $991.74 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 644 | $919.83 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 402 | $855.02 |
| 99000 | <1% | 3,844 | $663.02 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 120 | $560.98 |
| 81003 | <1% | 378 | $560.97 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 235 | $560.95 |
| 90688 | <1% | 738 | $451.94 | |
| 97811 | <1% | 1,375 | $117.17 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 95 | $10.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 75 | $1.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 260 | $0.18 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 182 | $0.09 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 366 | $0.05 |
| 87807 | <1% | 85 | $0.05 | |
| 80305 | <1% | 3,238 | $0.03 | |
| 82962 | <1% | 28 | $0.03 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 53 | $0.01 |
| 97026 | <1% | 1,525 | $0.01 | |
| 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% | 15 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 101 | $0.00 |
| A4550 | Surgical trays | 0% | 12 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 38 | $0.00 |
| 90658 | 0% | 54 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 16 | $0.00 |
| 90715 | 0% | 48 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 33 | $0.00 |
| D9430 | 0% | 13 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 48 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 14 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 99 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,038 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 151 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 30 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 215 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 22 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 51 | $0.00 |
| 90686 | 0% | 18 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 37 | $0.00 |
| 17000 | 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 officialKISS, JACQUELINE (CREDENTIALING)