Clinica Sierra Vista
Clinica Sierra Vista was paid $7.36M by Medicaid between Apr 2020 and Dec 2024, across 82 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
DELANO, CA 93215
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 | |
|---|---|---|---|
| 2020 | 474 | $6K | |
| 2021 | 11,526 | $630K | |
| 2022 | 32,142 | $2.10M | |
| 2023 | 30,711 | $2.18M | |
| 2024incomplete | 32,574 | $2.45M |
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 | 96% | 43,677 | 37,755 | $7.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 20,751 | 17,532 | $101K |
| 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% | 8,810 | 7,462 | $43K |
| 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% | 2,077 | 1,821 | $24K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 352 | 226 | $16K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 997 | 947 | $14K |
| Z1034 | <1% | 3,688 | 2,525 | $14K | |
| 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% | 123 | 114 | $6K |
| 0004A | <1% | 128 | 128 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,843 | 1,619 | $5K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,404 | 1,256 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 203 | 202 | $4K |
70 more codes
| 0064A | <1% | 92 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 423 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 316 | $3K |
| 0002A | <1% | 47 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 646 | $3K |
| 90686 | <1% | 602 | $2K | |
| 0001A | <1% | 33 | $2K | |
| 0071A | <1% | 28 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 246 | $1K |
| 0072A | <1% | 14 | $938.00 | |
| 81002 | <1% | 4,135 | $871.97 | |
| 0012A | <1% | 20 | $800.00 | |
| 0011A | <1% | 18 | $720.00 | |
| 3078F | <1% | 2,559 | $708.23 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 178 | $637.28 |
| 90715 | <1% | 16 | $530.34 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 267 | $524.68 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 47 | $484.11 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 88 | $474.13 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,003 | $436.74 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 623 | $317.35 |
| 90739 | <1% | 55 | $306.00 | |
| 81025 | <1% | 622 | $276.63 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 212 | $236.86 |
| 90688 | <1% | 15 | $232.87 | |
| 90707 | <1% | 17 | $186.71 | |
| 90746 | <1% | 14 | $172.26 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 47 | $168.06 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 153 | $140.00 |
| 86580 | <1% | 20 | $117.48 | |
| Z1038 | <1% | 74 | $108.86 | |
| 90716 | <1% | 13 | $81.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $68.90 |
| 93000 | <1% | 82 | $57.40 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 61 | $54.83 |
| 82962 | <1% | 49 | $48.39 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 18 | $45.93 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 334 | $35.00 |
| 90656 | <1% | 85 | $26.81 | |
| 99000 | <1% | 42 | $25.77 | |
| 3079F | <1% | 572 | $24.04 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 374 | $17.70 |
| 99173 | <1% | 52 | $13.03 | |
| 85018 | <1% | 118 | $11.34 | |
| 90734 | <1% | 14 | $9.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16 | $1.89 |
| Z6400 | 0% | 364 | $0.00 | |
| Z6414 | 0% | 14 | $0.00 | |
| 3077F | 0% | 120 | $0.00 | |
| Z6304 | 0% | 523 | $0.00 | |
| Z6300 | 0% | 325 | $0.00 | |
| 91300 | 0% | 43 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 49 | $0.00 |
| Z6200 | 0% | 204 | $0.00 | |
| 90670 | 0% | 13 | $0.00 | |
| 90658 | 0% | 42 | $0.00 | |
| 90750 | 0% | 15 | $0.00 | |
| Z6308 | 0% | 14 | $0.00 | |
| Z6406 | 0% | 679 | $0.00 | |
| 3075F | 0% | 189 | $0.00 | |
| Z6410 | 0% | 1,098 | $0.00 | |
| Z6204 | 0% | 494 | $0.00 | |
| 3074F | 0% | 3,107 | $0.00 | |
| Z1032 | 0% | 172 | $0.00 | |
| Z6402 | 0% | 314 | $0.00 | |
| 3080F | 0% | 14 | $0.00 | |
| 92551 | 0% | 38 | $0.00 | |
| 3044F | 0% | 42 | $0.00 | |
| 87807 | 0% | 15 | $0.00 | |
| 91306 | 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 | Fresno, CA | $23.94M |
| 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 | 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.