Clinic
Sonoma Valley Community Health Center
Sonoma Valley Community Health Center was paid $42.45M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 57% of everything it billed.
33Billing provider infoSONOMA VALLEY COMMUNITY HEALTH CENTER
SONOMA, CA 95476
SONOMA, CA 95476
33aNPI1770669715assigned 10/31/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$42.45M
24GClaims411,879
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#84 of 826
Median peer was paid$4.05M
This provider vs. median10×
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 | 55,525 | $7.97M | |
| 2019 | 52,746 | $5.63M | |
| 2020 | 62,306 | $4.51M | |
| 2021 | 69,733 | $5.39M | |
| 2022 | 58,814 | $4.41M | |
| 2023 | 55,397 | $5.93M | |
| 2024incomplete | 57,358 | $8.62M |
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 | 57% | 110,398 | 91,875 | $24.32M |
| 00003 | Internal/system code - not a standard HCPCS code | 32% | 49,194 | 30,079 | $13.50M |
| G9012 | Other specified case management service not elsewhere classified | 7.3% | 11,477 | 7,589 | $3.12M |
| 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% | 61,375 | 39,166 | $299K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 18,575 | 12,791 | $159K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 1,773 | 1,081 | $135K |
| 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% | 29,996 | 20,827 | $111K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,861 | 2,035 | $102K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 7,877 | 3,885 | $93K |
| 98940 | <1% | 6,200 | 2,395 | $80K | |
| 90686 | <1% | 8,113 | 5,099 | $68K | |
| 90750 | <1% | 645 | 390 | $59K |
92 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15,630 | $43K |
| 59425 | <1% | 527 | $32K | |
| 90677 | <1% | 272 | $30K | |
| G9920 | Screening performed and negative | <1% | 1,909 | $28K |
| 97802 | <1% | 476 | $26K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 11,263 | $25K |
| 90651 | <1% | 768 | $22K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 577 | $21K |
| 90715 | <1% | 890 | $16K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,645 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,253 | $15K |
| 90688 | <1% | 1,031 | $12K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,782 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 858 | $10K |
| 90670 | <1% | 1,342 | $8K | |
| 90698 | <1% | 978 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,262 | $5K |
| 92551 | <1% | 11,601 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,229 | $4K |
| H0049 | Alcohol and/or drug screening | <1% | 387 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,081 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,157 | $4K |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | <1% | 207 | $3K |
| 90662 | <1% | 246 | $3K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 243 | $3K |
| 90734 | <1% | 363 | $3K | |
| 81025 | <1% | 1,662 | $3K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 204 | $3K |
| 99401 | <1% | 140 | $3K | |
| 90680 | <1% | 516 | $3K | |
| 83655 | <1% | 447 | $3K | |
| 90656 | <1% | 411 | $3K | |
| 96160 | <1% | 612 | $3K | |
| 99283 | Emergency room visit (moderate) | <1% | 3,438 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,512 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 279 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 464 | $2K |
| 90756 | <1% | 96 | $2K | |
| 90633 | <1% | 316 | $2K | |
| 90744 | <1% | 236 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 877 | $1K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 60 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 347 | $1K |
| J3490 | Unclassified drugs | <1% | 16 | $1K |
| 90661 | <1% | 69 | $1K | |
| 81002 | <1% | 3,352 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,055 | $911.29 |
| 97803 | <1% | 14 | $902.29 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 46 | $862.50 |
| 96156 | <1% | 44 | $765.39 | |
| 92015 | Determination of refractive state | <1% | 895 | $723.30 |
| 96127 | <1% | 214 | $260.69 | |
| 90653 | <1% | 20 | $255.96 | |
| 94150 | <1% | 33 | $183.81 | |
| 90648 | <1% | 30 | $171.00 | |
| 90700 | <1% | 30 | $162.00 | |
| 90685 | <1% | 17 | $153.00 | |
| 93000 | <1% | 69 | $152.21 | |
| 85018 | <1% | 2,435 | $143.18 | |
| 90619 | <1% | 22 | $126.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,731 | $124.88 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 20 | $68.60 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 19 | $62.88 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 659 | $54.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 211 | $49.06 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 361 | $48.93 |
| 11721 | <1% | 12 | $43.07 | |
| 90461 | <1% | 259 | $26.84 | |
| 86580 | <1% | 12 | $3.36 | |
| 82947 | <1% | 47 | $3.30 | |
| 94760 | <1% | 17 | $1.00 | |
| 99173 | 0% | 4,537 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 234 | $0.00 |
| 90785 | 0% | 149 | $0.00 | |
| Z6400 | 0% | 112 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 119 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 22 | $0.00 |
| 90473 | 0% | 24 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 19 | $0.00 |
| 2028F | 0% | 12 | $0.00 | |
| 92133 | 0% | 14 | $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% | 22 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 4,090 | $0.00 |
| Z1034 | 0% | 2,127 | $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% | 357 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 154 | $0.00 |
| Z6406 | 0% | 27 | $0.00 | |
| 90480 | 0% | 14 | $0.00 | |
| Z1038 | 0% | 12 | $0.00 | |
| 96380 | 0% | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 20 | $0.00 |
| 92250 | 0% | 15 | $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 officialJOHNSON, CHERYL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Care Express Transportation, INC. | Rehoboth, NM | $2.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.