Clinic
Mark Twain Health Care District
Mark Twain Health Care District was paid $7.03M by Medicaid between Dec 2019 and Dec 2024, across 51 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoMARK TWAIN HEALTH CARE DISTRICT
VALLEY SPRINGS, CA 95252
VALLEY SPRINGS, CA 95252
33aNPI1306311329assigned 10/05/2018
33bProvider typeRural Health Clinic/Center
28Total paid$7.03M
24GClaims80,869
24DCodes billed51
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#68 of 215
Median peer was paid$3.62M
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2019 | 28 | $2K | |
| 2020 | 4,428 | $261K | |
| 2021 | 12,807 | $888K | |
| 2022 | 12,657 | $1.09M | |
| 2023 | 22,233 | $2.12M | |
| 2024incomplete | 28,716 | $2.67M |
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 | 86% | 25,743 | 21,347 | $6.02M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 21,138 | 11,272 | $363K |
| 00003 | Internal/system code - not a standard HCPCS code | 3.7% | 1,296 | 932 | $262K |
| 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 | 1.5% | 3,714 | 2,064 | $102K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 2,904 | 870 | $91K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 6,524 | 3,312 | $81K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 798 | 315 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 282 | 149 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 369 | 214 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 339 | 176 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 183 | 102 | $8K |
| 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% | 84 | 68 | $6K |
39 more codes
| 92551 | <1% | 1,062 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 111 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 940 | $4K |
| G0467 | Community health center visit, returning patient | <1% | 222 | $4K |
| 99383 | <1% | 77 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 83 | $3K |
| 85018 | <1% | 2,631 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 82 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 44 | $2K |
| 83655 | <1% | 309 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 415 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 57 | $1K |
| 99384 | <1% | 28 | $1K | |
| 87807 | <1% | 304 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 290 | $1K |
| 81003 | <1% | 1,053 | $883.44 | |
| 90686 | <1% | 223 | $824.04 | |
| 90756 | <1% | 66 | $730.40 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 201 | $708.07 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 24 | $416.28 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 13 | $251.81 |
| 81025 | <1% | 125 | $223.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 89 | $133.80 |
| 99173 | <1% | 239 | $129.06 | |
| 99000 | <1% | 73 | $39.93 | |
| 90710 | <1% | 24 | $27.00 | |
| 90696 | <1% | 24 | $27.00 | |
| 90461 | <1% | 167 | $9.90 | |
| 3725F | 0% | 327 | $0.00 | |
| 3078F | 0% | 1,655 | $0.00 | |
| 3077F | 0% | 102 | $0.00 | |
| 3008F | 0% | 4,417 | $0.00 | |
| 3074F | 0% | 1,684 | $0.00 | |
| 3075F | 0% | 74 | $0.00 | |
| 3079F | 0% | 165 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 90656 | 0% | 29 | $0.00 | |
| 3080F | 0% | 40 | $0.00 | |
| 36416 | 0% | 14 | $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 officialSMART, RANDY (EXECUTIVE DIRECTOR)