Clinic
Sequoia Family Medical Center, INC
Sequoia Family Medical Center, INC was paid $2.30M by Medicaid between Jan 2018 and Dec 2018, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoSEQUOIA FAMILY MEDICAL CENTER, INC
PORTERVILLE, CA 93257
PORTERVILLE, CA 93257
33aNPI1528016987assigned 05/05/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.30M
24GClaims87,798
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#129 of 215
Median peer was paid$3.62M
This provider vs. median0.6×
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 | 87,798 | $2.30M |
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 | 93% | 46,923 | 36,550 | $2.13M |
| 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 | 2.7% | 2,857 | 2,286 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 25,539 | 22,181 | $38K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 989 | 934 | $31K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 518 | 518 | $11K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% | 216 | 209 | $5K |
| 81002 | <1% | 1,829 | 1,739 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,467 | 1,428 | $3K |
| 99243 | <1% | 185 | 179 | $3K | |
| 90686 | <1% | 714 | 714 | $2K | |
| 59425 | <1% | 70 | 46 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 279 | 267 | $1K |
31 more codes
| 90756 | <1% | 440 | $958.28 | |
| 85018 | <1% | 1,746 | $813.38 | |
| 92081 | <1% | 700 | $769.64 | |
| 92551 | <1% | 860 | $615.32 | |
| 81025 | <1% | 55 | $505.06 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 70 | $461.61 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | $411.60 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 185 | $391.52 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 125 | $366.10 |
| 99242 | <1% | 31 | $333.89 | |
| 90648 | <1% | 113 | $317.16 | |
| 90670 | <1% | 150 | $294.71 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 220 | $161.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 130 | $153.38 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 81 | $153.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 295 | $141.49 |
| 90633 | <1% | 58 | $99.00 | |
| 82962 | <1% | 442 | $84.46 | |
| 90715 | <1% | 13 | $54.00 | |
| 90649 | <1% | 114 | $38.13 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $36.58 |
| 90680 | <1% | 28 | $36.00 | |
| 93000 | <1% | 25 | $4.46 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 31 | $4.46 |
| 90688 | 0% | 95 | $0.00 | |
| 90723 | 0% | 15 | $0.00 | |
| 86580 | 0% | 26 | $0.00 | |
| 90710 | 0% | 25 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 90734 | 0% | 45 | $0.00 | |
| 90700 | 0% | 24 | $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 officialGILES, JANET (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Sequoia Family Medical Center | Lindsay, CA | $181K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.