Salinas Valley Memorial Healthcare System

Salinas Valley Memorial Healthcare System was paid $8.13M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.

33Billing provider infoSALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM
GONZALES, CA 93926

33aNPI1437549284assigned 02/02/2015

33bProvider typeFamily Medicine Physician

28Total paid$8.13M

24GClaims157,844

24DCodes billed70

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#46 of 2,511

Median peer was paid$13K

This provider vs. median633×

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	20,055	$1.45M
2019	19,891	$1.16M
2020	20,787	$1.21M
2021	21,617	$1.27M
2022	26,982	$946K
2023	24,012	$934K
2024incomplete	24,500	$1.16M

Box 24 · Service lines

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	94%	39,918	34,836	$7.61M
92552		1.2%	5,776	3,866	$94K
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%	27,295	19,221	$66K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	1,054	657	$58K
90686		<1%	2,858	2,014	$38K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	758	505	$36K
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%	35,167	21,537	$35K
0001A		<1%	524	274	$28K
0002A		<1%	474	252	$25K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	<1%	1,637	1,447	$20K
G9920	Screening performed and negative	<1%	1,173	901	$15K
99173		<1%	4,606	2,972	$13K

58 more codes

99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	386	$12K
0004A		<1%	229	$12K
85018		<1%	7,464	$9K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	221	$9K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	371	$5K
90656		<1%	416	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	564	$4K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	296	$3K
90682		<1%	45	$3K
87428		<1%	104	$3K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	79	$3K
81003		<1%	1,388	$3K
99203	Doctor's office visit, new patient (routine)	<1%	65	$2K
90651		<1%	150	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	2,000	$2K
0124A		<1%	22	$1K
90734		<1%	146	$1K
0071A		<1%	24	$1K
90670		<1%	16	$1K
90688		<1%	57	$1K
71046	Radiologic examination, chest; 2 views	<1%	50	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	162	$999.15
90649		<1%	52	$900.00
90673		<1%	25	$826.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	210	$810.84
90746		<1%	14	$673.56
90715		<1%	32	$640.96
G9919	Screening performed and positive and provision of recommendations	<1%	21	$478.50
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	12	$455.18
90620		<1%	35	$438.36
99188		<1%	47	$432.00
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	23	$327.42
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	93	$244.85
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	151	$241.53
90677		<1%	21	$198.00
90647		<1%	20	$198.00
90723		<1%	16	$180.00
83655		<1%	41	$138.19
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	17	$82.81
81025		<1%	41	$58.80
82270		<1%	15	$43.92
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	6,612	$33.17
82962		<1%	12	$20.00
91305		0%	25	$0.00
1036F		0%	11,251	$0.00
3075F		0%	201	$0.00
1123F		0%	1,613	$0.00
3074F		0%	355	$0.00
3079F		0%	180	$0.00
G8433	Screening for depression not completed, documented patient or medical reason	0%	89	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	29	$0.00
99499		0%	24	$0.00
3077F		0%	226	$0.00
3078F		0%	697	$0.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	23	$0.00
90791	Psychiatric diagnostic evaluation	0%	26	$0.00
90837	Psychotherapy session, about an hour	0%	88	$0.00
87420		0%	12	$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.

From NPPES

Who's on the registration

Authorized officialHEACOX, MARY (DIRECTOR OF CLINIC OPERATIONS)