Clinic
Redwood Coast Medical Services, INC.
Redwood Coast Medical Services, INC. was paid $4.91M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoREDWOOD COAST MEDICAL SERVICES, INC.
GUALALA, CA 95445
GUALALA, CA 95445
33aNPI1962530725assigned 03/01/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.91M
24GClaims69,092
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#392 of 826
Median peer was paid$4.05M
This provider vs. median1.2×
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 | 8,645 | $638K | |
| 2019 | 6,966 | $439K | |
| 2020 | 8,307 | $453K | |
| 2021 | 9,897 | $675K | |
| 2022 | 10,465 | $699K | |
| 2023 | 12,433 | $1.03M | |
| 2024incomplete | 12,379 | $982K |
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 | 90% | 24,184 | 18,008 | $4.44M |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.4% | 1,476 | 880 | $116K |
| 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 | 2.0% | 10,477 | 6,236 | $99K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 1,853 | 734 | $70K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 13,177 | 7,205 | $67K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 720 | 430 | $21K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 948 | 402 | $19K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,212 | 719 | $12K |
| S9083 | Global fee urgent care centers | <1% | 256 | 216 | $12K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 673 | 464 | $11K |
| 99000 | <1% | 1,945 | 1,801 | $7K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,083 | 709 | $6K |
24 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,289 | $5K |
| 85027 | <1% | 1,452 | $5K | |
| 81001 | <1% | 2,453 | $4K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 564 | $2K |
| 87430 | <1% | 524 | $2K | |
| 81025 | <1% | 984 | $2K | |
| 90686 | <1% | 134 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 229 | $1K |
| 80305 | <1% | 121 | $1K | |
| 93000 | <1% | 165 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 41 | $918.58 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 106 | $822.45 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 58 | $762.84 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 117 | $482.35 |
| 90715 | <1% | 26 | $469.68 | |
| 99283 | Emergency room visit (moderate) | <1% | 2,151 | $453.26 |
| 85651 | <1% | 46 | $109.14 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 17 | $85.40 |
| 81003 | <1% | 29 | $56.45 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 24 | $48.00 |
| 81002 | <1% | 14 | $6.45 | |
| 99173 | 0% | 120 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 360 | $0.00 |
| G0477 | Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service | 0% | 64 | $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 officialAGEE, DIANE (CEO)