Clinic
Southern Monterey County Memorial Hospital
Southern Monterey County Memorial Hospital was paid $17.20M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoSOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
GREENFIELD, CA 93927
GREENFIELD, CA 93927
33aNPI1548451818assigned 08/05/2007
33bProvider typeRural Health Clinic/Center
28Total paid$17.20M
24GClaims290,748
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#32 of 215
Median peer was paid$3.62M
This provider vs. median4.7×
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 | 34,114 | $2.31M | |
| 2019 | 32,084 | $1.86M | |
| 2020 | 36,825 | $1.94M | |
| 2021 | 45,872 | $2.83M | |
| 2022 | 46,117 | $2.54M | |
| 2023 | 52,804 | $3.00M | |
| 2024incomplete | 42,932 | $2.71M |
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 | 76% | 84,380 | 73,790 | $13.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 56,954 | 40,198 | $1.08M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 18,670 | 14,525 | $382K |
| 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 | 2.2% | 14,876 | 10,329 | $381K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 6,195 | 4,183 | $334K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 5,119 | 3,249 | $254K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 3,814 | 2,473 | $236K |
| 59425 | 1.1% | 2,401 | 1,749 | $196K | |
| 92551 | 1.1% | 17,960 | 12,511 | $196K | |
| 90686 | <1% | 13,741 | 9,253 | $137K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,672 | 1,780 | $128K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,239 | 884 | $101K |
80 more codes
| 90651 | <1% | 2,009 | $74K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,494 | $64K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,612 | $48K |
| 90746 | <1% | 780 | $48K | |
| G9920 | Screening performed and negative | <1% | 2,956 | $45K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,520 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,237 | $29K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 722 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,485 | $27K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,033 | $26K |
| 90648 | <1% | 2,702 | $23K | |
| 90715 | <1% | 1,170 | $22K | |
| 90670 | <1% | 2,119 | $20K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,740 | $20K |
| 99173 | <1% | 2,121 | $13K | |
| 90688 | <1% | 648 | $12K | |
| 90723 | <1% | 1,428 | $11K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 3,599 | $11K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 143 | $9K |
| 90734 | <1% | 822 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 135 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,871 | $8K |
| 99401 | <1% | 402 | $7K | |
| 90633 | <1% | 855 | $7K | |
| 99201 | <1% | 236 | $7K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,038 | $7K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 47 | $6K |
| 81025 | <1% | 3,457 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 80 | $6K |
| 90674 | <1% | 316 | $6K | |
| 85018 | <1% | 5,636 | $6K | |
| 20610 | <1% | 147 | $5K | |
| 20553 | <1% | 129 | $5K | |
| 90710 | <1% | 331 | $4K | |
| 90677 | <1% | 525 | $4K | |
| 99188 | <1% | 472 | $3K | |
| 99381 | <1% | 40 | $3K | |
| 90620 | <1% | 43 | $2K | |
| 96158 | <1% | 129 | $2K | |
| 90685 | <1% | 130 | $2K | |
| 97803 | <1% | 119 | $2K | |
| 72100 | <1% | 130 | $2K | |
| 90621 | <1% | 237 | $2K | |
| 90656 | <1% | 362 | $2K | |
| J3490 | Unclassified drugs | <1% | 57 | $2K |
| 72072 | <1% | 95 | $2K | |
| 72040 | <1% | 108 | $1K | |
| 90681 | <1% | 204 | $1K | |
| 69210 | <1% | 38 | $1K | |
| 86580 | <1% | 217 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 191 | $932.71 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 69 | $825.63 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 13 | $777.58 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 53 | $704.70 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 51 | $701.90 |
| 81002 | <1% | 626 | $578.35 | |
| 90696 | <1% | 33 | $432.00 | |
| 81003 | <1% | 190 | $405.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 244 | $362.25 |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 104 | $267.37 |
| 90716 | <1% | 23 | $234.00 | |
| 90700 | <1% | 26 | $234.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 13 | $218.66 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 43 | $169.24 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 24 | $156.73 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 46 | $36.00 |
| 96161 | <1% | 1,094 | $15.01 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 127 | $8.92 |
| Z1034 | 0% | 2,053 | $0.00 | |
| Z6410 | 0% | 804 | $0.00 | |
| 3074F | 0% | 111 | $0.00 | |
| Z6406 | 0% | 590 | $0.00 | |
| Z1038 | 0% | 14 | $0.00 | |
| Z6204 | 0% | 377 | $0.00 | |
| Z1032 | 0% | 12 | $0.00 | |
| Z6304 | 0% | 238 | $0.00 | |
| Z6400 | 0% | 203 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 276 | $0.00 |
| 3078F | 0% | 108 | $0.00 | |
| Z6500 | 0% | 45 | $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 officialBECK, WALTER (CEO)
Parent organizationSOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Southern Monterey County Memorial Hospital | King City, CA | $30.29M |
| Southern Monterey County Memorial Hospital | King City, CA | $16.39M |
| Southern Monterey County Memorial Hospital | King City, CA | $2.95M |
| Southern Monterey County Memorial Hospital | King City, CA | $39K |
| Southern Monterey County Memorial Hospital | King City, CA | $36K |
| Southern Monterey County Memorial Hospital | Greenfield, CA | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.