Clinic
Sierra Family Medical Clinic INC
Sierra Family Medical Clinic INC was paid $7.28M by Medicaid between Jan 2018 and Oct 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 54% of everything it billed.
33Billing provider infoSIERRA FAMILY MEDICAL CLINIC INC
NEVADA CITY, CA 95959
NEVADA CITY, CA 95959
33aNPI1316169618assigned 05/03/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.28M
24GClaims107,160
24DCodes billed36
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#346 of 826
Median peer was paid$4.05M
This provider vs. median1.8×
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 | 11,152 | $1.13M | |
| 2019 | 12,370 | $849K | |
| 2020 | 15,759 | $903K | |
| 2021 | 24,965 | $1.59M | |
| 2022 | 17,899 | $995K | |
| 2023 | 13,787 | $823K | |
| 2024incomplete | 11,228 | $992K |
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 | 54% | 31,366 | 21,004 | $3.96M |
| 00003 | Internal/system code - not a standard HCPCS code | 36% | 15,559 | 9,884 | $2.63M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.3% | 8,472 | 4,353 | $238K |
| 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 | 2.1% | 13,769 | 8,165 | $151K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 19,098 | 10,227 | $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 | 1.0% | 3,107 | 2,325 | $76K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,673 | 1,297 | $31K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,914 | 939 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,064 | 1,069 | $12K |
| 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% | 409 | 307 | $9K |
| 0011A | <1% | 93 | 93 | $6K | |
| 0012A | <1% | 92 | 92 | $6K |
24 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 276 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 270 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 409 | $3K |
| 0064A | <1% | 37 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 135 | $1K |
| 98940 | <1% | 241 | $1K | |
| 90686 | <1% | 248 | $665.51 | |
| 99000 | <1% | 3,095 | $353.28 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 25 | $348.41 |
| 81002 | <1% | 461 | $257.66 | |
| 99283 | Emergency room visit (moderate) | <1% | 447 | $206.04 |
| 93000 | <1% | 18 | $130.06 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 25 | $76.70 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 636 | $4.46 |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,833 | $0.00 |
| 99172 | 0% | 25 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 66 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 76 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $0.00 |
| 99443 | 0% | 26 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 110 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 29 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 24 | $0.00 |
| 99442 | 0% | 16 | $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 officialLAWSON, JENNY (COO)