Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Hesperia › NPI 1861858904
Clinic

Impact Care Access Network INC

Impact Care Access Network INC was paid $1.17M by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 34% of everything it billed.

33Billing provider infoIMPACT CARE ACCESS NETWORK INC
HESPERIA, CA 92345
33aNPI1861858904assigned 01/05/2016
28Total paid$1.17M
24GClaims75,077
24DCodes billed53
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in California

Rank by total paid#76 of 284
Median peer was paid$147K
This provider vs. median7.9×

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$20K$40K2018201920202021202220232024
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
20189,360$290K
201911,715$249K
20209,233$133K
20216,765$95K
202212,053$120K
202313,784$133K
2024incomplete12,167$151K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 34% 7,435 7,419 $398K
S9083 Global fee urgent care centers 30% 5,935 5,476 $349K
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 24% 10,565 9,920 $279K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.5% 5,470 5,166 $100K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.1% 539 517 $37K
94760 <1% 5,177 4,896 $3K
97802 <1% 284 275 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 14 12 $509.43
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 42 40 $453.42
G0444 Annual depression screening, 5 to 15 minutes <1% 279 267 $390.00
99386 <1% 14 14 $264.40
99408 <1% 313 304 $250.00
41 more codes
99385 <1% 13 $188.70
92551 <1% 39 $159.28
H0049 Alcohol and/or drug screening <1% 570 $144.00
81003 <1% 475 $136.61
99000 <1% 359 $134.15
1036F <1% 237 $125.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 154 $119.70
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 13 $108.80
85018 <1% 214 $62.46
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 104 $50.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 114 $37.31
99173 <1% 529 $32.03
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 15 $21.88
87430 <1% 48 $16.20
99406 <1% 92 $11.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 554 $6.51
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 41 $4.95
3008F <1% 5,504 $0.14
1159F <1% 4,030 $0.10
2010F <1% 4,615 $0.07
1160F <1% 3,827 $0.07
4004F <1% 3,701 $0.06
1126F <1% 2,255 $0.05
1125F <1% 831 $0.03
3074F <1% 2,451 $0.01
1220F <1% 2,342 $0.01
3078F <1% 1,970 $0.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 13 $0.00
1111F 0% 2,315 $0.00
3075F 0% 192 $0.00
3079F 0% 737 $0.00
81005 0% 13 $0.00
3080F 0% 92 $0.00
1170F 0% 37 $0.00
36415 Collection of venous blood by venipuncture 0% 14 $0.00
3077F 0% 254 $0.00
99401 0% 80 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 95 $0.00
1158F 0% 27 $0.00
97803 0% 16 $0.00
3725F 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 officialKOUROS, PHILIP (MEDICAL DOCTOR)