Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mendocino Community Health Clinic, INC.

Mendocino Community Health Clinic, INC. was paid $23.72M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 51% of everything it billed.

33Billing provider infoMENDOCINO COMMUNITY HEALTH CLINIC, INC.
LAKEPORT, CA 95453
33aNPI1770516304assigned 07/08/2006
33bProvider typeClinic/Center
28Total paid$23.72M
24GClaims235,817
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in California

Rank by total paid#24 of 504
Median peer was paid$102K
This provider vs. median233×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201841,043$4.52M
201941,376$4.30M
202036,076$2.79M
202131,945$3.08M
202221,968$2.39M
202332,190$3.31M
2024incomplete31,219$3.34M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 51% 73,257 62,155 $12.16M
00003 Internal/system code - not a standard HCPCS code 47% 46,536 29,782 $11.07M
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% 46,244 31,610 $192K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 7,036 3,670 $70K
98940 <1% 5,877 2,931 $68K
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% 11,779 8,659 $26K
H1001 Prenatal care, at-risk enhanced service; antepartum management <1% 405 269 $24K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 1,770 705 $17K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 589 478 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 7,500 5,561 $10K
90677 <1% 86 55 $8K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 303 167 $7K
52 more codes
83036 Hemoglobin; glycosylated (A1C) <1% 1,164 $6K
90688 <1% 418 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,045 $4K
G0467 Community health center visit, returning patient <1% 4,974 $3K
90746 <1% 67 $3K
99188 <1% 450 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 65 $3K
90472 Immunization administration, each additional vaccine (list separately) <1% 627 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 752 $2K
59425 <1% 33 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 597 $2K
90686 <1% 279 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 214 $2K
83655 <1% 264 $1K
90674 <1% 49 $1K
92250 <1% 30 $1K
81025 <1% 379 $1K
99283 Emergency room visit (moderate) <1% 12,942 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 194 $925.73
Q3014 Telehealth originating site facility fee <1% 31 $900.00
96127 <1% 363 $889.85
90658 <1% 67 $851.40
90715 <1% 53 $801.42
81002 <1% 544 $761.60
92551 <1% 1,063 $720.21
99215 Doctor's office visit, returning patient (complex) <1% 442 $686.40
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 260 $603.13
96160 <1% 230 $540.54
99203 Doctor's office visit, new patient (routine) <1% 101 $509.55
90651 <1% 137 $486.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 135 $408.14
90656 <1% 85 $387.00
85018 <1% 3,092 $373.63
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 33 $243.75
90619 <1% 43 $144.00
90480 <1% 28 $120.00
90698 <1% 13 $117.00
90670 <1% 12 $108.00
82962 <1% 67 $66.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 115 $62.37
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 22 $43.26
90633 <1% 28 $36.00
T1014 Telehealth transmission, per minute, professional services bill separately <1% 31 $7.20
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 0% 752 $0.00
Z1034 0% 237 $0.00
99174 0% 26 $0.00
G0008 Administration of influenza virus vaccine 0% 15 $0.00
99173 0% 486 $0.00
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 0% 341 $0.00
91320 0% 14 $0.00
G0466 Community health center visit, new patient 0% 12 $0.00
90662 0% 14 $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 officialDOLAN, TIM (CFO)
Same official

Other billing entities under DOLAN, TIM

Full network →
ProviderLocationPaid
Mendocino Community Health Clinic, INC.Willits, CA$16.79M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.