Clinic
Sea Breeze Health Center INC
Sea Breeze Health Center INC was paid $45K by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoSEA BREEZE HEALTH CENTER INC
WILMINGTON, CA 90744
WILMINGTON, CA 90744
33aNPI1750541322assigned 06/16/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$45K
24GClaims38,559
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#185 of 422
Median peer was paid$25K
This provider vs. median1.8×
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 | 1,343 | $5K | |
| 2019 | 2,617 | $11K | |
| 2020 | 5,821 | $13K | |
| 2021 | 7,180 | $6K | |
| 2022 | 9,233 | $5K | |
| 2023 | 6,457 | $3K | |
| 2024incomplete | 5,908 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 6,413 | 5,910 | $11K |
| 96156 | 18% | 2,289 | 2,282 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 814 | 814 | $5K |
| 92552 | 7.3% | 2,038 | 2,035 | $3K | |
| 90686 | 6.5% | 704 | 704 | $3K | |
| 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 | 5.8% | 962 | 920 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 523 | 523 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 2,054 | 1,962 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.5% | 2,919 | 1,818 | $2K |
| 90651 | 2.8% | 135 | 134 | $1K | |
| 85018 | 2.7% | 2,577 | 2,565 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 81 | 80 | $1K |
35 more codes
| 81000 | 1.1% | 1,827 | $507.06 | |
| 92551 | <1% | 39 | $398.50 | |
| 90734 | <1% | 84 | $297.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 134 | $269.50 |
| 99173 | <1% | 851 | $224.45 | |
| 92081 | <1% | 893 | $208.70 | |
| 90715 | <1% | 30 | $135.00 | |
| 81002 | <1% | 191 | $105.78 | |
| 87110 | <1% | 16 | $86.25 | |
| 90461 | <1% | 234 | $64.64 | |
| 99000 | <1% | 64 | $42.80 | |
| G9920 | Screening performed and negative | <1% | 1,700 | $31.06 |
| 82947 | <1% | 26 | $24.18 | |
| 82465 | <1% | 16 | $10.94 | |
| 4037F | <1% | 647 | $9.30 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 155 | $4.38 |
| 3008F | <1% | 2,448 | $1.80 | |
| 4245F | <1% | 2,438 | $1.80 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,408 | $1.50 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 44 | $0.01 |
| 1220F | 0% | 921 | $0.00 | |
| 96161 | 0% | 468 | $0.00 | |
| 3044F | 0% | 279 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 13 | $0.00 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 116 | $0.00 |
| 99441 | 0% | 43 | $0.00 | |
| 3048F | 0% | 68 | $0.00 | |
| 1038F | 0% | 13 | $0.00 | |
| 90620 | 0% | 15 | $0.00 | |
| 4140F | 0% | 13 | $0.00 | |
| 4035F | 0% | 541 | $0.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 161 | $0.00 |
| 96160 | 0% | 1,126 | $0.00 | |
| 4025F | 0% | 13 | $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 officialGARCIA, GAYDA (MEDICAL DOCTOR)