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.
SEASIDE, CA 93955
Next to other Family Medicine Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 105,080 | $6.28M | |
| 2019 | 116,290 | $5.97M | |
| 2020 | 137,332 | $6.62M | |
| 2021 | 137,044 | $6.67M | |
| 2022 | 101,694 | $4.48M | |
| 2023 | 117,265 | $5.61M | |
| 2024incomplete | 115,401 | $5.58M |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| County of Monterey | Salinas, CA | $37.44M |
| County of Monterey | Salinas, CA | $31.98M |
| County of Monterey | Salinas, CA | $27.02M |
| County of Monterey | Salinas, CA | $22.62M |
| County of Monterey | Marina, CA | $5.45M |
| County of Monterey | Salinas, CA | $3.58M |
| County of Monterey | Salinas, CA | $634K |
| County of Monterey | Salinas, CA | $487K |
| County of Monterey | Salinas, CA | $169K |
| County of Monterey | Salinas, CA | $86K |
| County of Monterey | Seaside, CA | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.