Community Medical Centers, INC
Community Medical Centers, INC was paid $3.87M by Medicaid between Jan 2018 and Dec 2024, across 33 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.
STOCKTON, CA 95203
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 | 7,378 | $298K | |
| 2019 | 6,969 | $294K | |
| 2020 | 13,376 | $605K | |
| 2021 | 15,540 | $603K | |
| 2022 | 18,870 | $564K | |
| 2023 | 24,849 | $722K | |
| 2024incomplete | 24,366 | $781K |
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% | 28,111 | 23,287 | $3.35M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.3% | 10,683 | 4,724 | $320K |
| G9012 | Other specified case management service not elsewhere classified | 2.1% | 1,582 | 512 | $82K |
| 96127 | 1.1% | 18,366 | 11,520 | $44K | |
| 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% | 13,647 | 8,494 | $26K |
| 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% | 14,707 | 9,263 | $23K |
| 90686 | <1% | 482 | 376 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 898 | 691 | $5K |
| 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% | 80 | 67 | $2K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 23 | 12 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,230 | 1,122 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 940 | 593 | $1K |
21 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 293 | $761.15 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 74 | $479.72 |
| 90715 | <1% | 13 | $464.01 | |
| 0011A | <1% | 12 | $442.00 | |
| 86580 | <1% | 117 | $390.82 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | $86.06 |
| 82947 | <1% | 717 | $19.72 | |
| 90656 | <1% | 22 | $16.59 | |
| 81003 | <1% | 17 | $16.45 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 90 | $16.23 |
| 82962 | <1% | 13 | $1.80 | |
| 3080F | 0% | 1,253 | $0.00 | |
| 3075F | 0% | 1,528 | $0.00 | |
| 3074F | 0% | 4,302 | $0.00 | |
| 3079F | 0% | 2,783 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,815 | $0.00 |
| 99385 | 0% | 17 | $0.00 | |
| 3078F | 0% | 3,599 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| 3077F | 0% | 1,856 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 20 | $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 | Tracy, CA | $10.50M |
| Community Medical Centers, INC | Dixon, CA | $9.97M |
| 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.