Agency
Marin City Health and Wellness Center
Marin City Health and Wellness Center was paid $26.39M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 53% of everything it billed.
33Billing provider infoMARIN CITY HEALTH AND WELLNESS CENTER
SAUSALITO, CA 94965
SAUSALITO, CA 94965
33aNPI1285804948assigned 03/08/2008
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$26.39M
24GClaims199,402
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in California
Rank by total paid#37 of 633
Median peer was paid$779K
This provider vs. median34×
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 | 30,963 | $4.34M | |
| 2019 | 28,148 | $3.94M | |
| 2020 | 27,478 | $2.95M | |
| 2021 | 32,682 | $3.69M | |
| 2022 | 27,935 | $3.80M | |
| 2023 | 27,689 | $3.54M | |
| 2024incomplete | 24,507 | $4.14M |
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 | 53% | 66,367 | 40,877 | $13.92M |
| 00003 | Internal/system code - not a standard HCPCS code | 41% | 38,395 | 18,544 | $10.88M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.2% | 15,691 | 4,090 | $580K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 7,731 | 2,387 | $247K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,930 | 2,318 | $243K |
| 98940 | <1% | 3,002 | 981 | $199K | |
| 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% | 32,993 | 18,252 | $187K |
| 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% | 8,110 | 4,758 | $70K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 323 | 175 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 11,351 | 7,055 | $21K |
| 80305 | <1% | 938 | 375 | $7K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 84 | 44 | $6K |
15 more codes
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 100 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 139 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 192 | $2K |
| 90686 | <1% | 81 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 1,704 | $690.01 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 140 | $425.01 |
| 90688 | <1% | 12 | $267.60 | |
| 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% | 210 | $183.47 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,555 | $169.96 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 25 | $164.49 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | $142.93 |
| 99283 | Emergency room visit (moderate) | <1% | 1,972 | $141.46 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 231 | $107.16 |
| 81002 | <1% | 13 | $19.35 | |
| 82962 | 0% | 36 | $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 officialFRANCIS, ADAM (CMO)
| Provider | Location | Paid |
|---|---|---|
| Marin City Health and Wellness Center | San Francisco, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.