Physician
San Joaquin Prime Care Medical Group INC
San Joaquin Prime Care Medical Group INC was paid $269K by Medicaid between Jan 2018 and Sep 2019, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoSAN JOAQUIN PRIME CARE MEDICAL GROUP INC
SQUAW VALLEY, CA 93675
SQUAW VALLEY, CA 93675
33aNPI1982891735assigned 09/26/2007
33bProvider typeFamily Medicine Physician
28Total paid$269K
24GClaims5,610
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#373 of 2,511
Median peer was paid$13K
This provider vs. median21×
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 | 3,243 | $169K | |
| 2019 | 2,367 | $100K |
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 | 96% | 3,593 | 2,306 | $257K |
| 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 | 3.1% | 424 | 229 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 1,475 | 976 | $3K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 48 | 48 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 19 | 13 | $0.00 |
| 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 | 0% | 51 | 46 | $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 officialBURGINS, KIMBERLY (BILLING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| San Joaquin Prime Care Medical Group INC. | Reedley, CA | $720K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.