Clinic
Sonora Community Hospital
Sonora Community Hospital was paid $371K by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 96365, Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour — 18% of everything it billed.
33Billing provider infoSONORA COMMUNITY HOSPITAL
SONORA, CA 95370
SONORA, CA 95370
33aNPI1891732418assigned 06/01/2006
33bProvider typeRadiation Oncology Clinic/Center
28Total paid$371K
24GClaims13,093
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Radiation Oncology Clinic/Center providers in California
Rank by total paid#6 of 9
Median peer was paid$482K
This provider vs. median0.8×
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 | 380 | $12K | |
| 2019 | 499 | $12K | |
| 2020 | 747 | $17K | |
| 2021 | 1,125 | $29K | |
| 2022 | 2,178 | $63K | |
| 2023 | 5,211 | $146K | |
| 2024incomplete | 2,953 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 18% | 1,075 | 605 | $67K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 18% | 1,418 | 1,305 | $67K |
| 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 | 13% | 1,137 | 1,020 | $49K |
| J3490 | Unclassified drugs | 8.2% | 567 | 179 | $31K |
| 0510 | 6.8% | 604 | 524 | $25K | |
| 0760 | 5.5% | 497 | 465 | $21K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 4.3% | 1,578 | 1,378 | $16K |
| G0378 | Hospital observation service, per hour | 3.7% | 371 | 298 | $14K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 3.6% | 513 | 333 | $13K |
| 99199 | Unlisted special service, procedure or report | 3.1% | 296 | 268 | $11K |
| 80053 | Comprehensive metabolic panel | 3.1% | 730 | 501 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 296 | 290 | $10K |
19 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 845 | $8K |
| J7050 | Infusion, normal saline solution, 250 cc | 1.8% | 1,414 | $7K |
| 99417 | Prolong home eval add 15m | 1.4% | 219 | $5K |
| J1756 | Injection, iron sucrose, 1 mg | 1.3% | 99 | $5K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.3% | 171 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 200 | $3K |
| 96367 | <1% | 15 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 25 | $1K |
| 82728 | <1% | 38 | $519.39 | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 19 | $373.26 |
| 84466 | <1% | 29 | $317.20 | |
| 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% | 24 | $299.52 |
| 96415 | <1% | 16 | $232.93 | |
| 83540 | <1% | 30 | $161.44 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 15 | $80.24 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 29 | $36.09 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 188 | $16.61 |
| 1159F | 0% | 400 | $0.00 | |
| 3008F | 0% | 235 | $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 officialMCCULLOCH, GREGORY (PRESIDENT)
Parent organizationSONORA COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Sonora Community Hospital | Sonora, CA | $41.36M |
| Sonora Community Hospital | Sonora, CA | $22.82M |
| Sonora Community Hospital | Sonora, CA | $723K |
| Sonora Community Hospital | Sonora, CA | $210K |
| Sonora Community Hospital | Groveland, CA | $120K |
| Sonora Community Hospital | Hanford, CA | $34K |
| Sonora Community Hospital | Sonora, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.