Clinic
Southern Monterey County Memorial Hospital
Southern Monterey County Memorial Hospital was paid $30.29M by Medicaid between Jan 2018 and Dec 2024, across 103 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoSOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
KING CITY, CA 93930
KING CITY, CA 93930
33aNPI1811188188assigned 08/05/2007
33bProvider typeRural Health Clinic/Center
28Total paid$30.29M
24GClaims419,657
24DCodes billed103
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#10 of 215
Median peer was paid$3.62M
This provider vs. median8.4×
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 | 54,537 | $4.91M | |
| 2019 | 50,814 | $3.80M | |
| 2020 | 50,520 | $3.13M | |
| 2021 | 65,100 | $4.92M | |
| 2022 | 62,988 | $3.90M | |
| 2023 | 76,907 | $4.96M | |
| 2024incomplete | 58,791 | $4.67M |
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 | 81% | 123,171 | 102,976 | $24.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 84,990 | 55,612 | $1.45M |
| 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 | 2.3% | 26,167 | 17,685 | $706K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 25,959 | 18,763 | $427K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 7,777 | 5,128 | $357K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 6,865 | 4,585 | $355K |
| 59425 | 1.0% | 3,731 | 2,701 | $309K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,170 | 2,733 | $255K |
| 92551 | <1% | 20,183 | 13,629 | $245K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,959 | 1,347 | $174K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,986 | 2,757 | $168K |
| 90686 | <1% | 13,924 | 9,148 | $156K |
91 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,229 | $94K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,348 | $74K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,357 | $60K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 2,019 | $55K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 10,031 | $49K |
| 90648 | <1% | 4,116 | $45K | |
| G9920 | Screening performed and negative | <1% | 1,084 | $45K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 720 | $41K |
| 90670 | <1% | 3,424 | $41K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 454 | $36K |
| 20553 | <1% | 1,048 | $35K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 630 | $34K |
| 90651 | <1% | 1,853 | $30K | |
| 90723 | <1% | 2,624 | $29K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,179 | $28K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 8,557 | $26K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 481 | $22K |
| 90746 | <1% | 426 | $21K | |
| 90688 | <1% | 1,155 | $21K | |
| 90715 | <1% | 1,177 | $21K | |
| 85018 | <1% | 13,464 | $15K | |
| 99173 | <1% | 2,249 | $15K | |
| 90734 | <1% | 1,154 | $15K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,868 | $15K |
| 90633 | <1% | 1,294 | $14K | |
| 99188 | <1% | 1,112 | $14K | |
| 0071A | <1% | 195 | $10K | |
| 90681 | <1% | 933 | $10K | |
| 20610 | <1% | 280 | $10K | |
| 96158 | <1% | 420 | $9K | |
| 97803 | <1% | 377 | $9K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,252 | $9K |
| 81025 | <1% | 3,936 | $8K | |
| 99401 | <1% | 336 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 705 | $6K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,175 | $6K |
| 0072A | <1% | 106 | $6K | |
| 90674 | <1% | 297 | $5K | |
| 90677 | <1% | 657 | $5K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 66 | $5K |
| 90621 | <1% | 374 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 86 | $4K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 306 | $4K |
| J3490 | Unclassified drugs | <1% | 83 | $4K |
| 90685 | <1% | 172 | $3K | |
| 96151 | <1% | 119 | $3K | |
| 90710 | <1% | 189 | $3K | |
| 90707 | <1% | 143 | $3K | |
| 90750 | <1% | 23 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 800 | $2K |
| 92083 | <1% | 50 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,035 | $2K |
| 97802 | <1% | 14 | $2K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 12 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 324 | $1K |
| 90620 | <1% | 77 | $1K | |
| 90716 | <1% | 144 | $1K | |
| 99381 | <1% | 64 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12 | $974.75 |
| 90696 | <1% | 75 | $954.00 | |
| 90656 | <1% | 417 | $881.43 | |
| 0001A | <1% | 18 | $855.00 | |
| 81002 | <1% | 860 | $783.00 | |
| 99406 | <1% | 107 | $741.75 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 32 | $689.84 |
| 0002A | <1% | 16 | $667.00 | |
| 90700 | <1% | 55 | $612.00 | |
| 81003 | <1% | 214 | $469.21 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 236 | $311.24 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 14 | $235.48 |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 13 | $218.66 |
| 82962 | <1% | 68 | $95.23 | |
| 86580 | <1% | 14 | $88.20 | |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 70 | $58.75 |
| 88720 | <1% | 15 | $25.80 | |
| 96161 | <1% | 3,367 | $12.86 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 71 | $1.40 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 198 | $0.50 |
| Z1034 | 0% | 3,052 | $0.00 | |
| Z6410 | 0% | 1,510 | $0.00 | |
| Z6406 | 0% | 714 | $0.00 | |
| Z6204 | 0% | 413 | $0.00 | |
| Z1032 | 0% | 12 | $0.00 | |
| Z1038 | 0% | 14 | $0.00 | |
| G0010 | Administration of hepatitis b vaccine | 0% | 16 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 32 | $0.00 |
| Z6304 | 0% | 734 | $0.00 | |
| 99499 | 0% | 326 | $0.00 | |
| Z6400 | 0% | 234 | $0.00 | |
| 99442 | 0% | 15 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 28 | $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 officialBECK, WALTER (CEO)
Parent organizationSOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Southern Monterey County Memorial Hospital | Greenfield, CA | $17.20M |
| Southern Monterey County Memorial Hospital | King City, CA | $16.39M |
| Southern Monterey County Memorial Hospital | King City, CA | $2.95M |
| Southern Monterey County Memorial Hospital | King City, CA | $39K |
| Southern Monterey County Memorial Hospital | King City, CA | $36K |
| Southern Monterey County Memorial Hospital | Greenfield, CA | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.