Clinic
El Centro Regional Medical Center
El Centro Regional Medical Center was paid $27.78M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoEL CENTRO REGIONAL MEDICAL CENTER
CALEXICO, CA 92231
CALEXICO, CA 92231
33aNPI1598840258assigned 10/25/2006
33bProvider typeRural Health Clinic/Center
28Total paid$27.78M
24GClaims523,396
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#13 of 215
Median peer was paid$3.62M
This provider vs. median7.7×
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 | 53,062 | $3.52M | |
| 2019 | 56,779 | $3.08M | |
| 2020 | 88,903 | $4.35M | |
| 2021 | 92,323 | $4.50M | |
| 2022 | 85,109 | $4.19M | |
| 2023 | 82,144 | $4.30M | |
| 2024incomplete | 65,076 | $3.85M |
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 | 79% | 181,633 | 135,586 | $22.00M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 192,539 | 145,322 | $2.72M |
| 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 | 4.3% | 62,028 | 53,219 | $1.20M |
| 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 | 1.9% | 17,364 | 12,314 | $532K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 6,454 | 6,298 | $216K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,062 | 3,025 | $215K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 3,804 | 3,586 | $158K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 2,151 | 1,442 | $125K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,245 | 6,253 | $105K |
| 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% | 2,206 | 2,199 | $102K |
| 90656 | <1% | 3,202 | 3,191 | $55K | |
| 59425 | <1% | 936 | 560 | $45K |
65 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,055 | $40K |
| 92552 | <1% | 3,847 | $31K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 960 | $30K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,627 | $29K |
| 90715 | <1% | 1,119 | $27K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,400 | $21K |
| 90732 | <1% | 225 | $16K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 475 | $12K |
| J3490 | Unclassified drugs | <1% | 260 | $11K |
| 0270 | <1% | 1,070 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 154 | $9K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 555 | $7K |
| 99173 | <1% | 3,559 | $6K | |
| 90686 | <1% | 1,664 | $5K | |
| 93000 | <1% | 243 | $5K | |
| 0250 | <1% | 430 | $4K | |
| 81002 | <1% | 1,827 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 98 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 70 | $3K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,399 | $3K |
| 90649 | <1% | 409 | $3K | |
| 94760 | <1% | 2,985 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 858 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 62 | $2K |
| 85018 | <1% | 1,645 | $2K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 12 | $2K |
| 90685 | <1% | 260 | $2K | |
| 90734 | <1% | 254 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,545 | $1K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 36 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 15 | $986.60 |
| 90714 | <1% | 45 | $917.05 | |
| 90670 | <1% | 184 | $641.34 | |
| G0466 | Community health center visit, new patient | <1% | 24 | $521.39 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 126 | $479.06 |
| G0008 | Administration of influenza virus vaccine | <1% | 620 | $474.80 |
| 90698 | <1% | 66 | $302.00 | |
| 90633 | <1% | 46 | $243.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $193.07 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $115.20 |
| 90680 | <1% | 12 | $98.40 | |
| 90710 | <1% | 15 | $90.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12 | $81.55 |
| 82962 | <1% | 22 | $32.00 | |
| 90620 | <1% | 39 | $1.81 | |
| 90677 | <1% | 12 | $1.80 | |
| 90621 | <1% | 12 | $0.55 | |
| 3077F | 0% | 12 | $0.00 | |
| 99001 | 0% | 3,164 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 385 | $0.00 |
| T1101 | 0% | 623 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 12 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 111 | $0.00 |
| 3078F | 0% | 283 | $0.00 | |
| 0900 | 0% | 63 | $0.00 | |
| 99442 | 0% | 13 | $0.00 | |
| Z1034 | 0% | 1,904 | $0.00 | |
| 3075F | 0% | 254 | $0.00 | |
| Z7610 | 0% | 231 | $0.00 | |
| 3074F | 0% | 1,224 | $0.00 | |
| 3079F | 0% | 45 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 19 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 13 | $0.00 |
| Z1038 | 0% | 26 | $0.00 | |
| Z1032 | 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 officialBENAVIDEZ, TISHA (PATIENT FINANCIAL SERVICES DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| El Centro Regional Medical Center | El Centro, CA | $50.04M |
| El Centro Regional Medical Center | El Centro, CA | $49.37M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.