Community Medical Centers INC
Community Medical Centers INC was paid $26.56M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
STOCKTON, CA 95210
Next to other Federally Qualified Health Center (FQHC) 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 | 66,182 | $2.67M | |
| 2019 | 75,032 | $3.83M | |
| 2020 | 86,397 | $3.97M | |
| 2021 | 115,247 | $4.39M | |
| 2022 | 115,090 | $3.84M | |
| 2023 | 134,719 | $4.44M | |
| 2024incomplete | 107,490 | $3.42M |
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 | 80% | 167,977 | 156,747 | $21.30M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 156,829 | 96,244 | $2.30M |
| 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 | 2.3% | 45,346 | 29,833 | $612K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 10,156 | 5,034 | $342K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 5,858 | 4,158 | $226K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 6,280 | 3,850 | $204K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 11,247 | 6,485 | $165K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 9,025 | 6,303 | $154K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,928 | 1,231 | $151K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,761 | 11,706 | $149K |
| 96127 | <1% | 52,643 | 35,574 | $133K | |
| 99201 | <1% | 2,107 | 1,531 | $99K |
93 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,785 | $94K |
| 90746 | <1% | 1,425 | $79K | |
| G0467 | Community health center visit, returning patient | <1% | 1,642 | $62K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,187 | $61K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,439 | $61K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 560 | $40K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12,470 | $38K |
| 90686 | <1% | 6,606 | $32K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,360 | $30K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,457 | $29K |
| 0011A | <1% | 417 | $27K | |
| 90715 | <1% | 1,380 | $25K | |
| 98940 | <1% | 1,460 | $18K | |
| 81025 | <1% | 10,506 | $17K | |
| 81003 | <1% | 15,910 | $16K | |
| 99173 | <1% | 7,578 | $14K | |
| 0012A | <1% | 184 | $12K | |
| G0466 | Community health center visit, new patient | <1% | 283 | $11K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 714 | $8K |
| D1206 | Topical application of fluoride varnish | <1% | 967 | $8K |
| 0064A | <1% | 87 | $6K | |
| 97814 | <1% | 669 | $4K | |
| 87254 | <1% | 1,414 | $4K | |
| 90732 | <1% | 59 | $4K | |
| 82947 | <1% | 4,287 | $3K | |
| 97813 | <1% | 660 | $2K | |
| 92552 | <1% | 7,522 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,167 | $2K |
| J3490 | Unclassified drugs | <1% | 47 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,750 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 374 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,750 | $1K |
| 69209 | <1% | 84 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 108 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 269 | $976.44 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 138 | $929.93 |
| 99385 | <1% | 139 | $787.29 | |
| 90632 | <1% | 15 | $737.98 | |
| 99000 | <1% | 297 | $617.54 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 132 | $426.48 |
| 87210 | <1% | 143 | $390.07 | |
| 99383 | <1% | 117 | $307.57 | |
| 85018 | <1% | 4,344 | $250.62 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 26 | $239.64 |
| 90651 | <1% | 974 | $234.22 | |
| 97811 | <1% | 18 | $222.38 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 19 | $214.74 |
| 90620 | <1% | 158 | $165.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 9,339 | $150.00 |
| 97810 | <1% | 18 | $125.10 | |
| 99384 | <1% | 43 | $114.98 | |
| 86580 | <1% | 24 | $77.28 | |
| 99381 | <1% | 12 | $45.33 | |
| 90688 | <1% | 128 | $31.30 | |
| 90670 | <1% | 772 | $18.00 | |
| 90744 | <1% | 356 | $18.00 | |
| 82962 | <1% | 133 | $3.28 | |
| 97012 | <1% | 4,106 | $0.01 | |
| 3077F | 0% | 3,774 | $0.00 | |
| 3078F | 0% | 32,053 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 227 | $0.00 |
| 90734 | 0% | 608 | $0.00 | |
| 90633 | 0% | 604 | $0.00 | |
| 96160 | 0% | 271 | $0.00 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 0% | 98 | $0.00 |
| 90710 | 0% | 101 | $0.00 | |
| 90707 | 0% | 43 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 45 | $0.00 |
| 90685 | 0% | 21 | $0.00 | |
| 83037 | 0% | 57 | $0.00 | |
| 90648 | 0% | 50 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
| 90700 | 0% | 13 | $0.00 | |
| 3079F | 0% | 10,175 | $0.00 | |
| 97010 | 0% | 6,547 | $0.00 | |
| 3075F | 0% | 4,696 | $0.00 | |
| 3074F | 0% | 35,371 | $0.00 | |
| 88142 | 0% | 386 | $0.00 | |
| 3080F | 0% | 1,497 | $0.00 | |
| 97032 | 0% | 1,385 | $0.00 | |
| 97014 | 0% | 864 | $0.00 | |
| 90698 | 0% | 379 | $0.00 | |
| 90656 | 0% | 76 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 340 | $0.00 |
| 90723 | 0% | 29 | $0.00 | |
| 90716 | 0% | 92 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 14 | $0.00 |
| 3008F | 0% | 18 | $0.00 | |
| 90696 | 0% | 44 | $0.00 | |
| 99386 | 0% | 21 | $0.00 | |
| 92551 | 0% | 18 | $0.00 | |
| 90619 | 0% | 24 | $0.00 | |
| 90677 | 0% | 19 | $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 |
|---|---|---|
| Community Medical Centers INC | Stockton, CA | $23.42M |
| Community Medical Centers INC | Tracy, CA | $17.91M |
| Community Medical Centers INC | Tracy, CA | $16.09M |
| Community Medical Centers, INC | Stockton, CA | $13.95M |
| Community Medical Centers, INC | Tracy, CA | $10.50M |
| Community Medical Centers, INC | Dixon, CA | $9.97M |
| Community Medical Centers, INC | Stockton, CA | $3.87M |
| Community Medical Centers INC | Vacaville, CA | $161K |
| Community Medical Centers INC | Stockton, CA | $364.59 |
| Community Medical Centers, INC | Stockton, CA | $82.03 |
| Community Medical Centers INC | Lodi, CA | $4.61 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.