Community Medical Centers INC
Community Medical Centers INC was paid $23.42M by Medicaid between Oct 2018 and Dec 2024, across 137 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
STOCKTON, CA 95210
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 | 3,694 | $170K | |
| 2019 | 82,165 | $3.29M | |
| 2020 | 115,314 | $3.62M | |
| 2021 | 128,413 | $3.71M | |
| 2022 | 125,209 | $2.97M | |
| 2023 | 134,808 | $4.65M | |
| 2024incomplete | 125,466 | $5.02M |
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 | 86% | 153,680 | 129,278 | $20.03M |
| 59425 | 1.5% | 4,855 | 3,537 | $350K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 111,608 | 64,699 | $335K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 3,732 | 2,420 | $284K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 31,701 | 21,190 | $273K |
| G9012 | Other specified case management service not elsewhere classified | 1.1% | 2,498 | 1,053 | $254K |
| 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 | 1.0% | 59,289 | 37,272 | $241K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 9,524 | 5,462 | $225K |
| 90746 | <1% | 3,683 | 2,763 | $193K | |
| 96127 | <1% | 44,990 | 26,345 | $117K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,830 | 2,231 | $111K |
| J3490 | Unclassified drugs | <1% | 2,416 | 1,687 | $94K |
125 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,680 | $81K |
| 97802 | <1% | 680 | $65K | |
| G0466 | Community health center visit, new patient | <1% | 2,299 | $58K |
| 90686 | <1% | 14,023 | $55K | |
| 90715 | <1% | 4,342 | $55K | |
| 0500F | <1% | 914 | $53K | |
| 11721 | <1% | 4,540 | $44K | |
| D1206 | Topical application of fluoride varnish | <1% | 4,325 | $42K |
| 0011A | <1% | 620 | $37K | |
| 59430 | <1% | 480 | $31K | |
| 97803 | <1% | 593 | $28K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,314 | $26K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 894 | $26K |
| 90651 | <1% | 2,743 | $23K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 5,092 | $19K |
| 99173 | <1% | 11,196 | $19K | |
| 81003 | <1% | 14,539 | $15K | |
| 0012A | <1% | 228 | $15K | |
| G0467 | Community health center visit, returning patient | <1% | 535 | $14K |
| 99401 | <1% | 834 | $14K | |
| 90677 | <1% | 855 | $14K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 6,353 | $13K |
| 96156 | <1% | 1,040 | $13K | |
| 90837 | Psychotherapy session, about an hour | <1% | 143 | $12K |
| 99188 | <1% | 1,412 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,426 | $10K |
| 0064A | <1% | 190 | $9K | |
| 99381 | <1% | 787 | $8K | |
| 81025 | <1% | 5,228 | $8K | |
| 90670 | <1% | 4,513 | $7K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 404 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,001 | $6K |
| 90707 | <1% | 1,255 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,476 | $5K |
| 11750 | <1% | 120 | $5K | |
| 90716 | <1% | 1,468 | $5K | |
| 97750 | <1% | 127 | $5K | |
| 99385 | <1% | 371 | $4K | |
| 90662 | <1% | 258 | $4K | |
| 11056 | <1% | 362 | $3K | |
| 90620 | <1% | 1,039 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,795 | $3K |
| 90632 | <1% | 74 | $3K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 946 | $2K |
| 20551 | <1% | 118 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,969 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 409 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,250 | $2K |
| 11730 | <1% | 133 | $2K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 123 | $2K |
| 99386 | <1% | 165 | $2K | |
| 0134A | <1% | 22 | $1K | |
| 92552 | <1% | 11,560 | $1K | |
| 11055 | <1% | 164 | $1K | |
| 86580 | <1% | 388 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 289 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 15 | $1K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 73 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,717 | $937.80 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 153 | $578.76 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 124 | $454.35 |
| 90734 | <1% | 1,126 | $262.26 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 27 | $247.50 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 41 | $247.23 |
| 99384 | <1% | 132 | $230.59 | |
| 87210 | <1% | 62 | $183.61 | |
| 3077F | <1% | 5,163 | $165.57 | |
| 99201 | <1% | 90 | $137.40 | |
| 82947 | <1% | 8,526 | $131.55 | |
| 88720 | <1% | 180 | $128.21 | |
| 90688 | <1% | 215 | $111.50 | |
| 90633 | <1% | 3,388 | $101.70 | |
| 85018 | <1% | 10,363 | $74.58 | |
| 99382 | <1% | 31 | $73.20 | |
| 90698 | <1% | 4,949 | $64.62 | |
| 96161 | <1% | 2,662 | $60.00 | |
| 3079F | <1% | 10,571 | $53.91 | |
| 88142 | <1% | 1,474 | $43.94 | |
| 3078F | <1% | 22,644 | $43.10 | |
| 3080F | <1% | 2,343 | $38.63 | |
| 90744 | <1% | 3,226 | $37.08 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 31 | $27.00 |
| 90685 | <1% | 191 | $18.54 | |
| 90710 | <1% | 551 | $9.00 | |
| 82962 | <1% | 55 | $1.80 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 1,368 | $0.00 |
| 2028F | 0% | 1,541 | $0.00 | |
| Z6300 | 0% | 411 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 558 | $0.00 |
| 96160 | 0% | 1,515 | $0.00 | |
| Z6400 | 0% | 1,287 | $0.00 | |
| Z6304 | 0% | 208 | $0.00 | |
| 90681 | 0% | 1,554 | $0.00 | |
| Z6414 | 0% | 12 | $0.00 | |
| Z6200 | 0% | 401 | $0.00 | |
| 0502F | 0% | 2,958 | $0.00 | |
| CMC19 | 0% | 107 | $0.00 | |
| 90700 | 0% | 84 | $0.00 | |
| 99442 | 0% | 12 | $0.00 | |
| 9003F | 0% | 28 | $0.00 | |
| Z6308 | 0% | 12 | $0.00 | |
| Z6208 | 0% | 12 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 4,851 | $0.00 |
| 3074F | 0% | 26,046 | $0.00 | |
| Z1032 | 0% | 757 | $0.00 | |
| Z1034 | 0% | 6,341 | $0.00 | |
| 3075F | 0% | 4,866 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 882 | $0.00 |
| 90619 | 0% | 695 | $0.00 | |
| Z6402 | 0% | 391 | $0.00 | |
| 99383 | 0% | 67 | $0.00 | |
| 90696 | 0% | 484 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 877 | $0.00 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 73 | $0.00 |
| 87490 | 0% | 737 | $0.00 | |
| 0503F | 0% | 317 | $0.00 | |
| Z6406 | 0% | 251 | $0.00 | |
| Z6204 | 0% | 277 | $0.00 | |
| Z1038 | 0% | 550 | $0.00 | |
| 91301 | 0% | 138 | $0.00 | |
| 92227 | 0% | 94 | $0.00 | |
| 90656 | 0% | 482 | $0.00 | |
| 87590 | 0% | 737 | $0.00 | |
| 96125 | 0% | 37 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 18 | $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 | 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 | 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.