ST. Johns Community Health
ST. Johns Community Health was paid $28.59M by Medicaid between Jan 2018 and Nov 2024, across 123 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.
33Billing provider infoST. JOHNS COMMUNITY HEALTH
LOS ANGELES, CA 90037
LOS ANGELES, CA 90037
33aNPI1013057371assigned 02/07/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$28.59M
24GClaims409,723
24DCodes billed123
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#71 of 435
Median peer was paid$2.89M
This provider vs. median9.9×
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.
Entity ProliferationAuthorized official MANGIA, JAMES controls 13+ related entities in our dataset. Read more
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 | 56,108 | $6.99M | |
| 2019 | 81,643 | $6.97M | |
| 2020 | 118,464 | $6.53M | |
| 2021 | 143,125 | $7.79M | |
| 2022 | 6,090 | $266K | |
| 2023 | 1,965 | $26K | |
| 2024incomplete | 2,328 | $15K |
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 | 72% | 153,027 | 134,411 | $20.50M |
| 00003 | Internal/system code - not a standard HCPCS code | 27% | 45,590 | 44,054 | $7.69M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 4,407 | 2,822 | $90K |
| 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% | 31,787 | 30,139 | $55K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,069 | 720 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,865 | 3,844 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,422 | 4,396 | $28K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,380 | 2,356 | $24K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 236 | 163 | $21K |
| D1310 | <1% | 8,887 | 4,332 | $18K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,107 | 668 | $14K |
| 92551 | <1% | 1,147 | 1,143 | $11K |
111 more codes
| D0120 | Dental checkup, returning patient | <1% | 2,343 | $10K |
| D1120 | Dental cleaning, child | <1% | 997 | $10K |
| 92552 | <1% | 10,406 | $8K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,666 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,474 | $6K |
| 83655 | <1% | 2,231 | $5K | |
| J3490 | Unclassified drugs | <1% | 157 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 396 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,258 | $2K |
| 99173 | <1% | 10,490 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,998 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,827 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,899 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 183 | $1K |
| 85018 | <1% | 5,565 | $1K | |
| 81025 | <1% | 1,541 | $1K | |
| D0603 | <1% | 3,301 | $900.02 | |
| 0001A | <1% | 144 | $862.00 | |
| 57454 | <1% | 23 | $577.35 | |
| D0602 | <1% | 548 | $574.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 495 | $507.60 |
| D1206 | Topical application of fluoride varnish | <1% | 146 | $489.50 |
| D4341 | <1% | 35 | $460.00 | |
| D9993 | <1% | 3,541 | $420.00 | |
| D1351 | Sealant - per tooth | <1% | 165 | $243.00 |
| 92081 | <1% | 89 | $228.34 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 848 | $221.34 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 848 | $221.08 |
| 90670 | <1% | 3,209 | $195.13 | |
| 90633 | <1% | 1,962 | $176.89 | |
| 90649 | <1% | 82 | $163.07 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,242 | $138.60 |
| 90716 | <1% | 581 | $124.47 | |
| 90734 | <1% | 844 | $119.90 | |
| D1110 | Prophylaxis - adult | <1% | 13 | $97.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 15 | $95.90 |
| 86580 | <1% | 40 | $76.59 | |
| 99000 | <1% | 4,784 | $71.13 | |
| 90715 | <1% | 772 | $43.50 | |
| 90647 | <1% | 2,230 | $31.69 | |
| G9920 | Screening performed and negative | <1% | 737 | $0.16 |
| 90681 | 0% | 430 | $0.00 | |
| 82947 | 0% | 1,341 | $0.00 | |
| Z6400 | 0% | 1,266 | $0.00 | |
| Z6302 | 0% | 151 | $0.00 | |
| Z6414 | 0% | 555 | $0.00 | |
| 0502F | 0% | 6,861 | $0.00 | |
| D0350 | 0% | 875 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 24 | $0.00 |
| 85049 | 0% | 621 | $0.00 | |
| Z6500 | 0% | 135 | $0.00 | |
| 99442 | 0% | 2,168 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 782 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 359 | $0.00 |
| 3078F | 0% | 561 | $0.00 | |
| Z6308 | 0% | 26 | $0.00 | |
| Z6202 | 0% | 396 | $0.00 | |
| 90707 | 0% | 282 | $0.00 | |
| 91300 | 0% | 506 | $0.00 | |
| 90710 | 0% | 72 | $0.00 | |
| Z6200 | 0% | 379 | $0.00 | |
| 0002A | 0% | 117 | $0.00 | |
| 90700 | 0% | 35 | $0.00 | |
| D9430 | 0% | 217 | $0.00 | |
| 81002 | 0% | 27 | $0.00 | |
| Z6208 | 0% | 26 | $0.00 | |
| 90713 | 0% | 28 | $0.00 | |
| 1160F | 0% | 40 | $0.00 | |
| Z6300 | 0% | 29 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 15 | $0.00 |
| 80061 | Lipid panel | 0% | 15 | $0.00 |
| 90723 | 0% | 2,299 | $0.00 | |
| Z6404 | 0% | 148 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,068 | $0.00 |
| D1330 | 0% | 8,092 | $0.00 | |
| 3080F | 0% | 248 | $0.00 | |
| 90688 | 0% | 7,524 | $0.00 | |
| 1111F | 0% | 40 | $0.00 | |
| Z6410 | 0% | 2,033 | $0.00 | |
| Z1034 | 0% | 6,866 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 412 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,941 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 2,988 | $0.00 |
| 0501F | 0% | 733 | $0.00 | |
| 81001 | 0% | 8,299 | $0.00 | |
| Z6402 | 0% | 27 | $0.00 | |
| 90651 | 0% | 1,087 | $0.00 | |
| Z1032 | 0% | 796 | $0.00 | |
| 3074F | 0% | 990 | $0.00 | |
| D9995 | 0% | 419 | $0.00 | |
| Z1038 | 0% | 142 | $0.00 | |
| 3008F | 0% | 4,214 | $0.00 | |
| 0500F | 0% | 34 | $0.00 | |
| 99441 | 0% | 829 | $0.00 | |
| 99384 | 0% | 14 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 66 | $0.00 |
| 91307 | 0% | 168 | $0.00 | |
| 0503F | 0% | 142 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 302 | $0.00 |
| 90696 | 0% | 66 | $0.00 | |
| 96127 | 0% | 17 | $0.00 | |
| 99381 | 0% | 55 | $0.00 | |
| 90744 | 0% | 15 | $0.00 | |
| 90620 | 0% | 41 | $0.00 | |
| 3079F | 0% | 26 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 59 | $0.00 |
| 1MOFU | 0% | 37 | $0.00 | |
| 99383 | 0% | 24 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 23 | $0.00 |
| D6000 | 0% | 19 | $0.00 | |
| 90674 | 0% | 32 | $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 officialMANGIA, JAMES (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| ST. Johns Community Health | Los Angeles, CA | $100.25M |
| 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 | Los Angeles, CA | $2.49M |
| 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.