Clinic
Vanguard Medical Corporation
Vanguard Medical Corporation was paid $14.92M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 56% of everything it billed.
33Billing provider infoVANGUARD MEDICAL CORPORATION
SHAFTER, CA 93263
SHAFTER, CA 93263
33aNPI1609281310assigned 06/23/2014
33bProvider typeRural Health Clinic/Center
28Total paid$14.92M
24GClaims299,453
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#36 of 215
Median peer was paid$3.62M
This provider vs. median4.1×
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 | 18,421 | $1.39M | |
| 2019 | 20,527 | $1.49M | |
| 2020 | 26,855 | $1.70M | |
| 2021 | 39,550 | $2.24M | |
| 2022 | 34,867 | $1.50M | |
| 2023 | 64,749 | $2.32M | |
| 2024incomplete | 94,484 | $4.28M |
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 | 56% | 74,911 | 57,881 | $8.41M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 87,575 | 51,632 | $2.03M |
| G9012 | Other specified case management service not elsewhere classified | 13% | 11,740 | 9,767 | $1.89M |
| 98940 | 6.4% | 18,095 | 8,176 | $955K | |
| 98942 | 4.8% | 12,240 | 6,045 | $719K | |
| 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 | 2.2% | 4,080 | 2,907 | $333K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,176 | 1,002 | $131K |
| 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% | 2,499 | 1,532 | $97K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 976 | 651 | $64K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 958 | 684 | $63K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,579 | 1,004 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 506 | 339 | $28K |
69 more codes
| G9920 | Screening performed and negative | <1% | 1,091 | $19K |
| 59425 | <1% | 253 | $19K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,965 | $17K |
| 92551 | <1% | 2,119 | $16K | |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 314 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 789 | $9K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 105 | $8K |
| 99386 | <1% | 153 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 291 | $8K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,075 | $8K |
| 90688 | <1% | 371 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,516 | $6K |
| 99173 | <1% | 2,280 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 117 | $4K |
| 87430 | <1% | 735 | $4K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 817 | $3K |
| 99385 | <1% | 67 | $3K | |
| 90686 | <1% | 220 | $2K | |
| 81002 | <1% | 1,647 | $2K | |
| 85018 | <1% | 1,901 | $2K | |
| 90658 | <1% | 148 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 28 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 40 | $1K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 424 | $1K |
| 97802 | <1% | 635 | $746.97 | |
| 90651 | <1% | 117 | $720.90 | |
| 3078F | <1% | 15,822 | $674.56 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 15 | $490.00 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 25 | $417.60 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 159 | $315.00 |
| 90649 | <1% | 27 | $303.75 | |
| 3074F | <1% | 15,627 | $270.11 | |
| 90715 | <1% | 31 | $174.73 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 58 | $172.28 |
| 3075F | <1% | 3,165 | $164.64 | |
| 3079F | <1% | 5,808 | $164.64 | |
| 90694 | <1% | 16 | $152.34 | |
| 81025 | <1% | 49 | $98.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $93.15 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 34 | $93.00 |
| 3077F | <1% | 3,846 | $82.32 | |
| 90653 | <1% | 17 | $80.18 | |
| 1159F | <1% | 5,624 | $68.14 | |
| 99000 | <1% | 375 | $63.55 | |
| 86580 | <1% | 13 | $43.68 | |
| 99451 | <1% | 38 | $39.31 | |
| 82962 | <1% | 31 | $32.42 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 187 | $22.30 |
| 1126F | <1% | 6,773 | $13.68 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 219 | $8.65 |
| 91301 | 0% | 476 | $0.00 | |
| 1125F | 0% | 1,769 | $0.00 | |
| Z1034 | 0% | 198 | $0.00 | |
| 0011A | 0% | 193 | $0.00 | |
| 3080F | 0% | 1,116 | $0.00 | |
| 0031A | 0% | 17 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 108 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 16 | $0.00 |
| 0064A | 0% | 75 | $0.00 | |
| 0012A | 0% | 181 | $0.00 | |
| 91306 | 0% | 73 | $0.00 | |
| 1036F | 0% | 66 | $0.00 | |
| 91303 | 0% | 15 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 58 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 223 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 261 | $0.00 |
| 91300 | 0% | 50 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 17 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 14 | $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 (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Shafter Urgent Care | Shafter, CA | $12.93M |
| Vanguard Medical Corporation | Wasco, CA | $7.65M |
| 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.