Community Medical Centers, INC
Community Medical Centers, INC was paid $13.95M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 95% of everything it billed.
STOCKTON, CA 95207
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,356 | $2.39M | |
| 2019 | 11,370 | $2.42M | |
| 2020 | 9,054 | $2.02M | |
| 2021 | 9,079 | $2.33M | |
| 2022 | 7,391 | $1.85M | |
| 2023 | 4,313 | $1.21M | |
| 2024incomplete | 54,606 | $1.73M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 95% | 55,643 | 32,284 | $13.28M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 552 | 535 | $85K |
| 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% | 10,428 | 9,879 | $75K |
| 59425 | <1% | 1,035 | 776 | $75K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,480 | 4,453 | $65K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 603 | 550 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 723 | 607 | $34K |
| 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% | 6,959 | 6,659 | $29K |
| 96127 | <1% | 4,776 | 4,449 | $27K | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 921 | 404 | $27K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 465 | 463 | $24K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 234 | 229 | $19K |
57 more codes
| 90746 | <1% | 197 | $18K | |
| 90656 | <1% | 2,173 | $18K | |
| 97802 | <1% | 149 | $15K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 451 | $15K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 12 | $11K |
| 90715 | <1% | 357 | $7K | |
| 99173 | <1% | 1,598 | $6K | |
| 97803 | <1% | 128 | $6K | |
| 11981 | <1% | 42 | $6K | |
| 90677 | <1% | 269 | $6K | |
| 0500F | <1% | 32 | $5K | |
| 99188 | <1% | 240 | $5K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 154 | $5K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 248 | $5K |
| 59430 | <1% | 68 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 37 | $5K |
| 81003 | <1% | 1,411 | $3K | |
| 83655 | <1% | 256 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 273 | $3K |
| 58300 | <1% | 27 | $3K | |
| J3490 | Unclassified drugs | <1% | 61 | $3K |
| 99401 | <1% | 133 | $3K | |
| 90651 | <1% | 278 | $3K | |
| 90839 | <1% | 21 | $2K | |
| 98940 | <1% | 93 | $2K | |
| 80305 | <1% | 185 | $2K | |
| 96156 | <1% | 119 | $2K | |
| 92552 | <1% | 1,689 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 340 | $1K |
| 81025 | <1% | 435 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 615 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 600 | $807.66 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 45 | $699.12 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 19 | $496.08 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | $441.49 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 55 | $370.47 |
| 90620 | <1% | 162 | $312.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 710 | $210.48 |
| 86580 | <1% | 52 | $174.72 | |
| 90785 | <1% | 34 | $158.44 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 12 | $150.00 |
| 99385 | <1% | 21 | $136.92 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 196 | $100.80 |
| 82947 | <1% | 19 | $75.24 | |
| 90633 | 0% | 290 | $0.00 | |
| 90710 | 0% | 68 | $0.00 | |
| 90700 | 0% | 60 | $0.00 | |
| 90707 | 0% | 17 | $0.00 | |
| 90681 | 0% | 20 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 5,199 | $0.00 |
| 90698 | 0% | 167 | $0.00 | |
| 90619 | 0% | 231 | $0.00 | |
| 90744 | 0% | 111 | $0.00 | |
| 90696 | 0% | 50 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 51 | $0.00 |
| 90716 | 0% | 22 | $0.00 | |
| 90686 | 0% | 34 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Community Medical Centers INC | Stockton, CA | $26.56M |
| Community Medical Centers INC | Stockton, CA | $23.42M |
| Community Medical Centers INC | Tracy, CA | $17.91M |
| Community Medical Centers INC | Tracy, CA | $16.09M |
| Community Medical Centers, INC | Tracy, CA | $10.50M |
| Community Medical Centers, INC | Dixon, CA | $9.97M |
| Community Medical Centers, INC | Stockton, CA | $3.87M |
| Community Medical Centers INC | Vacaville, CA | $161K |
| Community Medical Centers INC | Stockton, CA | $364.59 |
| Community Medical Centers, INC | Stockton, CA | $82.03 |
| Community Medical Centers INC | Lodi, CA | $4.61 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.