Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Larkspur › NPI 1912091018
Clinic

Marin Community Clinic

Marin Community Clinic was paid $74.84M by Medicaid between Jan 2018 and Dec 2024, across 166 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.

33Billing provider infoMARIN COMMUNITY CLINIC
LARKSPUR, CA 94939
33aNPI1912091018assigned 10/03/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$74.84M
24GClaims872,546
24DCodes billed166
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in California

Rank by total paid#41 of 826
Median peer was paid$4.05M
This provider vs. median18×

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$500K$1.0M$1.5M2018201920202021202220232024
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
201870,862$6.35M
2019114,346$11.15M
2020131,968$10.62M
2021162,018$13.64M
2022131,510$9.79M
2023137,382$11.65M
2024incomplete124,460$11.64M
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 71% 256,426 227,262 $53.29M
00003 Internal/system code - not a standard HCPCS code 21% 60,605 58,925 $15.96M
G9012 Other specified case management service not elsewhere classified 1.5% 3,049 2,726 $1.10M
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% 86,443 70,503 $471K
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% 168,288 138,325 $435K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 9,170 6,646 $281K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 21,128 13,233 $269K
98940 <1% 9,994 6,600 $206K
90750 <1% 1,242 1,160 $187K
H1001 Prenatal care, at-risk enhanced service; antepartum management <1% 2,586 1,783 $157K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 7,597 4,717 $152K
90688 <1% 9,091 8,632 $149K
154 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,457 $142K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 76,140 $128K
97810 <1% 7,933 $126K
90715 <1% 3,448 $91K
99215 Doctor's office visit, returning patient (complex) <1% 2,591 $89K
97811 <1% 4,879 $83K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 4,086 $78K
G9920 Screening performed and negative <1% 4,387 $77K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,554 $67K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 2,000 $65K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 3,216 $62K
90686 <1% 6,989 $61K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 5,246 $51K
90651 <1% 2,562 $50K
0012A <1% 1,027 $49K
0011A <1% 1,059 $47K
59425 <1% 711 $43K
90670 <1% 3,992 $40K
J3490 Unclassified drugs <1% 798 $40K
0001A <1% 813 $40K
0002A <1% 772 $38K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,881 $31K
H1011 Family assessment by licensed behavioral health professional for state defined purposes <1% 302 $28K
99203 Doctor's office visit, new patient (routine) <1% 1,944 $27K
90698 <1% 3,360 $26K
71046 Radiologic examination, chest; 2 views <1% 1,744 $25K
90744 <1% 2,804 $22K
90633 <1% 2,894 $21K
90716 <1% 1,446 $20K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 769 $20K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 4,132 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 7,355 $16K
90681 <1% 1,698 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 5,206 $15K
90662 <1% 247 $15K
90746 <1% 268 $15K
90837 Psychotherapy session, about an hour <1% 426 $15K
90707 <1% 1,130 $14K
90658 <1% 1,193 $14K
90743 <1% 282 $13K
90734 <1% 1,308 $13K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 32 $12K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,353 $12K
0072A <1% 220 $11K
59430 <1% 169 $10K
20610 <1% 192 $10K
0013A <1% 200 $10K
T1027 Family training and counseling for child development, per 15 minutes <1% 252 $10K
0071A <1% 192 $9K
90677 <1% 1,021 $9K
72100 <1% 551 $9K
81025 <1% 3,294 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 429 $8K
90847 Family psychotherapy with the patient present, 50 minutes <1% 225 $8K
0031A <1% 154 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 6,090 $7K
87428 <1% 111 $7K
H2016 Community support for mental illness or disability, billed per day <1% 17 $7K
90619 <1% 400 $6K
G9919 Screening performed and positive and provision of recommendations <1% 233 $6K
99460 <1% 130 $6K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,302 $6K
99238 Hospital discharge day management, 30 minutes or less <1% 217 $6K
92551 <1% 9,082 $6K
90696 <1% 655 $5K
90710 <1% 661 $5K
90700 <1% 687 $5K
97803 <1% 254 $5K
H1003 Prenatal care, at-risk enhanced service; education <1% 430 $5K
99462 <1% 224 $5K
99401 <1% 495 $5K
58300 <1% 38 $5K
80305 <1% 556 $5K
11976 <1% 76 $5K
0053A <1% 77 $4K
90647 <1% 535 $4K
99204 Doctor's office visit, new patient (more involved) <1% 280 $4K
S5000 Prescription drug, generic <1% 477 $4K
0003A <1% 78 $4K
97802 <1% 82 $4K
96156 <1% 370 $4K
90685 <1% 298 $3K
96127 <1% 670 $3K
11981 <1% 16 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 409 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 19 $3K
0064A <1% 44 $3K
11102 <1% 41 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 344 $3K
73562 <1% 166 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 194 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,898 $2K
99242 <1% 76 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 59 $2K
H0049 Alcohol and/or drug screening <1% 80 $2K
11982 <1% 17 $2K
72040 <1% 127 $2K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 154 $2K
99283 Emergency room visit (moderate) <1% 5,101 $2K
S4993 Contraceptive pills for birth control <1% 25 $2K
73560 <1% 118 $1K
H2015 Community support for mental illness or disability, per 15 minutes <1% 76 $1K
90656 <1% 623 $1K
0081A <1% 21 $1K
90480 <1% 192 $1K
A4267 Contraceptive supply, condom, male, each <1% 94 $927.87
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 18 $923.58
81002 <1% 716 $904.30
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 190 $896.04
81003 <1% 517 $884.15
0082A <1% 14 $840.00
90713 <1% 87 $783.00
0073A <1% 13 $780.00
73030 <1% 52 $728.94
73630 <1% 48 $710.25
H2000 Comprehensive multidisciplinary evaluation <1% 84 $706.44
93000 <1% 162 $597.40
99381 <1% 75 $589.29
97804 <1% 42 $584.22
83036 Hemoglobin; glycosylated (A1C) <1% 806 $532.58
83986 <1% 217 $495.99
87210 <1% 173 $386.62
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 2,143 $372.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 54 $324.62
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 647 $293.51
82962 <1% 1,844 $291.83
90691 <1% 13 $247.34
85018 <1% 1,661 $215.82
69210 <1% 50 $213.71
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 12 $198.00
85610 <1% 45 $156.51
90682 <1% 12 $154.00
S0197 Prenatal vitamins, 30-day supply <1% 109 $133.44
90672 <1% 150 $90.96
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 71 $67.20
86580 <1% 155 $50.40
90660 <1% 44 $0.17
Z1034 0% 2,608 $0.00
Z6410 0% 163 $0.00
36416 0% 164 $0.00
Z6406 0% 525 $0.00
Z6204 0% 99 $0.00
Z1032 0% 24 $0.00
G0008 Administration of influenza virus vaccine 0% 44 $0.00
0134A 0% 30 $0.00
Z1038 0% 12 $0.00
92015 Determination of refractive state 0% 130 $0.00
91313 0% 62 $0.00
99173 0% 1,886 $0.00
Z6400 0% 741 $0.00
Z6414 0% 207 $0.00
Z6304 0% 128 $0.00
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 0% 57 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 71 $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 officialUDALL, DEBORAH (DIRECTOR OF PATIENT ACCOUNTS)