Clinic
San Benito Health Foundation
San Benito Health Foundation was paid $13.39M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoSAN BENITO HEALTH FOUNDATION
HOLLISTER, CA 95023
HOLLISTER, CA 95023
33aNPI1295810174assigned 10/26/2006
33bProvider typeRural Health Clinic/Center
28Total paid$13.39M
24GClaims153,675
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#41 of 215
Median peer was paid$3.62M
This provider vs. median3.7×
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 | 13,947 | $1.62M | |
| 2019 | 8,958 | $1.02M | |
| 2020 | 16,915 | $2.34M | |
| 2021 | 20,886 | $2.27M | |
| 2022 | 22,532 | $1.47M | |
| 2023 | 27,956 | $2.03M | |
| 2024incomplete | 42,481 | $2.64M |
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 | 60% | 44,672 | 37,044 | $8.03M |
| 00003 | Internal/system code - not a standard HCPCS code | 34% | 24,975 | 15,866 | $4.56M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 23,446 | 15,186 | $298K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,878 | 6,192 | $84K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,556 | 1,179 | $64K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,245 | 907 | $50K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,267 | 1,081 | $39K |
| 90715 | <1% | 1,294 | 1,031 | $24K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 846 | 753 | $24K |
| 90658 | <1% | 4,380 | 3,345 | $23K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,324 | 1,012 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,328 | 1,032 | $19K |
64 more codes
| 99385 | <1% | 356 | $15K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 739 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,710 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 295 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 638 | $9K |
| 90746 | <1% | 160 | $9K | |
| 92015 | Determination of refractive state | <1% | 2,160 | $7K |
| G0467 | Community health center visit, returning patient | <1% | 219 | $7K |
| 90707 | <1% | 303 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,329 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 435 | $6K |
| 90649 | <1% | 490 | $6K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 489 | $6K |
| 90733 | <1% | 326 | $5K | |
| 81002 | <1% | 7,683 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,371 | $5K |
| 85018 | <1% | 4,586 | $5K | |
| 97803 | <1% | 619 | $4K | |
| 82962 | <1% | 2,992 | $3K | |
| 0124A | <1% | 315 | $3K | |
| 92552 | <1% | 242 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 632 | $2K |
| 90651 | <1% | 80 | $1K | |
| 88143 | <1% | 203 | $828.47 | |
| 0004A | <1% | 80 | $787.25 | |
| 90716 | <1% | 247 | $760.84 | |
| 90633 | <1% | 304 | $684.00 | |
| 99386 | <1% | 17 | $594.90 | |
| 92002 | <1% | 19 | $520.10 | |
| 97802 | <1% | 115 | $515.95 | |
| 99406 | <1% | 108 | $484.22 | |
| 99173 | <1% | 226 | $476.64 | |
| 90677 | <1% | 73 | $450.00 | |
| 0003A | <1% | 80 | $335.00 | |
| 81025 | <1% | 175 | $280.70 | |
| 91320 | <1% | 310 | $262.20 | |
| 90647 | <1% | 106 | $252.00 | |
| 83655 | <1% | 42 | $223.23 | |
| 99383 | <1% | 56 | $219.30 | |
| 0071A | <1% | 132 | $180.50 | |
| 0013A | <1% | 164 | $134.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 332 | $129.24 |
| 99384 | <1% | 44 | $124.78 | |
| V2020 | Frames, purchases | <1% | 384 | $106.55 |
| 90620 | <1% | 62 | $94.50 | |
| 0072A | <1% | 151 | $90.25 | |
| 0001A | <1% | 105 | $90.25 | |
| 90744 | <1% | 16 | $72.00 | |
| 0002A | <1% | 192 | $67.02 | |
| 90656 | <1% | 69 | $24.23 | |
| 91300 | 0% | 870 | $0.00 | |
| 90700 | 0% | 32 | $0.00 | |
| 91312 | 0% | 153 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 115 | $0.00 |
| 91308 | 0% | 15 | $0.00 | |
| 86590 | 0% | 12 | $0.00 | |
| 90713 | 0% | 13 | $0.00 | |
| 90670 | 0% | 41 | $0.00 | |
| 91301 | 0% | 243 | $0.00 | |
| 81001 | 0% | 425 | $0.00 | |
| 91307 | 0% | 334 | $0.00 | |
| 0012A | 0% | 49 | $0.00 | |
| 0011A | 0% | 160 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 21 | $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 officialFERNANDEZ, ROSA (EXECUTIVE DIRECTOR)