Physician
Sonora Community Hospital
Sonora Community Hospital was paid $120K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoSONORA COMMUNITY HOSPITAL
GROVELAND, CA 95321
GROVELAND, CA 95321
33aNPI1356332274assigned 10/31/2005
33bProvider typeFamily Medicine Physician
28Total paid$120K
24GClaims5,990
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#558 of 2,511
Median peer was paid$13K
This provider vs. median9.4×
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 | 504 | $13K | |
| 2019 | 633 | $16K | |
| 2020 | 537 | $15K | |
| 2021 | 1,047 | $23K | |
| 2022 | 817 | $17K | |
| 2023 | 1,236 | $17K | |
| 2024incomplete | 1,216 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 1,814 | 1,680 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,252 | 1,162 | $32K |
| G0378 | Hospital observation service, per hour | 10% | 353 | 312 | $12K |
| 0510 | <1% | 30 | 29 | $913.12 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 38 | 38 | $373.01 |
| 80061 | Lipid panel | <1% | 24 | 24 | $262.80 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 30 | 27 | $220.29 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | 12 | $195.90 |
| 80053 | Comprehensive metabolic panel | <1% | 14 | 14 | $111.85 |
| 1159F | 0% | 1,209 | 1,007 | $0.00 | |
| 1160F | 0% | 1,189 | 991 | $0.00 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 25 | 25 | $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 officialMCCULLOCH, GREGORY (PRESIDENT)
Parent organizationSONORA COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Sonora Community Hospital | Sonora, CA | $41.36M |
| Sonora Community Hospital | Sonora, CA | $22.82M |
| Sonora Community Hospital | Sonora, CA | $723K |
| Sonora Community Hospital | Sonora, CA | $371K |
| Sonora Community Hospital | Sonora, CA | $210K |
| Sonora Community Hospital | Hanford, CA | $34K |
| Sonora Community Hospital | Sonora, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.