Clinic
Wilmington Community Clinic
Wilmington Community Clinic was paid $13.98M by Medicaid between Jan 2018 and Dec 2024, across 157 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoWILMINGTON COMMUNITY CLINIC
WILMINGTON, CA 90744
WILMINGTON, CA 90744
33aNPI1932194586assigned 09/20/2005
33bProvider typePrimary Care Clinic/Center
28Total paid$13.98M
24GClaims417,855
24DCodes billed157
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#10 of 422
Median peer was paid$25K
This provider vs. median569×
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 | 16,694 | $1.74M | |
| 2019 | 27,521 | $1.84M | |
| 2020 | 61,924 | $2.65M | |
| 2021 | 56,397 | $2.64M | |
| 2022 | 49,199 | $1.84M | |
| 2023 | 74,258 | $1.99M | |
| 2024incomplete | 131,862 | $1.27M |
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 | 87% | 91,311 | 77,006 | $12.16M |
| 00003 | Internal/system code - not a standard HCPCS code | 11% | 9,045 | 6,875 | $1.48M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 58,159 | 35,247 | $228K |
| 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% | 4,387 | 2,936 | $51K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,467 | 1,104 | $14K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 398 | 213 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18,718 | 11,271 | $11K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,314 | 995 | $9K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 63 | 41 | $2K |
| 0013A | <1% | 78 | 66 | $1K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 50 | 42 | $1K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 48 | 23 | $1K |
145 more codes
| 81025 | <1% | 1,681 | $964.54 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,010 | $883.53 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 527 | $870.00 |
| J3490 | Unclassified drugs | <1% | 45 | $600.00 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 1,203 | $512.59 |
| D1110 | Prophylaxis - adult | <1% | 184 | $430.50 |
| 0001A | <1% | 53 | $418.94 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 138 | $337.95 |
| 0012A | <1% | 84 | $268.00 | |
| 0011A | <1% | 128 | $217.94 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 110 | $202.65 |
| D1206 | Topical application of fluoride varnish | <1% | 370 | $159.00 |
| D0120 | Dental checkup, returning patient | <1% | 240 | $104.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,915 | $96.53 |
| 0002A | <1% | 29 | $67.00 | |
| 92081 | <1% | 5,335 | $60.00 | |
| 85018 | <1% | 6,505 | $60.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,717 | $49.07 |
| 92551 | <1% | 4,971 | $43.02 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 68 | $43.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,719 | $41.42 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 857 | $35.26 |
| D0274 | Bitewings - four radiographic images | <1% | 313 | $34.20 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 407 | $27.00 |
| 1158F | <1% | 814 | $24.00 | |
| 3351F | <1% | 38,422 | $24.00 | |
| 99442 | <1% | 9,684 | $18.67 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 880 | $12.72 |
| 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% | 2,261 | $10.57 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 195 | $8.55 |
| 81000 | <1% | 4,231 | $7.71 | |
| 82962 | <1% | 193 | $1.98 | |
| 1160F | 0% | 8,085 | $0.00 | |
| 3015F | 0% | 481 | $0.00 | |
| 3077F | 0% | 2,315 | $0.00 | |
| 2026F | 0% | 1,270 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,208 | $0.00 |
| 3078F | 0% | 12,677 | $0.00 | |
| 1159F | 0% | 8,086 | $0.00 | |
| 91300 | 0% | 96 | $0.00 | |
| 4040F | 0% | 389 | $0.00 | |
| 0502F | 0% | 599 | $0.00 | |
| 4274F | 0% | 3,326 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 416 | $0.00 |
