ST. Johns Community Health
ST. Johns Community Health was paid $2.49M by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
LOS ANGELES, CA 90043
Next to other Case Manager/Care Coordinator 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 | 6,391 | $666K | |
| 2019 | 6,472 | $525K | |
| 2020 | 13,737 | $572K | |
| 2021 | 15,892 | $669K | |
| 2022 | 1,583 | $31K | |
| 2023 | 569 | $21K | |
| 2024incomplete | 373 | $9K |
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 | 80% | 17,445 | 15,864 | $2.00M |
| 00003 | Internal/system code - not a standard HCPCS code | 17% | 2,778 | 2,514 | $436K |
| G9012 | Other specified case management service not elsewhere classified | 1.6% | 852 | 472 | $40K |
| 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% | 4,454 | 3,994 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,186 | 1,132 | $2K |
| D1310 | <1% | 1,395 | 867 | $1K | |
| D4341 | <1% | 191 | 110 | $870.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 98 | 92 | $573.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 461 | 373 | $569.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 131 | 113 | $513.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 46 | 46 | $315.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 241 | 130 | $272.40 |
47 more codes
| 0002A | <1% | 18 | $254.00 | |
| D1110 | Prophylaxis - adult | <1% | 27 | $199.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 413 | $109.12 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 413 | $108.86 |
| D0603 | <1% | 606 | $108.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 13 | $43.20 |
| 0031A | <1% | 54 | $40.00 | |
| D4342 | <1% | 13 | $40.00 | |
| D9430 | <1% | 12 | $22.00 | |
| 81025 | <1% | 27 | $11.20 | |
| 81001 | <1% | 298 | $7.26 | |
| 82947 | <1% | 471 | $3.11 | |
| 85018 | <1% | 446 | $2.37 | |
| 91300 | 0% | 118 | $0.00 | |
| 3077F | 0% | 281 | $0.00 | |
| 99173 | 0% | 113 | $0.00 | |
| 1160F | 0% | 15 | $0.00 | |
| D9993 | 0% | 577 | $0.00 | |
| 3078F | 0% | 2,710 | $0.00 | |
| 99442 | 0% | 500 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 118 | $0.00 |
| 80061 | Lipid panel | 0% | 382 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 49 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 15 | $0.00 |
| 85049 | 0% | 30 | $0.00 | |
| 90715 | 0% | 26 | $0.00 | |
| 92552 | 0% | 60 | $0.00 | |
| 3075F | 0% | 91 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 868 | $0.00 |
| 90674 | 0% | 121 | $0.00 | |
| 91303 | 0% | 53 | $0.00 | |
| D1330 | 0% | 1,410 | $0.00 | |
| 99000 | 0% | 814 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 1,167 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 364 | $0.00 |
| 90686 | 0% | 123 | $0.00 | |
| 3074F | 0% | 2,263 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 306 | $0.00 |
| 3079F | 0% | 116 | $0.00 | |
| 90688 | 0% | 17 | $0.00 | |
| 87529 | 0% | 14 | $0.00 | |
| 90739 | 0% | 27 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 95 | $0.00 |
| 82270 | 0% | 33 | $0.00 | |
| 1111F | 0% | 13 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 12 | $0.00 |
| 3008F | 0% | 27 | $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 |
|---|---|---|
| ST. Johns Community Health | Los Angeles, CA | $100.25M |
| ST. Johns Community Health | Los Angeles, CA | $28.59M |
| ST. Johns Community Health | Compton, CA | $24.23M |
| ST. Johns Community Health | Lynwood, CA | $9.84M |
| ST. Johns Community Health | Los Angeles, CA | $8.05M |
| ST. Johns Community Health | Los Angeles, CA | $5.19M |
| ST. Johns Community Health | Los Angeles, CA | $3.52M |
| ST. Johns Community Health | Compton, CA | $3.17M |
| ST. Johns Community Health | Compton, CA | $1.32M |
| ST. Johns Community Health | Los Angeles, CA | $874K |
| ST. Johns Community Health | Los Angeles, CA | $669K |
| ST. Johns Community Health | Los Angeles, CA | $565K |
| ST. Johns Community Health | Los Angeles, CA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.