Clinic
Sespe Medical, INC.
Sespe Medical, INC. was paid $131K by Medicaid between Jan 2018 and Jun 2019, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoSESPE MEDICAL, INC.
FILLMORE, CA 93015
FILLMORE, CA 93015
33aNPI1336385244assigned 12/23/2008
33bProvider typeRural Health Clinic/Center
28Total paid$131K
24GClaims4,171
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#197 of 215
Median peer was paid$3.62M
This provider vs. median0.0×
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 | 2,969 | $91K | |
| 2019 | 1,202 | $40K |
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 | 99% | 3,279 | 2,826 | $129K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 748 | 612 | $2K |
| 92553 | <1% | 16 | 16 | $50.00 | |
| 99173 | <1% | 17 | 17 | $46.92 | |
| 81002 | <1% | 83 | 81 | $17.63 | |
| 1111F | 0% | 14 | 12 | $0.00 | |
| 99497 | 0% | 14 | 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 officialBAUTISTA, JOSE (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Bautista Medical Group Southern California, INC. | Fillmore, CA | $244K |
| Bautista Medical Group | Fresno, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.