| 4004F | 0% | 585 | $0.00 | |
| 90734 | 0% | 497 | $0.00 | |
| 99401 | 0% | 34 | $0.00 | |
| 3725F | 0% | 209 | $0.00 | |
| 90670 | 0% | 843 | $0.00 | |
| 90633 | 0% | 947 | $0.00 | |
| H0031 | Mental health assessment, by non-physician | 0% | 369 | $0.00 |
| D0160 | 0% | 2,124 | $0.00 | |
| 90669 | 0% | 178 | $0.00 | |
| 1090F | 0% | 140 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 165 | $0.00 |
| G9920 | Screening performed and negative | 0% | 219 | $0.00 |
| 2028F | 0% | 1,309 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 230 | $0.00 |
| 90715 | 0% | 253 | $0.00 | |
| D4921 | 0% | 18 | $0.00 | |
| 90681 | 0% | 103 | $0.00 | |
| 91320 | 0% | 49 | $0.00 | |
| Z6400 | 0% | 210 | $0.00 | |
| 90648 | 0% | 466 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 68 | $0.00 |
| 90707 | 0% | 42 | $0.00 | |
| D4341 | 0% | 82 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 59 | $0.00 |
| 90658 | 0% | 127 | $0.00 | |
| 99382 | 0% | 34 | $0.00 | |
| 1003F | 0% | 140 | $0.00 | |
| 90710 | 0% | 207 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 48 | $0.00 |
| 80301 | 0% | 13 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 101 | $0.00 |
| 90750 | 0% | 14 | $0.00 | |
| 90713 | 0% | 13 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 61 | $0.00 |
| 90672 | 0% | 57 | $0.00 | |
| 82274 | 0% | 13 | $0.00 | |
| 90758 | 0% | 123 | $0.00 | |
| 90749 | 0% | 27 | $0.00 | |
| D2140 | 0% | 17 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 43 | $0.00 |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 12 | $0.00 |
| D4910 | 0% | 12 | $0.00 | |
| 3074F | 0% | 12,368 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 3,532 | $0.00 |
| 3008F | 0% | 8,513 | $0.00 | |
| 3017F | 0% | 1,183 | $0.00 | |
| 2010F | 0% | 8,607 | $0.00 | |
| 90686 | 0% | 2,423 | $0.00 | |
| 90651 | 0% | 1,371 | $0.00 | |
| 99441 | 0% | 5,516 | $0.00 | |
| T1002 | Rn services, up to 15 minutes | 0% | 505 | $0.00 |
| 3075F | 0% | 2,696 | $0.00 | |
| 3072F | 0% | 443 | $0.00 | |
| 1111F | 0% | 948 | $0.00 | |
| 2001F | 0% | 8,451 | $0.00 | |
| 90688 | 0% | 1,182 | $0.00 | |
| 3079F | 0% | 4,960 | $0.00 | |
| 99383 | 0% | 259 | $0.00 | |
| 2000F | 0% | 8,212 | $0.00 | |
| 3014F | 0% | 232 | $0.00 | |
| 90674 | 0% | 378 | $0.00 | |
| 90620 | 0% | 186 | $0.00 | |
| D0229 | 0% | 165 | $0.00 | |
| 1101F | 0% | 88 | $0.00 | |
| 90656 | 0% | 509 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 37 | $0.00 |
| 90744 | 0% | 43 | $0.00 | |
| 1126F | 0% | 957 | $0.00 | |
| 1036F | 0% | 9,315 | $0.00 | |
| 4010F | 0% | 3,027 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 534 | $0.00 |
| 90723 | 0% | 515 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 91 | $0.00 |
| 91301 | 0% | 263 | $0.00 | |
| 99406 | 0% | 35 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 166 | $0.00 |
| 4037F | 0% | 200 | $0.00 | |
| 90647 | 0% | 356 | $0.00 | |
| 1170F | 0% | 144 | $0.00 | |
| 2033F | 0% | 171 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 114 | $0.00 |
| 3080F | 0% | 273 | $0.00 | |
| 99606 | 0% | 36 | $0.00 | |
| 90696 | 0% | 49 | $0.00 | |
| 90716 | 0% | 78 | $0.00 | |
| 93000 | 0% | 28 | $0.00 | |
| 99381 | 0% | 78 | $0.00 | |
| 1000F | 0% | 174 | $0.00 | |
| 1034F | 0% | 13 | $0.00 | |
| 90677 | 0% | 171 | $0.00 | |
| 99384 | 0% | 149 | $0.00 | |
| Z6402 | 0% | 54 | $0.00 | |
| 90619 | 0% | 191 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 30 | $0.00 |
| 1125F | 0% | 51 | $0.00 | |
| 3352F | 0% | 24 | $0.00 | |
| 99443 | 0% | 139 | $0.00 | |
| 90698 | 0% | 39 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 14 | $0.00 |
| 90697 | 0% | 19 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 14 | $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 officialBONILLA, DOLORES (CHIEF EXECUTIVE OFFICER)