Managed care
San Benito Health Foundation
San Benito Health Foundation was paid $33K by Medicaid between Jun 2022 and Dec 2023, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.
33Billing provider infoSAN BENITO HEALTH FOUNDATION
HOLLISTER, CA 95023
HOLLISTER, CA 95023
33aNPI1386975902assigned 01/21/2010
33bProvider typePoint of Service
28Total paid$33K
24GClaims1,701
24DCodes billed6
24AFirst – last monthJun 2022 – Dec 2023
Compared with peers
Next to other Point of Service providers in California
Rank by total paid#25 of 45
Median peer was paid$42K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 565 | $11K | |
| 2023 | 1,136 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 33% | 311 | 311 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 200 | 199 | $7K |
| V2020 | Frames, purchases | 16% | 289 | 289 | $5K |
| 92015 | Determination of refractive state | 13% | 591 | 591 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 243 | 243 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.1% | 67 | 67 | $1K |
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 officialABONCE, MARIANA (MEDICAL ASSISTANT)