Clinic
Marin Community Clinic
Marin Community Clinic was paid $6.28M by Medicaid between Jan 2018 and Oct 2024, across 67 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoMARIN COMMUNITY CLINIC
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
33aNPI1922303437assigned 01/13/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.28M
24GClaims70,663
24DCodes billed67
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#362 of 826
Median peer was paid$4.05M
This provider vs. median1.6×
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 | 45,898 | $5.37M | |
| 2019 | 1,446 | $115K | |
| 2020 | 1,518 | $57K | |
| 2021 | 2,815 | $99K | |
| 2022 | 6,385 | $229K | |
| 2023 | 12,198 | $345K | |
| 2024incomplete | 403 | $67K |
Box 24 · Service lines
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 | 79% | 23,742 | 20,716 | $4.96M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 13,023 | 11,023 | $304K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.4% | 2,740 | 2,608 | $153K |
| G9012 | Other specified case management service not elsewhere classified | 2.4% | 455 | 416 | $150K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 2.0% | 2,067 | 1,378 | $126K |
| J3490 | Unclassified drugs | 1.9% | 1,874 | 1,569 | $117K |
| 59425 | 1.3% | 1,159 | 842 | $81K | |
| 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% | 2,817 | 2,581 | $50K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,987 | 1,625 | $28K |
| 90686 | <1% | 1,106 | 897 | $21K | |
| 59430 | <1% | 327 | 242 | $20K | |
| 90715 | <1% | 654 | 553 | $19K |
55 more codes
| 97803 | <1% | 690 | $17K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 864 | $17K |
| 99401 | <1% | 1,235 | $16K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 467 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 704 | $15K |
| S4993 | Contraceptive pills for birth control | <1% | 155 | $13K |
| H1000 | Prenatal care, at-risk assessment | <1% | 98 | $12K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 77 | $10K |
| 90688 | <1% | 708 | $10K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 788 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 144 | $9K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 694 | $9K |
| 97810 | <1% | 335 | $8K | |
| 97811 | <1% | 332 | $8K | |
| 90651 | <1% | 222 | $7K | |
| 81025 | <1% | 2,254 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 321 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 265 | $6K |
| 90670 | <1% | 717 | $5K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 12 | $5K |
| 96156 | <1% | 378 | $4K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 409 | $4K |
| 97802 | <1% | 125 | $4K | |
| 90633 | <1% | 586 | $4K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 357 | $4K |
| 90698 | <1% | 541 | $4K | |
| 90744 | <1% | 518 | $4K | |
| 90691 | <1% | 88 | $3K | |
| 90716 | <1% | 262 | $3K | |
| 90707 | <1% | 161 | $3K | |
| 90685 | <1% | 251 | $2K | |
| 90681 | <1% | 213 | $2K | |
| 99403 | <1% | 141 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 45 | $1K |
| 90743 | <1% | 22 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 125 | $1K |
| 90700 | <1% | 100 | $783.13 | |
| 90656 | <1% | 36 | $698.00 | |
| 90713 | <1% | 53 | $644.25 | |
| 99402 | <1% | 22 | $599.15 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $572.00 |
| 90619 | <1% | 42 | $552.51 | |
| 99283 | Emergency room visit (moderate) | <1% | 2,222 | $426.50 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $346.43 |
| 90734 | <1% | 38 | $342.00 | |
| 92551 | <1% | 410 | $234.60 | |
| 96151 | <1% | 22 | $185.02 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 20 | $168.20 |
| 96127 | <1% | 28 | $134.68 | |
| 86580 | <1% | 117 | $114.24 | |
| 90647 | <1% | 12 | $108.00 | |
| 85018 | <1% | 117 | $86.11 | |
| 81002 | <1% | 69 | $83.85 | |
| 81003 | <1% | 17 | $36.27 | |
| 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% | 44 | $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 officialSHIPP, BRENDA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Marin Community Clinic | San Rafael, CA | $109.98M |
| Marin Community Clinic | San Rafael, CA | $3.56M |
| Marin Community Clinic | Novato, CA | $2.19M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.