Clinica Sierra Vista
Clinica Sierra Vista was paid $23.94M by Medicaid between Jan 2018 and Dec 2024, across 126 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
FRESNO, CA 93721
Next to other Case Manager/Care Coordinator 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 | 24,466 | $1.91M | |
| 2019 | 20,377 | $1.26M | |
| 2020 | 36,251 | $2.06M | |
| 2021 | 75,710 | $4.52M | |
| 2022 | 82,920 | $3.86M | |
| 2023 | 91,498 | $4.89M | |
| 2024incomplete | 102,370 | $5.44M |
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 | 99% | 132,947 | 114,796 | $23.67M |
| 00003 | Internal/system code - not a standard HCPCS code | <1% | 1,359 | 984 | $185K |
| 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 | <1% | 2,090 | 1,995 | $31K |
| 0012A | <1% | 264 | 263 | $17K | |
| 0011A | <1% | 273 | 268 | $14K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,826 | 1,297 | $11K |
| 0064A | <1% | 271 | 253 | $7K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 981 | 876 | $2K |
| 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% | 80,986 | 54,160 | $1K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 2,949 | 2,130 | $545.72 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,406 | 2,399 | $519.59 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18,912 | 13,792 | $331.42 |
114 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,428 | $299.79 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 10,134 | $274.12 |
| 0134A | <1% | 62 | $268.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,554 | $246.90 |
| 90750 | <1% | 872 | $166.47 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,795 | $147.04 |
| 92552 | <1% | 4,459 | $142.09 | |
| 59425 | <1% | 1,615 | $120.96 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,978 | $105.74 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 446 | $99.26 |
| 90837 | Psychotherapy session, about an hour | <1% | 120 | $98.02 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 568 | $67.75 |
| 96156 | <1% | 783 | $41.34 | |
| 90715 | <1% | 861 | $37.87 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,113 | $36.48 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 502 | $33.08 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,459 | $29.54 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 30 | $27.02 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 11,623 | $26.48 |
| 85018 | <1% | 9,891 | $25.29 | |
| 99401 | <1% | 402 | $24.82 | |
| 81025 | <1% | 3,481 | $22.92 | |
| 99173 | <1% | 4,540 | $21.67 | |
| 81002 | <1% | 13,922 | $19.83 | |
| 99188 | <1% | 537 | $17.70 | |
| 97803 | <1% | 110 | $16.54 | |
| 83655 | <1% | 896 | $10.63 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,555 | $9.77 |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 26 | $8.27 |
| 90648 | 0% | 1,257 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 3,524 | $0.00 |
| 3077F | 0% | 2,501 | $0.00 | |
| 90670 | 0% | 2,806 | $0.00 | |
| 3046F | 0% | 649 | $0.00 | |
| 3078F | 0% | 16,461 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 833 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 182 | $0.00 |
| 90633 | 0% | 1,856 | $0.00 | |
| 90700 | 0% | 208 | $0.00 | |
| 90710 | 0% | 169 | $0.00 | |
| 90707 | 0% | 325 | $0.00 | |
| 90734 | 0% | 681 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 681 | $0.00 |
| Z6302 | 0% | 226 | $0.00 | |
| Z6414 | 0% | 150 | $0.00 | |
| Z6200 | 0% | 215 | $0.00 | |
| Z6400 | 0% | 851 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 62 | $0.00 |
