NP / PA
Bautista Rural Medical Clinics, INC.
Bautista Rural Medical Clinics, INC. was paid $943K by Medicaid between Jan 2018 and Jul 2021, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoBAUTISTA RURAL MEDICAL CLINICS, INC.
SANGER, CA 93657
SANGER, CA 93657
33aNPI1689746208assigned 11/15/2006
33bProvider typePhysician Assistant
28Total paid$943K
24GClaims53,705
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Physician Assistant providers in California
Rank by total paid#17 of 187
Median peer was paid$4K
This provider vs. median223×
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 | 14,888 | $316K | |
| 2019 | 15,416 | $258K | |
| 2020 | 13,605 | $217K | |
| 2021 | 9,796 | $152K |
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 | 83% | 17,971 | 13,300 | $785K |
| 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 | 14% | 4,504 | 3,399 | $131K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 20,694 | 14,425 | $18K |
| 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% | 2,149 | 1,920 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 65 | 65 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 26 | 26 | $823.75 |
| 81003 | <1% | 2,797 | 2,578 | $325.92 | |
| 82962 | <1% | 1,569 | 1,439 | $199.08 | |
| 87430 | <1% | 18 | 18 | $138.40 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 2,086 | 1,732 | $132.18 |
| 85018 | <1% | 541 | 534 | $96.45 | |
| 81025 | <1% | 27 | 26 | $21.41 |
6 more codes
| 90658 | 0% | 211 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 832 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 12 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 99 | $0.00 |
| 90688 | 0% | 61 | $0.00 | |
| 92551 | 0% | 43 | $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 officialESCOBAR, BLANCA (BILLING DIRECTOR)