Clinica Sierra Vista
Clinica Sierra Vista was paid $3.75M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
FRESNO, CA 93706
Next to other Case Manager/Care Coordinator providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,081 | $917K | |
| 2019 | 7,490 | $543K | |
| 2020 | 8,092 | $376K | |
| 2021 | 12,644 | $379K | |
| 2022 | 22,548 | $418K | |
| 2023 | 33,202 | $623K | |
| 2024incomplete | 20,208 | $490K |
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 | 78% | 25,786 | 23,673 | $2.92M |
| 00003 | Internal/system code - not a standard HCPCS code | 22% | 5,668 | 4,603 | $807K |
| 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% | 794 | 753 | $11K |
| 0011A | <1% | 119 | 115 | $3K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 318 | 206 | $2K |
| 0012A | <1% | 33 | 33 | $2K | |
| 0064A | <1% | 139 | 122 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 600 | 441 | $469.67 |
| 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% | 16,774 | 10,197 | $236.14 |
| 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% | 323 | 212 | $151.90 |
| 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% | 12,051 | 7,337 | $141.16 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,625 | 3,857 | $136.60 |
38 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 571 | $105.15 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 816 | $102.90 |
| 90715 | <1% | 509 | $89.10 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,914 | $16.23 |
| 81025 | <1% | 233 | $2.80 | |
| 81002 | <1% | 1,718 | $2.15 | |
| 85018 | <1% | 567 | $2.07 | |
| 82962 | <1% | 772 | $2.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 502 | $0.00 |
| 3078F | 0% | 8,666 | $0.00 | |
| 3046F | 0% | 350 | $0.00 | |
| 90750 | 0% | 137 | $0.00 | |
| 3077F | 0% | 1,778 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,508 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 701 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 572 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 104 | $0.00 |
| 3051F | 0% | 12 | $0.00 | |
| 59425 | 0% | 50 | $0.00 | |
| 90658 | 0% | 178 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 53 | $0.00 |
| 3074F | 0% | 8,795 | $0.00 | |
| 3079F | 0% | 3,439 | $0.00 | |
| 3080F | 0% | 644 | $0.00 | |
| 3075F | 0% | 2,286 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 3,568 | $0.00 |
| 3044F | 0% | 235 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 23 | $0.00 |
| 99000 | 0% | 367 | $0.00 | |
| 90688 | 0% | 1,014 | $0.00 | |
| 92250 | 0% | 121 | $0.00 | |
| 91306 | 0% | 84 | $0.00 | |
| 90686 | 0% | 150 | $0.00 | |
| 90739 | 0% | 436 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 74 | $0.00 |
| 91301 | 0% | 36 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 19 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 33 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Clinica Sierra Vista | Bakersfield, CA | $64.97M |
| Clinica Sierra Vista | Bakersfield, CA | $33.77M |
| Clinica Sierra Vista | Lamont, CA | $29.67M |
| Clinica Sierra Vista | Fresno, CA | $23.94M |
| Clinica Sierra Vista | Bakersfield, CA | $23.33M |
| Clinica Sierra Vista | Fresno, CA | $23.08M |
| Clinica Sierra Vista | Bakersfield, CA | $21.29M |
| Clinica Sierra Vista | Bakersfield, CA | $17.29M |
| Clinica Sierra Vista | Bakersfield, CA | $14.66M |
| Clinica Sierra Vista | Fresno, CA | $14.10M |
| Clinica Sierra Vista | Arvin, CA | $14.09M |
| Clinica Sierra Vista | Lebec, CA | $7.87M |
| Clinica Sierra Vista | Delano, CA | $7.36M |
| Clinica Sierra Vista | Bakersfield, CA | $6.28M |
| Clinica Sierra Vista | Bakersfield, CA | $5.91M |
| Clinica Sierra Vista | Fresno, CA | $5.86M |
| Clinica Sierra Vista | Fresno, CA | $5.78M |
| Clinica Sierra Vista | Bakersfield, CA | $5.55M |
| Clinica Sierra Vista | Bakersfield, CA | $4.15M |
| Clinica Sierra Vista | Fresno, CA | $3.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.