Agency
Modesto City Schools
Modesto City Schools was paid $4.29M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 92508, Group treatment of speech, language, voice, communication, and/or auditory processing disorder — 38% of everything it billed.
33Billing provider infoMODESTO CITY SCHOOLS
MODESTO, CA 95358
MODESTO, CA 95358
33aNPI1376682237assigned 02/06/2007
33bProvider typeLocal Education Agency (LEA)
28Total paid$4.29M
24GClaims152,169
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Local Education Agency (LEA) providers in California
Rank by total paid#37 of 559
Median peer was paid$475K
This provider vs. median9.0×
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 | 39,555 | $1.01M | |
| 2019 | 25,823 | $645K | |
| 2020 | 10,865 | $373K | |
| 2021 | 11,968 | $443K | |
| 2022 | 16,195 | $471K | |
| 2023 | 25,104 | $730K | |
| 2024incomplete | 22,659 | $616K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | 38% | 123,342 | 38,766 | $1.63M |
| 96130 | 28% | 4,034 | 4,028 | $1.22M | |
| T1001 | Nursing assessment / evaluation | 11% | 6,083 | 5,520 | $480K |
| 96101 | 7.2% | 1,269 | 986 | $311K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 5.4% | 6,472 | 3,120 | $233K |
| 92523 | 4.7% | 4,147 | 3,708 | $200K | |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 1.5% | 1,966 | 742 | $65K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 1,392 | 116 | $41K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 762 | 454 | $36K |
| 92521 | <1% | 741 | 631 | $24K | |
| 92522 | <1% | 1,127 | 972 | $21K | |
| 92524 | <1% | 482 | 388 | $13K |
5 more codes
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 officialHERBST, MARK (ASSOCIATE SUPERINTENDENT, STUDENT S)