Clinic
Avalon Medical Development Corporation
Avalon Medical Development Corporation was paid $2.15M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoAVALON MEDICAL DEVELOPMENT CORPORATION
AVALON, CA 90704
AVALON, CA 90704
33aNPI1346250347assigned 08/09/2006
33bProvider typeCritical Access Hospital Clinic/Center
28Total paid$2.15M
24GClaims34,884
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
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 | 3,253 | $241K | |
| 2019 | 3,511 | $246K | |
| 2020 | 5,492 | $378K | |
| 2021 | 7,597 | $484K | |
| 2022 | 4,421 | $208K | |
| 2023 | 5,074 | $263K | |
| 2024incomplete | 5,536 | $331K |
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 | 75% | 10,898 | 6,806 | $1.62M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.6% | 2,830 | 650 | $100K |
| Z7502 | 3.0% | 1,759 | 1,614 | $65K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.9% | 1,561 | 1,425 | $63K |
| 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 | 2.5% | 1,782 | 1,239 | $55K |
| 0450 | Emergency room services | 2.0% | 1,033 | 923 | $43K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 948 | 704 | $31K |
| 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 | 1.3% | 2,070 | 1,769 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 3,011 | 2,672 | $24K |
| 80053 | Comprehensive metabolic panel | <1% | 1,814 | 1,610 | $19K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 806 | 770 | $18K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 331 | 297 | $16K |
34 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,026 | $15K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 238 | $10K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 366 | $10K |
| Z7610 | <1% | 600 | $7K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 201 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 72 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 331 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 163 | $3K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 35 | $2K |
| 80061 | Lipid panel | <1% | 131 | $2K |
| X3908 | <1% | 43 | $1K | |
| 81001 | <1% | 207 | $628.79 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 14 | $464.54 |
| X3910 | <1% | 40 | $423.12 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 26 | $383.08 |
| 0637 | <1% | 192 | $376.90 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 27 | $330.84 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 16 | $301.03 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 41 | $172.45 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 98 | $115.16 |
| 83690 | <1% | 14 | $99.85 | |
| 99441 | <1% | 491 | $83.10 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 17 | $76.17 |
| 84484 | <1% | 15 | $66.20 | |
| 81003 | <1% | 28 | $62.96 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $50.04 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 177 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 150 | $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% | 93 | $0.00 |
| 99443 | 0% | 24 | $0.00 | |
| 99442 | 0% | 25 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 74 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 38 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 12 | $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 officialKIELPINSKI, TIMOTHY (CEO)