Clinic
Pioneers Memorial Healthcare District
Pioneers Memorial Healthcare District was paid $27.93M by Medicaid between Jan 2018 and Nov 2024, across 115 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoPIONEERS MEMORIAL HEALTHCARE DISTRICT
BRAWLEY, CA 92227
BRAWLEY, CA 92227
33aNPI1720401607assigned 01/28/2014
33bProvider typeRural Health Clinic/Center
28Total paid$27.93M
24GClaims471,682
24DCodes billed115
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#12 of 215
Median peer was paid$3.62M
This provider vs. median7.7×
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 | 50,868 | $4.33M | |
| 2019 | 58,622 | $3.73M | |
| 2020 | 72,698 | $4.06M | |
| 2021 | 85,650 | $4.62M | |
| 2022 | 83,009 | $4.04M | |
| 2023 | 91,552 | $4.80M | |
| 2024incomplete | 29,283 | $2.35M |
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 | 77% | 111,543 | 92,834 | $21.49M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 123,576 | 103,751 | $1.86M |
| 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 | 5.5% | 9,916 | 8,153 | $1.52M |
| 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 | 1.4% | 18,367 | 16,845 | $380K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 28,470 | 24,560 | $373K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.0% | 5,453 | 5,043 | $293K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 4,183 | 2,647 | $253K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 1,364 | 1,317 | $235K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 21,467 | 17,573 | $221K |
| 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% | 3,828 | 3,814 | $142K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 1,668 | 1,627 | $91K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,642 | 3,632 | $86K |
103 more codes
| G0466 | Community health center visit, new patient | <1% | 474 | $77K |
| 59425 | <1% | 1,195 | $55K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,642 | $49K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,044 | $48K |
| 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% | 2,211 | $48K |
| J3490 | Unclassified drugs | <1% | 3,203 | $45K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 13,177 | $44K |
| 87486 | <1% | 2,104 | $40K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 615 | $39K |
| 87581 | <1% | 2,104 | $39K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,082 | $39K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,251 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,061 | $28K |
| 90686 | <1% | 1,635 | $23K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,180 | $20K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 4,348 | $19K |
| 99000 | <1% | 10,088 | $18K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 144 | $18K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,890 | $17K |
| 82948 | <1% | 12,166 | $17K | |
| 81003 | <1% | 19,596 | $17K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 385 | $16K |
| 80053 | Comprehensive metabolic panel | <1% | 2,672 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 466 | $14K |
| 80061 | Lipid panel | <1% | 1,915 | $14K |
| 59430 | <1% | 217 | $13K | |
| 99188 | <1% | 1,607 | $13K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 962 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 371 | $12K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,684 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,809 | $10K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,558 | $9K |
| 92552 | <1% | 1,175 | $9K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 268 | $9K |
| 84480 | <1% | 1,190 | $9K | |
| 81025 | <1% | 4,721 | $9K | |
| 84439 | <1% | 1,644 | $8K | |
| 51798 | <1% | 1,049 | $8K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,200 | $6K |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 1,210 | $5K |
| 86580 | <1% | 2,749 | $5K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,075 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 230 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 405 | $4K |
| 87428 | <1% | 67 | $4K | |
| 82607 | <1% | 530 | $3K | |
| 83655 | <1% | 628 | $3K | |
| 99243 | <1% | 38 | $2K | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 260 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 285 | $2K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 68 | $2K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 27 | $2K |
| 99173 | <1% | 1,209 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 129 | $2K |
| 99381 | <1% | 63 | $1K | |
| 20610 | <1% | 98 | $1K | |
| 0259 | <1% | 103 | $986.51 | |
| 85018 | <1% | 813 | $927.13 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 179 | $926.82 |
| 85014 | <1% | 645 | $681.01 | |
| 81001 | <1% | 154 | $651.64 | |
| 0250 | <1% | 66 | $624.33 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 137 | $605.73 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 109 | $586.97 |
| 81000 | <1% | 307 | $503.85 | |
| 82728 | <1% | 70 | $473.34 | |
| 86738 | <1% | 39 | $431.40 | |
| 20550 | <1% | 26 | $309.09 | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 54 | $269.18 |
| 87186 | <1% | 26 | $159.05 | |
| 87077 | <1% | 14 | $67.92 | |
| 3008F | <1% | 654 | $50.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 159 | $22.26 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 256 | $4.46 |
| 3077F | 0% | 282 | $0.00 | |
| 1159F | 0% | 733 | $0.00 | |
| 99442 | 0% | 188 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 3,267 | $0.00 |
| 90461 | 0% | 1,824 | $0.00 | |
| 82652 | 0% | 39 | $0.00 | |
| 1160F | 0% | 726 | $0.00 | |
| 3078F | 0% | 724 | $0.00 | |
| 1033F | 0% | 182 | $0.00 | |
| 4145F | 0% | 118 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 16 | $0.00 |
| 4013F | 0% | 197 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,259 | $0.00 |
| Z1034 | 0% | 4,977 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 116 | $0.00 |
| Z1038 | 0% | 81 | $0.00 | |
| 3074F | 0% | 470 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 14 | $0.00 |
| 3075F | 0% | 189 | $0.00 | |
| Z1032 | 0% | 79 | $0.00 | |
| 4010F | 0% | 180 | $0.00 | |
| 3079F | 0% | 213 | $0.00 | |
| 4086F | 0% | 55 | $0.00 | |
| X6218 | 0% | 34 | $0.00 | |
| 3080F | 0% | 39 | $0.00 | |
| 3044F | 0% | 60 | $0.00 | |
| 4008F | 0% | 116 | $0.00 | |
| 3048F | 0% | 18 | $0.00 | |
| 99443 | 0% | 24 | $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 officialCAMPBELL, STEPHEN (CHIEF OPERATION OFFICER &COO)
Parent organizationPIONEERS MEMORIAL HEALTHCARE DISTRICT
| Provider | Location | Paid |
|---|---|---|
| Caring Transportation LLC | Axton, VA | $399K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.