Clinic
Community Medical Centers, INC.
Community Medical Centers, INC. was paid $7.11M by Medicaid between Jan 2018 and Dec 2024, across 88 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.
33Billing provider infoCOMMUNITY MEDICAL CENTERS, INC.
STOCKTON, CA 95205
STOCKTON, CA 95205
33aNPI1669720157assigned 08/15/2012
33bProvider typeClinic/Center
28Total paid$7.11M
24GClaims270,332
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#74 of 504
Median peer was paid$102K
This provider vs. median70×
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 | 25,493 | $1.19M | |
| 2019 | 31,010 | $1.01M | |
| 2020 | 35,098 | $936K | |
| 2021 | 42,747 | $1.05M | |
| 2022 | 40,821 | $862K | |
| 2023 | 51,364 | $1.09M | |
| 2024incomplete | 43,799 | $973K |
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 | 87% | 61,675 | 52,140 | $6.15M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 16,285 | 11,615 | $178K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 40,758 | 24,321 | $139K |
| 59425 | 1.9% | 1,823 | 1,311 | $132K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 774 | 464 | $70K |
| 90746 | <1% | 966 | 879 | $58K | |
| 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% | 796 | 673 | $45K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,150 | 1,197 | $42K |
| D1206 | Topical application of fluoride varnish | <1% | 2,597 | 1,769 | $36K |
| 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% | 12,649 | 8,106 | $30K |
| 96127 | <1% | 10,203 | 6,542 | $27K | |
| J3490 | Unclassified drugs | <1% | 585 | 457 | $25K |
76 more codes
| 90686 | <1% | 6,260 | $23K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 505 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,039 | $22K |
| 99173 | <1% | 9,737 | $19K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,394 | $11K |
| 0011A | <1% | 102 | $7K | |
| G0466 | Community health center visit, new patient | <1% | 122 | $7K |
| 99381 | <1% | 468 | $6K | |
| 81003 | <1% | 5,378 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 523 | $5K |
| 81025 | <1% | 2,391 | $5K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 134 | $4K |
| 99188 | <1% | 505 | $4K | |
| 90715 | <1% | 884 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 602 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,228 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,548 | $3K |
| 96156 | <1% | 204 | $3K | |
| 0500F | <1% | 57 | $2K | |
| 0012A | <1% | 29 | $2K | |
| 97802 | <1% | 12 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,061 | $2K |
| 92552 | <1% | 10,278 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 115 | $1K |
| 97803 | <1% | 46 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 27 | $1K |
| 99401 | <1% | 81 | $977.32 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 43 | $293.58 |
| 99383 | <1% | 77 | $263.20 | |
| 90620 | <1% | 241 | $156.00 | |
| 87210 | <1% | 15 | $64.05 | |
| 85018 | <1% | 6,935 | $29.01 | |
| 90698 | <1% | 2,162 | $20.60 | |
| 82947 | <1% | 792 | $18.37 | |
| 3074F | 0% | 11,877 | $0.00 | |
| 90651 | 0% | 2,528 | $0.00 | |
| 99384 | 0% | 36 | $0.00 | |
| 3079F | 0% | 1,834 | $0.00 | |
| 90744 | 0% | 1,973 | $0.00 | |
| 90716 | 0% | 789 | $0.00 | |
| 3075F | 0% | 869 | $0.00 | |
| Z1034 | 0% | 2,271 | $0.00 | |
| 90696 | 0% | 323 | $0.00 | |
| 90656 | 0% | 204 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,792 | $0.00 |
| Z1032 | 0% | 56 | $0.00 | |
| 90619 | 0% | 585 | $0.00 | |
| Z6402 | 0% | 51 | $0.00 | |
| Z6204 | 0% | 68 | $0.00 | |
| 90688 | 0% | 45 | $0.00 | |
| 90677 | 0% | 413 | $0.00 | |
| 3080F | 0% | 109 | $0.00 | |
| Z6406 | 0% | 39 | $0.00 | |
| 90723 | 0% | 43 | $0.00 | |
| 92551 | 0% | 22 | $0.00 | |
| 82962 | 0% | 14 | $0.00 | |
| 90633 | 0% | 2,143 | $0.00 | |
| 3078F | 0% | 11,613 | $0.00 | |
| 0502F | 0% | 1,681 | $0.00 | |
| 90681 | 0% | 674 | $0.00 | |
| 96160 | 0% | 1,224 | $0.00 | |
| 3077F | 0% | 660 | $0.00 | |
| 90707 | 0% | 380 | $0.00 | |
| Z6400 | 0% | 489 | $0.00 | |
| 90734 | 0% | 981 | $0.00 | |
| 90670 | 0% | 2,326 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 48 | $0.00 |
| 90648 | 0% | 90 | $0.00 | |
| 90710 | 0% | 409 | $0.00 | |
| 90713 | 0% | 74 | $0.00 | |
| Z6200 | 0% | 51 | $0.00 | |
| 90700 | 0% | 147 | $0.00 | |
| Z6300 | 0% | 51 | $0.00 | |
| Z6304 | 0% | 38 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 37 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 19 | $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 officialFEAGLES, ARTHUR (CFO)