Clinic
M a C T Health Board Incorporated
M a C T Health Board Incorporated was paid $108.18M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 51% of everything it billed.
33Billing provider infoM A C T HEALTH BOARD INCORPORATED
SAN ANDREAS, CA 95249
SAN ANDREAS, CA 95249
33aNPI1366519431assigned 11/30/2006
33bProvider typeClinic/Center
28Total paid$108.18M
24GClaims324,769
24DCodes billed101
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#2 of 504
Median peer was paid$102K
This provider vs. median1,064×
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 | 38,374 | $12.07M | |
| 2019 | 41,732 | $11.86M | |
| 2020 | 41,231 | $9.74M | |
| 2021 | 46,485 | $11.95M | |
| 2022 | 58,425 | $21.27M | |
| 2023 | 48,574 | $19.75M | |
| 2024incomplete | 49,948 | $21.54M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 51% | 100,600 | 66,506 | $55.56M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 39% | 74,296 | 54,789 | $41.94M |
| 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 | 4.6% | 20,056 | 16,099 | $4.97M |
| 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 | 1.6% | 29,359 | 26,015 | $1.73M |
| 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% | 30,121 | 26,621 | $974K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 3,800 | 2,525 | $880K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 7,446 | 4,936 | $562K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,436 | 1,102 | $458K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 718 | 280 | $230K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 453 | 371 | $205K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% | 327 | 311 | $95K |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 mental health visit | <1% | 1,390 | 901 | $91K |
89 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,266 | $70K |
| 0900 | <1% | 1,064 | $61K | |
| 90837 | Psychotherapy session, about an hour | <1% | 544 | $45K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 114 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,680 | $41K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 491 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,280 | $21K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 125 | $20K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,040 | $19K |
| 0002A | <1% | 474 | $17K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 790 | $14K |
| 0001A | <1% | 425 | $13K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 187 | $12K |
| 90686 | <1% | 2,001 | $11K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,065 | $10K |
| G9920 | Screening performed and negative | <1% | 925 | $6K |
| 81002 | <1% | 3,467 | $6K | |
| 82962 | <1% | 1,699 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,765 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $5K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 28 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 520 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $4K |
| 0003A | <1% | 126 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 950 | $3K |
| V2020 | Frames, purchases | <1% | 1,080 | $3K |
| 99000 | <1% | 4,194 | $2K | |
| 88142 | <1% | 358 | $2K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 192 | $2K |
| 99173 | <1% | 762 | $910.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 320 | $772.52 |
| 92015 | Determination of refractive state | <1% | 3,296 | $727.80 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 538 | $671.00 |
| 0124A | <1% | 13 | $468.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,425 | $443.98 |
| G0008 | Administration of influenza virus vaccine | <1% | 446 | $325.39 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 453 | $257.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 837 | $220.95 |
| 90715 | <1% | 964 | $47.00 | |
| 90656 | <1% | 81 | $31.05 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 74 | $27.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 27 | $15.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 110 | $6.99 |
| 85018 | <1% | 655 | $2.07 | |
| 81025 | <1% | 865 | $2.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 369 | $0.03 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 147 | $0.02 |
| 99205 | Prolong outpt/office vis | <1% | 27 | $0.01 |
| 3074F | 0% | 230 | $0.00 | |
| 99441 | 0% | 691 | $0.00 | |
| 99443 | 0% | 1,147 | $0.00 | |
| 98967 | 0% | 28 | $0.00 | |
| 0949 | 0% | 190 | $0.00 | |
| 3080F | 0% | 60 | $0.00 | |
| 3008F | 0% | 111 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 16 | $0.00 |
| 3079F | 0% | 112 | $0.00 | |
| 92551 | 0% | 433 | $0.00 | |
| 99406 | 0% | 156 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 73 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 85 | $0.00 |
| 90716 | 0% | 12 | $0.00 | |
| 1126F | 0% | 60 | $0.00 | |
| 3075F | 0% | 16 | $0.00 | |
| 87428 | 0% | 53 | $0.00 | |
| 3351F | 0% | 72 | $0.00 | |
| 1125F | 0% | 48 | $0.00 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 15 | $0.00 |
| 87807 | 0% | 33 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 192 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 598 | $0.00 |
| 4004F | 0% | 37 | $0.00 | |
| 0521 | 0% | 280 | $0.00 | |
| 98968 | 0% | 1,317 | $0.00 | |
| 99442 | 0% | 433 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 13 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 90 | $0.00 |
| 3078F | 0% | 129 | $0.00 | |
| 1159F | 0% | 140 | $0.00 | |
| 90662 | 0% | 178 | $0.00 | |
| 90750 | 0% | 61 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 80 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 112 | $0.00 |
| 90734 | 0% | 13 | $0.00 | |
| 3077F | 0% | 113 | $0.00 | |
| 90714 | 0% | 17 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | $0.00 |
| 90700 | 0% | 12 | $0.00 | |
| 90713 | 0% | 16 | $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 officialALEXANDER, JOHN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| M a C T Health Board Incorporated | Sonora, CA | $93K |
| M a C T Health Board, Incorporated | San Andreas, CA | $69K |
| M a C T Health Board Incorporated | Jackson, CA | $39K |
| M a C T Health Board, Incorporated | San Andreas, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.