Clinica Sierra Vista
Clinica Sierra Vista was paid $29.67M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 74% of everything it billed.
LAMONT, CA 93241
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 | 28,705 | $4.67M | |
| 2019 | 24,367 | $3.24M | |
| 2020 | 36,228 | $3.53M | |
| 2021 | 43,126 | $4.00M | |
| 2022 | 37,582 | $3.81M | |
| 2023 | 44,757 | $4.16M | |
| 2024incomplete | 65,978 | $6.24M |
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 | 74% | 118,046 | 100,567 | $22.05M |
| 00003 | Internal/system code - not a standard HCPCS code | 25% | 32,234 | 26,284 | $7.37M |
| 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% | 36,015 | 31,336 | $65K |
| 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% | 1,090 | 1,014 | $30K |
| 0001A | <1% | 339 | 339 | $22K | |
| 0002A | <1% | 325 | 325 | $22K | |
| 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% | 9,117 | 8,079 | $20K |
| 0012A | <1% | 149 | 149 | $10K | |
| 0011A | <1% | 123 | 123 | $7K | |
| 81002 | <1% | 4,974 | 3,607 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,183 | 2,988 | $5K |
| 0064A | <1% | 78 | 77 | $5K |
97 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,938 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,963 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,762 | $4K |
| 90686 | <1% | 3,806 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 272 | $4K |
| 0054A | <1% | 59 | $4K | |
| 0071A | <1% | 58 | $4K | |
| 0072A | <1% | 46 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,771 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 477 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,054 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 942 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 129 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 277 | $1K |
| 0004A | <1% | 22 | $1K | |
| 98940 | <1% | 83 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 11,108 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 205 | $843.18 |
| 90715 | <1% | 236 | $732.04 | |
| 90746 | <1% | 54 | $684.74 | |
| 90688 | <1% | 68 | $638.45 | |
| 81025 | <1% | 1,119 | $621.61 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 628 | $618.03 |
| 99188 | <1% | 1,600 | $603.37 | |
| J3490 | Unclassified drugs | <1% | 12 | $540.00 |
| 90651 | <1% | 911 | $511.82 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 40 | $506.00 |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 19 | $393.63 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,993 | $389.80 |
| 92250 | <1% | 25 | $387.11 | |
| 85018 | <1% | 2,805 | $334.69 | |
| 99401 | <1% | 12 | $326.48 | |
| 90480 | <1% | 26 | $252.00 | |
| 3078F | <1% | 1,583 | $218.89 | |
| 90698 | <1% | 735 | $213.86 | |
| 83655 | <1% | 988 | $206.08 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 168 | $205.80 |
| 90734 | <1% | 507 | $189.00 | |
| 90633 | <1% | 914 | $171.00 | |
| 90750 | <1% | 27 | $155.87 | |
| 3044F | <1% | 253 | $155.87 | |
| 90716 | <1% | 682 | $155.07 | |
| 90648 | <1% | 914 | $113.38 | |
| 90670 | <1% | 1,216 | $101.18 | |
| 90700 | <1% | 410 | $75.70 | |
| 3079F | <1% | 80 | $60.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 83 | $57.20 |
| 90707 | <1% | 672 | $45.00 | |
| 96156 | <1% | 39 | $42.08 | |
| 90723 | <1% | 641 | $36.00 | |
| 90677 | <1% | 723 | $36.00 | |
| 90680 | <1% | 828 | $27.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 27 | $18.75 |
| 90744 | <1% | 427 | $18.00 | |
| 82962 | <1% | 879 | $15.76 | |
| 86580 | <1% | 54 | $3.36 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 156 | $0.00 |
| Z6400 | 0% | 467 | $0.00 | |
| Z6304 | 0% | 1,053 | $0.00 | |
| 99173 | 0% | 563 | $0.00 | |
| Z6208 | 0% | 159 | $0.00 | |
| Z6300 | 0% | 633 | $0.00 | |
| Z6200 | 0% | 549 | $0.00 | |
| Z6414 | 0% | 155 | $0.00 | |
| 90713 | 0% | 46 | $0.00 | |
| 90658 | 0% | 137 | $0.00 | |
| 90473 | 0% | 70 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 27 | $0.00 |
| 90681 | 0% | 176 | $0.00 | |
| Z6308 | 0% | 152 | $0.00 | |
| 99382 | 0% | 43 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 31 | $0.00 |
| 3051F | 0% | 12 | $0.00 | |
| Z1034 | 0% | 4,519 | $0.00 | |
| 3074F | 0% | 1,577 | $0.00 | |
| Z6406 | 0% | 1,084 | $0.00 | |
| Z6204 | 0% | 1,100 | $0.00 | |
| 92551 | 0% | 486 | $0.00 | |
| Z1032 | 0% | 185 | $0.00 | |
| Z6410 | 0% | 1,752 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 372 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 512 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 24 | $0.00 |
| 90474 | 0% | 151 | $0.00 | |
| 99381 | 0% | 78 | $0.00 | |
| G9012 | Other specified case management service not elsewhere classified | 0% | 72 | $0.00 |
| Z1038 | 0% | 28 | $0.00 | |
| 90656 | 0% | 426 | $0.00 | |
| 90739 | 0% | 76 | $0.00 | |
| Z6402 | 0% | 634 | $0.00 | |
| 99384 | 0% | 12 | $0.00 | |
| 88720 | 0% | 13 | $0.00 | |
| 90381 | 0% | 47 | $0.00 | |
| 99383 | 0% | 38 | $0.00 | |
| 96380 | 0% | 44 | $0.00 | |
| 87807 | 0% | 29 | $0.00 | |
| 3075F | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Clinica Sierra Vista | Bakersfield, CA | $64.97M |
| Clinica Sierra Vista | Bakersfield, CA | $33.77M |
| Clinica Sierra Vista | Fresno, CA | $23.94M |
| Clinica Sierra Vista | Bakersfield, CA | $23.33M |
| Clinica Sierra Vista | Fresno, CA | $23.08M |
| Clinica Sierra Vista | Bakersfield, CA | $21.29M |
| Clinica Sierra Vista | Bakersfield, CA | $17.29M |
| Clinica Sierra Vista | Bakersfield, CA | $14.66M |
| Clinica Sierra Vista | Fresno, CA | $14.10M |
| Clinica Sierra Vista | Arvin, CA | $14.09M |
| Clinica Sierra Vista | Lebec, CA | $7.87M |
| Clinica Sierra Vista | Delano, CA | $7.36M |
| Clinica Sierra Vista | Bakersfield, CA | $6.28M |
| Clinica Sierra Vista | Bakersfield, CA | $5.91M |
| Clinica Sierra Vista | Fresno, CA | $5.86M |
| Clinica Sierra Vista | Fresno, CA | $5.78M |
| Clinica Sierra Vista | Bakersfield, CA | $5.55M |
| Clinica Sierra Vista | Bakersfield, CA | $4.15M |
| Clinica Sierra Vista | Fresno, CA | $3.75M |
| Clinica Sierra Vista | Fresno, CA | $3.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.