Clinic
Community Medical Centers, INC
Community Medical Centers, INC was paid $77.88M by Medicaid between Jan 2018 and Dec 2024, across 163 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 infoCOMMUNITY MEDICAL CENTERS, INC
STOCKTON, CA 95205
STOCKTON, CA 95205
33aNPI1285059923assigned 03/04/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$77.88M
24GClaims1,772,910
24DCodes billed163
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#39 of 826
Median peer was paid$4.05M
This provider vs. median19×
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 | 55,560 | $3.70M | |
| 2019 | 77,526 | $4.35M | |
| 2020 | 207,996 | $9.02M | |
| 2021 | 242,301 | $10.24M | |
| 2022 | 296,811 | $11.78M | |
| 2023 | 449,364 | $19.06M | |
| 2024incomplete | 443,352 | $19.73M |
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% | 344,629 | 307,173 | $62.54M |
| 00003 | Internal/system code - not a standard HCPCS code | 11% | 38,719 | 36,643 | $8.85M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 14,170 | 8,847 | $935K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 90,753 | 64,164 | $861K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 19,077 | 10,440 | $582K |
| 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% | 240,202 | 145,952 | $562K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 22,733 | 13,724 | $432K |
| 96127 | <1% | 163,596 | 97,684 | $401K | |
| 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% | 81,004 | 53,239 | $233K |
| 90746 | <1% | 3,153 | 2,800 | $195K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,605 | 4,142 | $188K |
| 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 | <1% | 2,140 | 1,911 | $166K |
151 more codes
| 59425 | <1% | 2,034 | $148K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 7,856 | $148K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 2,754 | $108K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 5,711 | $98K |
| D1206 | Topical application of fluoride varnish | <1% | 8,131 | $91K |
| 99173 | <1% | 55,992 | $89K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,718 | $80K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 19,328 | $74K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 179 | $74K |
| 90686 | <1% | 35,741 | $66K | |
| 0001A | <1% | 1,048 | $62K | |
| 99381 | <1% | 4,127 | $61K | |
| J3490 | Unclassified drugs | <1% | 1,384 | $56K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 22,266 | $55K |
| 90715 | <1% | 8,154 | $51K | |
| G0466 | Community health center visit, new patient | <1% | 632 | $44K |
| G9920 | Screening performed and negative | <1% | 2,657 | $42K |
| 0011A | <1% | 636 | $41K | |
| 97802 | <1% | 390 | $40K | |
| 0500F | <1% | 968 | $37K | |
| 83655 | <1% | 6,811 | $30K | |
| 99188 | <1% | 3,861 | $30K | |
| 0072A | <1% | 465 | $30K | |
| 0002A | <1% | 414 | $27K | |
| 0071A | <1% | 496 | $26K | |
| 59430 | <1% | 411 | $25K | |
| 92552 | <1% | 59,190 | $22K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 25,138 | $22K |
| 97803 | <1% | 354 | $21K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 20,591 | $21K |
| 11981 | <1% | 221 | $20K | |
| 0012A | <1% | 287 | $19K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 26,314 | $18K |
| 81003 | <1% | 11,658 | $11K | |
| 17110 | <1% | 189 | $10K | |
| 90839 | <1% | 263 | $10K | |
| 80305 | <1% | 1,369 | $9K | |
| 81025 | <1% | 4,825 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 959 | $7K |
| 90651 | <1% | 10,996 | $7K | |
| 0054A | <1% | 130 | $7K | |
| 0082A | <1% | 98 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 923 | $5K |
| 90837 | Psychotherapy session, about an hour | <1% | 72 | $5K |
| 0052A | <1% | 71 | $5K | |
| 0081A | <1% | 71 | $4K | |
| 88720 | <1% | 2,993 | $4K | |
| 90747 | <1% | 42 | $4K | |
| 0083A | <1% | 53 | $4K | |
| 90677 | <1% | 5,104 | $3K | |
| 69209 | <1% | 602 | $3K | |
| 0064A | <1% | 61 | $3K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 740 | $3K |
