Clinic
City of Berkeley
City of Berkeley was paid $451K by Medicaid between Jan 2018 and May 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoCITY OF BERKELEY
BERKELEY, CA 94704
BERKELEY, CA 94704
33aNPI1902944796assigned 02/02/2007
33bProvider typeAmbulatory Family Planning Facility
28Total paid$451K
24GClaims5,730
24DCodes billed16
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in California
Rank by total paid#6 of 13
Median peer was paid$402K
This provider vs. median1.1×
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 | 3,039 | $237K | |
| 2019 | 1,364 | $103K | |
| 2020 | 126 | $9K | |
| 2021 | 95 | $4K | |
| 2022 | 205 | $20K | |
| 2023 | 515 | $45K | |
| 2024incomplete | 386 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 1,911 | 1,672 | $240K |
| 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 | 23% | 519 | 421 | $102K |
| 99403 | 6.1% | 618 | 546 | $27K | |
| J3490 | Unclassified drugs | 5.4% | 602 | 522 | $24K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.4% | 86 | 86 | $15K |
| S4993 | Contraceptive pills for birth control | 2.9% | 369 | 367 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 109 | 109 | $10K |
| 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 | 2.1% | 25 | 25 | $10K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 302 | 302 | $4K |
| 99000 | <1% | 522 | 521 | $2K | |
| S5000 | Prescription drug, generic | <1% | 189 | 155 | $805.61 |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 151 | 140 | $422.50 |
4 more codes
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 officialERLANK, LARA (CLINIC MANAGER)
Parent organizationCITY OF BERKELEY