Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Seaside › NPI 1881645158
Physician

County of Monterey

County of Monterey was paid $41.21M by Medicaid between Jan 2018 and Dec 2024, across 138 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.

33Billing provider infoCOUNTY OF MONTEREY
SEASIDE, CA 93955
33aNPI1881645158assigned 05/12/2006
28Total paid$41.21M
24GClaims830,106
24DCodes billed138
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#8 of 2,511
Median peer was paid$13K
This provider vs. median3,208×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official EDGCOMB, JULIA controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
2018105,080$6.28M
2019116,290$5.97M
2020137,332$6.62M
2021137,044$6.67M
2022101,694$4.48M
2023117,265$5.61M
2024incomplete115,401$5.58M
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 78% 247,247 213,988 $32.26M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.0% 12,576 12,543 $818K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.0% 15,401 15,335 $808K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 213,007 187,007 $739K
59425 1.7% 8,403 5,083 $717K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.5% 12,853 12,475 $608K
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 1.2% 31,006 29,518 $487K
92551 1.1% 21,081 20,942 $451K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 8,782 8,482 $370K
90686 <1% 16,542 16,347 $272K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,923 1,906 $251K
G9920 Screening performed and negative <1% 5,447 5,445 $233K
126 more codes
90739 <1% 1,763 $215K
90677 <1% 1,234 $191K
99215 Doctor's office visit, returning patient (complex) <1% 1,020 $158K
90651 <1% 4,331 $158K
90750 <1% 939 $152K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 55,288 $146K
99173 <1% 20,657 $132K
90715 <1% 4,478 $120K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,216 $108K
90670 <1% 5,165 $103K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 4,088 $100K
98960 <1% 1,984 $80K
H1003 Prenatal care, at-risk enhanced service; education <1% 5,142 $77K
0011A <1% 1,021 $68K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,286 $68K
85018 <1% 27,846 $62K
90648 <1% 4,634 $62K
0012A <1% 924 $62K
0001A <1% 890 $60K
90716 <1% 2,333 $56K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,823 $56K
90633 <1% 3,861 $52K
90723 <1% 3,148 $42K
99203 Doctor's office visit, new patient (routine) <1% 1,784 $42K
90688 <1% 2,125 $42K
90680 <1% 3,034 $41K
90734 <1% 2,778 $41K
J3490 Unclassified drugs <1% 543 $39K
90620 <1% 1,585 $38K
90707 <1% 2,035 $36K
0002A <1% 509 $34K
90746 <1% 461 $33K
99401 <1% 1,431 $25K
99205 Prolong outpt/office vis <1% 265 $24K
90710 <1% 1,788 $24K
90662 <1% 357 $24K
90700 <1% 1,632 $23K
90696 <1% 1,595 $21K
90732 <1% 186 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 438 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,382 $17K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 1,384 $16K
H0049 Alcohol and/or drug screening <1% 442 $16K
99188 <1% 691 $16K
90673 <1% 244 $15K
81025 <1% 4,508 $15K
96156 <1% 739 $14K
90656 <1% 795 $14K
90697 <1% 1,000 $13K
83655 <1% 951 $13K
90682 <1% 184 $12K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 634 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,265 $12K
81002 <1% 5,896 $11K
83036 Hemoglobin; glycosylated (A1C) <1% 1,239 $11K
90658 <1% 431 $11K
90619 <1% 648 $10K
99000 <1% 2,630 $10K
0124A <1% 136 $9K
86580 <1% 1,220 $7K
98940 <1% 492 $6K
99381 <1% 55 $5K
97802 <1% 207 $5K
0072A <1% 71 $5K
90685 <1% 270 $5K
90681 <1% 383 $5K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 233 $5K
88720 <1% 1,088 $4K
0004A <1% 60 $4K
91320 <1% 63 $4K
97803 <1% 348 $4K
0134A <1% 56 $4K
0071A <1% 49 $3K
96158 <1% 272 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 84 $3K
0031A <1% 36 $2K
0054A <1% 35 $2K
0082A <1% 31 $2K
0064A <1% 28 $2K
82947 <1% 512 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 78 $2K
0081A <1% 27 $2K
99382 <1% 16 $2K
90756 <1% 67 $1K
90671 <1% 100 $1K
59430 <1% 13 $1K
90713 <1% 88 $1K
0074A <1% 17 $1K
0154A <1% 16 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 761 $1K
99490 Ccm add 20min <1% 57 $925.87
99204 Doctor's office visit, new patient (more involved) <1% 75 $620.10
S9452 Nutrition classes, non-physician provider, per session <1% 42 $500.57
90480 <1% 12 $480.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 13 $390.00
90744 <1% 28 $378.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 64 $368.36
96151 <1% 25 $327.50
96150 <1% 12 $315.06
90381 <1% 18 $229.50
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 125 $208.73
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 33 $192.30
81003 <1% 59 $120.00
93000 <1% 14 $101.76
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 6,810 $101.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 17 $100.09
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only <1% 406 $94.01
69210 <1% 26 $55.79
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 113 $13.77
Z1034 0% 7,034 $0.00
Z6410 0% 2,556 $0.00
99443 0% 31 $0.00
Z6204 0% 239 $0.00
Z6406 0% 269 $0.00
Z6402 0% 252 $0.00
99441 0% 26 $0.00
Z1032 0% 13 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 12 $0.00
Z6308 0% 26 $0.00
Z6300 0% 226 $0.00
Z6400 0% 824 $0.00
Z6200 0% 168 $0.00
Z6304 0% 214 $0.00
Z6208 0% 52 $0.00
99442 0% 222 $0.00
Z6414 0% 133 $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 officialEDGCOMB, JULIA (DIRECTOR/COO CLINIC SERVICES DIV.)
Parent organizationMONTEREY COUNTY HEALTH DEPARTMENT
Same official

Other billing entities under EDGCOMB, JULIA

Full network →
ProviderLocationPaid
County of MontereySalinas, CA$37.44M
County of MontereySalinas, CA$31.98M
County of MontereySalinas, CA$27.02M
County of MontereySalinas, CA$22.62M
County of MontereyMarina, CA$5.45M
County of MontereySalinas, CA$3.58M
County of MontereySalinas, CA$634K
County of MontereySalinas, CA$487K
County of MontereySalinas, CA$169K
County of MontereySalinas, CA$86K
County of MontereySeaside, CA$81K

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