| 11721 | <1% | 105 | $2K | |
| 0051A | <1% | 47 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 123 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 610 | $2K |
| 90620 | <1% | 4,508 | $2K | |
| 99385 | <1% | 314 | $2K | |
| 86580 | <1% | 791 | $2K | |
| 98940 | <1% | 509 | $2K | |
| 90662 | <1% | 80 | $2K | |
| 11982 | <1% | 34 | $2K | |
| 0013A | <1% | 33 | $2K | |
| 69210 | <1% | 130 | $2K | |
| 0124A | <1% | 23 | $1K | |
| 57454 | <1% | 58 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,358 | $1K |
| 90480 | <1% | 78 | $1K | |
| 87210 | <1% | 468 | $866.45 | |
| 90670 | <1% | 13,311 | $860.36 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 68 | $845.52 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 115 | $842.05 |
| 0074A | <1% | 15 | $737.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 24 | $716.55 |
| 0004A | <1% | 12 | $670.00 | |
| 99383 | <1% | 1,212 | $592.20 | |
| 97597 | <1% | 15 | $555.83 | |
| 90716 | <1% | 4,523 | $546.00 | |
| 90707 | <1% | 3,761 | $497.88 | |
| 90734 | <1% | 6,060 | $453.44 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 55 | $445.64 |
| 90619 | <1% | 3,174 | $445.64 | |
| 99384 | <1% | 814 | $436.36 | |
| 90633 | <1% | 12,067 | $410.58 | |
| 90744 | <1% | 12,417 | $396.00 | |
| 17250 | <1% | 110 | $377.94 | |
| 58300 | <1% | 62 | $358.38 | |
| 11055 | <1% | 25 | $342.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 369 | $282.69 |
| 88142 | <1% | 1,063 | $240.93 | |
| 90785 | <1% | 291 | $238.34 | |
| 96156 | <1% | 26 | $230.63 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 150 | $224.40 |
| 90698 | <1% | 13,792 | $214.20 | |
| 96161 | <1% | 6,641 | $165.92 | |
| 99386 | <1% | 37 | $145.44 | |
| 85018 | <1% | 34,763 | $139.15 | |
| 90681 | <1% | 6,226 | $122.40 | |
| 99382 | <1% | 255 | $113.12 | |
| 90710 | <1% | 4,136 | $81.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,543 | $56.92 |
| 90696 | <1% | 3,604 | $45.00 | |
| 90700 | <1% | 3,508 | $36.00 | |
| 82947 | <1% | 5,268 | $34.17 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 547 | $33.32 |
| 90688 | <1% | 295 | $31.57 | |
| 90656 | <1% | 2,367 | $25.59 | |
| 3078F | <1% | 74,570 | $24.72 | |
| 90648 | <1% | 2,646 | $9.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 23 | $6.54 |
| 96160 | 0% | 4,696 | $0.00 | |
| 90713 | 0% | 876 | $0.00 | |
| 3077F | 0% | 5,406 | $0.00 | |
| 0502F | 0% | 4,003 | $0.00 | |
| 82075 | 0% | 473 | $0.00 | |
| Z6400 | 0% | 179 | $0.00 | |
| 91313 | 0% | 38 | $0.00 | |
| 91300 | 0% | 82 | $0.00 | |
| 97039 | 0% | 74 | $0.00 | |
| 2028F | 0% | 145 | $0.00 | |
| 90685 | 0% | 40 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $0.00 |
| 90380 | 0% | 16 | $0.00 | |
| 99177 | 0% | 29 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 80 | $0.00 |
| CMC19 | 0% | 73 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 540 | $0.00 |
| 3074F | 0% | 78,596 | $0.00 | |
| Z1032 | 0% | 689 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 23,758 | $0.00 |
| 0503F | 0% | 425 | $0.00 | |
| Z1034 | 0% | 4,036 | $0.00 | |
| 3079F | 0% | 13,724 | $0.00 | |
| 3075F | 0% | 7,284 | $0.00 | |
| 90381 | 0% | 37 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 639 | $0.00 |
| 3080F | 0% | 2,510 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 25 | $0.00 |
| Z1038 | 0% | 310 | $0.00 | |
| 0134A | 0% | 26 | $0.00 | |
| 91307 | 0% | 95 | $0.00 | |
| 91305 | 0% | 27 | $0.00 | |
| 97010 | 0% | 174 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 109 | $0.00 |
| 92567 | 0% | 42 | $0.00 | |
| 92551 | 0% | 38 | $0.00 | |
| Z6204 | 0% | 37 | $0.00 | |
| 82962 | 0% | 36 | $0.00 | |
| 91301 | 0% | 31 | $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 officialFEAGLES, ART (CFO)
| Provider | Location | Paid |
|---|---|---|
| Community Medical Centers, INC | Manteca, CA | $14.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.