Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Timothy S. Johnston, M.D. PC

Timothy S. Johnston, M.D. PC was paid $1.25M by Medicaid between Oct 2022 and Nov 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoTIMOTHY S. JOHNSTON, M.D. PC
MERCED, CA 95348
33aNPI1427793371assigned 05/04/2022
28Total paid$1.25M
24GClaims24,347
24DCodes billed30
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in California

Rank by total paid#46 of 422
Median peer was paid$25K
This provider vs. median51×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2022119$5K
20238,281$414K
2024incomplete15,947$828K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 3,958 3,597 $317K
96110 Developmental screening, with scoring and documentation, per standardized instrument 19% 3,849 3,257 $235K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17% 2,034 1,976 $216K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 1,682 1,676 $171K
G9920 Screening performed and negative 7.0% 2,062 2,035 $87K
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 4.5% 429 408 $56K
90697 3.0% 1,211 1,175 $37K
90671 1.5% 1,606 1,567 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.2% 129 127 $15K
92552 1.2% 431 428 $15K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1.0% 789 756 $13K
99188 <1% 590 581 $12K
18 more codes
90680 <1% 968 $10K
90686 <1% 701 $9K
90633 <1% 661 $9K
90716 <1% 467 $6K
90707 <1% 451 $6K
83655 <1% 383 $4K
99173 <1% 442 $3K
90700 <1% 194 $3K
85018 <1% 602 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 220 $994.25
90648 <1% 80 $720.00
G9919 Screening performed and positive and provision of recommendations <1% 14 $580.00
90381 <1% 47 $423.00
90380 <1% 46 $414.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 236 $344.94
90670 <1% 27 $261.00
90698 <1% 25 $234.00
90696 <1% 13 $207.00

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 officialPURSLOW, JANETTE (CREDENTIALING COORDINATOR)
Parent organizationTIMOTHY S. JOHNSTON MD, PC