| Z6208 | 0% | 67 | $0.00 | |
| Z6304 | 0% | 640 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 191 | $0.00 |
| Z6300 | 0% | 326 | $0.00 | |
| Z6308 | 0% | 149 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 12 | $0.00 |
| 90736 | 0% | 81 | $0.00 | |
| 3051F | 0% | 25 | $0.00 | |
| 90473 | 0% | 47 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 174 | $0.00 |
| 90658 | 0% | 241 | $0.00 | |
| 90662 | 0% | 12 | $0.00 | |
| 81003 | 0% | 23 | $0.00 | |
| 90681 | 0% | 56 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 70 | $0.00 |
| 90655 | 0% | 23 | $0.00 | |
| Z6410 | 0% | 1,518 | $0.00 | |
| 3080F | 0% | 895 | $0.00 | |
| 90651 | 0% | 886 | $0.00 | |
| 82962 | 0% | 4,274 | $0.00 | |
| Z6406 | 0% | 643 | $0.00 | |
| Z1034 | 0% | 6,794 | $0.00 | |
| 3074F | 0% | 17,522 | $0.00 | |
| 3079F | 0% | 5,932 | $0.00 | |
| 3044F | 0% | 1,345 | $0.00 | |
| 90739 | 0% | 998 | $0.00 | |
| 90732 | 0% | 184 | $0.00 | |
| 90677 | 0% | 963 | $0.00 | |
| 3075F | 0% | 3,029 | $0.00 | |
| 90686 | 0% | 4,354 | $0.00 | |
| 90744 | 0% | 1,113 | $0.00 | |
| Z6402 | 0% | 325 | $0.00 | |
| 90680 | 0% | 1,597 | $0.00 | |
| 90723 | 0% | 690 | $0.00 | |
| 92551 | 0% | 63 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 700 | $0.00 |
| 90698 | 0% | 1,790 | $0.00 | |
| Z1032 | 0% | 461 | $0.00 | |
| 90716 | 0% | 398 | $0.00 | |
| 90688 | 0% | 1,180 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 75 | $0.00 |
| Z6204 | 0% | 353 | $0.00 | |
| 99403 | 0% | 28 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 258 | $0.00 |
| 92250 | 0% | 550 | $0.00 | |
| 90474 | 0% | 47 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 275 | $0.00 |
| 90656 | 0% | 457 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 41 | $0.00 |
| 90696 | 0% | 192 | $0.00 | |
| 99383 | 0% | 20 | $0.00 | |
| Z6404 | 0% | 221 | $0.00 | |
| 99000 | 0% | 85 | $0.00 | |
| 86580 | 0% | 31 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 127 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 91301 | 0% | 69 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 15 | $0.00 |
| 93000 | 0% | 18 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 24 | $0.00 |
| Z1038 | 0% | 42 | $0.00 | |
| 91306 | 0% | 98 | $0.00 | |
| 11730 | 0% | 12 | $0.00 | |
| 97802 | 0% | 63 | $0.00 | |
| 59430 | 0% | 12 | $0.00 | |
| 3052F | 0% | 13 | $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 |
|---|---|---|
| Clinica Sierra Vista | Bakersfield, CA | $64.97M |
| Clinica Sierra Vista | Bakersfield, CA | $33.77M |
| Clinica Sierra Vista | Lamont, CA | $29.67M |
| Clinica Sierra Vista | Bakersfield, CA | $23.33M |
| Clinica Sierra Vista | Fresno, CA | $23.08M |
| Clinica Sierra Vista | Bakersfield, CA | $21.29M |
| Clinica Sierra Vista | Bakersfield, CA | $17.29M |
| Clinica Sierra Vista | Bakersfield, CA | $14.66M |
| Clinica Sierra Vista | Fresno, CA | $14.10M |
| Clinica Sierra Vista | Arvin, CA | $14.09M |
| Clinica Sierra Vista | Lebec, CA | $7.87M |
| Clinica Sierra Vista | Delano, CA | $7.36M |
| Clinica Sierra Vista | Bakersfield, CA | $6.28M |
| Clinica Sierra Vista | Bakersfield, CA | $5.91M |
| Clinica Sierra Vista | Fresno, CA | $5.86M |
| Clinica Sierra Vista | Fresno, CA | $5.78M |
| Clinica Sierra Vista | Bakersfield, CA | $5.55M |
| Clinica Sierra Vista | Bakersfield, CA | $4.15M |
| Clinica Sierra Vista | Fresno, CA | $3.75M |
| Clinica Sierra Vista | Fresno, CA | $3.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.