Clinic
Vanguard Medical Corporation
Vanguard Medical Corporation was paid $7.65M by Medicaid between Feb 2018 and Dec 2024, across 74 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 61% of everything it billed.
33Billing provider infoVANGUARD MEDICAL CORPORATION
WASCO, CA 93280
WASCO, CA 93280
33aNPI1558801829assigned 03/06/2017
33bProvider typeRural Health Clinic/Center
28Total paid$7.65M
24GClaims227,297
24DCodes billed74
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#65 of 215
Median peer was paid$3.62M
This provider vs. median2.1×
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 | 4,606 | $369K | |
| 2019 | 12,034 | $775K | |
| 2020 | 15,871 | $819K | |
| 2021 | 22,958 | $1.07M | |
| 2022 | 34,935 | $1.10M | |
| 2023 | 53,354 | $1.47M | |
| 2024incomplete | 83,539 | $2.04M |
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 | 61% | 50,758 | 37,861 | $4.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 56,789 | 32,447 | $1.33M |
| 98940 | 13% | 20,145 | 9,169 | $970K | |
| 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 | 3.2% | 3,486 | 2,389 | $242K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 2.1% | 3,909 | 1,719 | $159K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 3,607 | 2,261 | $70K |
| 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% | 2,410 | 1,390 | $64K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,111 | 1,424 | $26K |
| G9920 | Screening performed and negative | <1% | 1,111 | 683 | $19K |
| 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% | 521 | 395 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,455 | 796 | $14K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,813 | 1,223 | $12K |
62 more codes
| 92551 | <1% | 1,893 | $11K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 253 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 221 | $10K |
| 90686 | <1% | 495 | $5K | |
| 99173 | <1% | 2,021 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 122 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 78 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 179 | $3K |
| 90688 | <1% | 289 | $3K | |
| 82962 | <1% | 2,577 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 90 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 555 | $1K |
| 81002 | <1% | 1,442 | $1K | |
| 85018 | <1% | 1,214 | $911.39 | |
| 90658 | <1% | 58 | $805.24 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 356 | $743.19 |
| 3078F | <1% | 15,419 | $500.17 | |
| 90715 | <1% | 43 | $487.07 | |
| 87430 | <1% | 123 | $438.20 | |
| 90756 | <1% | 34 | $407.95 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 158 | $377.78 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 20 | $349.37 |
| 3077F | <1% | 5,136 | $335.50 | |
| 93000 | <1% | 54 | $305.66 | |
| 90651 | <1% | 20 | $292.50 | |
| 99000 | <1% | 1,193 | $205.33 | |
| 97802 | <1% | 570 | $201.58 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 39 | $134.37 |
| 3075F | <1% | 3,991 | $116.37 | |
| 1159F | <1% | 6,548 | $88.59 | |
| 90656 | <1% | 27 | $84.00 | |
| 3074F | <1% | 13,764 | $82.32 | |
| 3079F | <1% | 5,586 | $75.21 | |
| 88147 | <1% | 66 | $61.95 | |
| 90694 | <1% | 26 | $49.89 | |
| 90653 | <1% | 18 | $30.87 | |
| 90670 | <1% | 13 | $11.25 | |
| 81025 | <1% | 45 | $8.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 267 | $4.46 |
| 36415 | Collection of venous blood by venipuncture | <1% | 950 | $1.77 |
| 1126F | <1% | 7,114 | $0.01 | |
| 91301 | <1% | 288 | $0.01 | |
| 0011A | <1% | 134 | $0.01 | |
| 0012A | 0% | 132 | $0.00 | |
| 3080F | 0% | 1,031 | $0.00 | |
| 1125F | 0% | 2,322 | $0.00 | |
| 3044F | 0% | 1,214 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 67 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 16 | $0.00 |
| 0064A | 0% | 35 | $0.00 | |
| 0001A | 0% | 53 | $0.00 | |
| 91306 | 0% | 47 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 13 | $0.00 |
| 91300 | 0% | 175 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 159 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 299 | $0.00 |
| 90461 | 0% | 36 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 15 | $0.00 |
| 0004A | 0% | 13 | $0.00 | |
| 0002A | 0% | 38 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 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.
From NPPES
Who's on the registration
Authorized officialSUNNER, NOVIRA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Vanguard Medical Corporation | Shafter, CA | $14.92M |
| Shafter Urgent Care | Shafter, CA | $12.93M |
| Vanguard Medical Corporation | Arvin, CA | $1.36M |
| Vanguard Medical Corporation | Bakersfield, CA | $870K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.