Physician
San Joaquin Prime Care Medical Group INC
San Joaquin Prime Care Medical Group INC was paid $1.14M by Medicaid between Jan 2018 and Sep 2019, across 49 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoSAN JOAQUIN PRIME CARE MEDICAL GROUP INC
EXETER, CA 93221
EXETER, CA 93221
33aNPI1265580500assigned 01/05/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.14M
24GClaims57,314
24DCodes billed49
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#154 of 2,511
Median peer was paid$13K
This provider vs. median89×
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 | 28,888 | $654K | |
| 2019 | 28,426 | $485K |
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 | 78% | 15,689 | 10,350 | $889K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 20,368 | 13,193 | $127K |
| 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 | 2.7% | 1,389 | 897 | $30K |
| 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 | 1.3% | 1,651 | 1,491 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 3,434 | 2,433 | $15K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,169 | 1,829 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 935 | 845 | $4K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,152 | 952 | $4K |
| 98940 | <1% | 789 | 684 | $3K | |
| 99000 | <1% | 1,489 | 1,395 | $3K | |
| 81002 | <1% | 1,062 | 988 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 561 | 394 | $3K |
37 more codes
| 36410 | <1% | 1,279 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 95 | $3K |
| 99401 | <1% | 619 | $2K | |
| 85018 | <1% | 512 | $2K | |
| 81003 | <1% | 484 | $2K | |
| 99173 | <1% | 370 | $2K | |
| 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 | <1% | 535 | $1K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 102 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 287 | $1K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 140 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 81 | $1K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 143 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 47 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 298 | $1K |
| 90688 | <1% | 151 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 208 | $982.14 |
| 92552 | <1% | 264 | $979.39 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 62 | $979.29 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 118 | $875.53 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | $802.63 |
| 88142 | <1% | 78 | $720.32 | |
| 81025 | <1% | 159 | $525.20 | |
| 90756 | <1% | 65 | $473.51 | |
| 93000 | <1% | 50 | $378.63 | |
| 86580 | <1% | 37 | $183.69 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 46 | $153.66 |
| 90686 | <1% | 13 | $109.55 | |
| 90734 | <1% | 12 | $73.47 | |
| 92551 | <1% | 12 | $70.26 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 175 | $61.36 |
| 90656 | <1% | 49 | $54.20 | |
| 99487 | Ccm add 20min | <1% | 13 | $35.64 |
| 99490 | Ccm add 20min | 0% | 14 | $0.00 |
| 93880 | 0% | 12 | $0.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 12 | $0.00 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 12 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 42 | $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 officialNYE, RITA (BILLING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Oscar Hernandez MD Medical Corporation | Porterville, CA | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.