Community Medical Centers, INC
Community Medical Centers, INC was paid $10.50M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
TRACY, CA 95376
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 43,925 | $2.28M | |
| 2019 | 18,990 | $918K | |
| 2020 | 32,880 | $1.29M | |
| 2021 | 43,032 | $1.37M | |
| 2022 | 42,130 | $1.16M | |
| 2023 | 66,202 | $1.78M | |
| 2024incomplete | 57,150 | $1.70M |
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 | 87% | 71,203 | 61,321 | $9.11M |
| 59425 | 2.1% | 3,111 | 2,458 | $223K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 34,109 | 21,451 | $164K |
| 96127 | 1.3% | 46,911 | 25,928 | $132K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 11,792 | 8,709 | $119K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.0% | 3,523 | 1,757 | $108K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,044 | 702 | $92K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,287 | 1,402 | $84K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,446 | 886 | $80K |
| 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% | 26,201 | 16,171 | $69K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,419 | 1,551 | $54K |
| 59430 | <1% | 530 | 506 | $35K |
77 more codes
| 0500F | <1% | 844 | $34K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 890 | $26K |
| 90746 | <1% | 423 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,766 | $19K |
| D1206 | Topical application of fluoride varnish | <1% | 2,542 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,255 | $13K |
| 90686 | <1% | 4,539 | $13K | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 183 | $13K |
| 99173 | <1% | 6,121 | $12K | |
| 99188 | <1% | 926 | $8K | |
| 81003 | <1% | 7,192 | $7K | |
| 90715 | <1% | 601 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,072 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,090 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,849 | $4K |
| 81025 | <1% | 2,013 | $4K | |
| G0467 | Community health center visit, returning patient | <1% | 119 | $3K |
| 92552 | <1% | 6,391 | $2K | |
| G0466 | Community health center visit, new patient | <1% | 86 | $2K |
| 99381 | <1% | 177 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 270 | $2K |
| J3490 | Unclassified drugs | <1% | 42 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 22 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 134 | $1K |
| 99384 | <1% | 115 | $680.79 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 15 | $538.26 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 125 | $480.48 |
| 80305 | <1% | 44 | $459.80 | |
| 99385 | <1% | 64 | $273.84 | |
| 99417 | Prolong home eval add 15m | <1% | 28 | $272.45 |
| 99383 | <1% | 98 | $263.20 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 157 | $248.04 |
| 99401 | <1% | 16 | $241.90 | |
| 88164 | <1% | 655 | $173.70 | |
| 99201 | <1% | 180 | $164.88 | |
| 99386 | <1% | 18 | $145.44 | |
| 90651 | <1% | 932 | $131.62 | |
| 88720 | <1% | 53 | $68.34 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 800 | $65.88 |
| 85018 | <1% | 3,630 | $51.72 | |
| 90744 | <1% | 1,292 | $36.00 | |
| 90698 | <1% | 1,326 | $18.54 | |
| 90633 | <1% | 1,468 | $18.27 | |
| 90620 | <1% | 140 | $14.22 | |
| 90670 | <1% | 1,740 | $9.00 | |
| 96161 | <1% | 667 | $7.82 | |
| 3075F | 0% | 1,141 | $0.00 | |
| 3079F | 0% | 2,820 | $0.00 | |
| 0503F | 0% | 597 | $0.00 | |
| Z1034 | 0% | 3,131 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 9,137 | $0.00 |
| 3074F | 0% | 9,041 | $0.00 | |
| 90677 | 0% | 303 | $0.00 | |
| Z1038 | 0% | 527 | $0.00 | |
| Z1032 | 0% | 386 | $0.00 | |
| 90723 | 0% | 69 | $0.00 | |
| 90716 | 0% | 165 | $0.00 | |
| 90619 | 0% | 137 | $0.00 | |
| 90656 | 0% | 166 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 18 | $0.00 |
| 3080F | 0% | 15 | $0.00 | |
| 90696 | 0% | 110 | $0.00 | |
| 88142 | 0% | 30 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 17 | $0.00 |
| 3078F | 0% | 7,605 | $0.00 | |
| 90734 | 0% | 548 | $0.00 | |
| 90713 | 0% | 98 | $0.00 | |
| 96160 | 0% | 377 | $0.00 | |
| 0502F | 0% | 2,885 | $0.00 | |
| 90648 | 0% | 150 | $0.00 | |
| 3077F | 0% | 194 | $0.00 | |
| 90710 | 0% | 211 | $0.00 | |
| 90681 | 0% | 404 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 105 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 52 | $0.00 |
| 90707 | 0% | 113 | $0.00 | |
| 90700 | 0% | 71 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Community Medical Centers INC | Stockton, CA | $26.56M |
| Community Medical Centers INC | Stockton, CA | $23.42M |
| Community Medical Centers INC | Tracy, CA | $17.91M |
| Community Medical Centers INC | Tracy, CA | $16.09M |
| Community Medical Centers, INC | Stockton, CA | $13.95M |
| Community Medical Centers, INC | Dixon, CA | $9.97M |
| Community Medical Centers, INC | Stockton, CA | $3.87M |
| Community Medical Centers INC | Vacaville, CA | $161K |
| Community Medical Centers INC | Stockton, CA | $364.59 |
| Community Medical Centers, INC | Stockton, CA | $82.03 |
| Community Medical Centers INC | Lodi, CA | $4.61 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.