Altura Centers for Health
Altura Centers for Health was paid $37.27M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoALTURA CENTERS FOR HEALTH
TULARE, CA 93274
TULARE, CA 93274
33aNPI1023011632assigned 05/27/2005
33bProvider typeCase Manager/Care Coordinator
28Total paid$37.27M
24GClaims1,136,671
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#56 of 435
Median peer was paid$2.89M
This provider vs. median13×
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 | 65,627 | $5.46M | |
| 2019 | 71,099 | $4.52M | |
| 2020 | 131,179 | $5.06M | |
| 2021 | 146,414 | $6.04M | |
| 2022 | 163,803 | $4.69M | |
| 2023 | 271,083 | $5.82M | |
| 2024incomplete | 287,466 | $5.68M |
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 | 66% | 251,131 | 204,633 | $24.71M |
| 00003 | Internal/system code - not a standard HCPCS code | 23% | 53,882 | 35,598 | $8.74M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 272,210 | 181,432 | $1.35M |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.7% | 17,604 | 12,655 | $639K |
| 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 | 1.7% | 65,869 | 41,158 | $637K |
| 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 | <1% | 27,763 | 18,656 | $318K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,943 | 879 | $247K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 80,529 | 53,123 | $223K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,728 | 2,569 | $51K |
| J3490 | Unclassified drugs | <1% | 1,877 | 1,684 | $44K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 2,952 | 2,158 | $35K |
| 87428 | <1% | 2,464 | 1,630 | $34K |
93 more codes
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 130 | $31K |
| 81025 | <1% | 33,026 | $20K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 91 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,536 | $16K |
| 81002 | <1% | 64,546 | $14K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 6,419 | $13K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 571 | $13K |
| 59425 | <1% | 5,308 | $11K | |
| 99243 | <1% | 672 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,185 | $8K |
| 59430 | <1% | 130 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,039 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,897 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,027 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 389 | $6K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,182 | $5K |
| 90671 | <1% | 35 | $5K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,936 | $4K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 5,654 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 257 | $4K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 307 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,702 | $3K |
| 90656 | <1% | 396 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14,380 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 63 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,526 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 737 | $2K |
| 90686 | <1% | 5,162 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 9,357 | $2K |
| 58300 | <1% | 30 | $2K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 26 | $1K |
| 85018 | <1% | 19,476 | $1K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 3,001 | $999.31 |
| 0001A | <1% | 14 | $938.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,204 | $922.62 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 28 | $870.20 |
| 11982 | <1% | 43 | $809.49 | |
| 90619 | <1% | 696 | $783.00 | |
| 99000 | <1% | 831 | $675.18 | |
| 90697 | <1% | 714 | $675.00 | |
| 11981 | <1% | 19 | $608.27 | |
| 99188 | <1% | 2,230 | $522.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,642 | $513.45 |
| 92551 | <1% | 9,148 | $478.59 | |
| A4550 | Surgical trays | <1% | 148 | $438.91 |
| 90715 | <1% | 285 | $401.50 | |
| 99174 | <1% | 3,396 | $280.50 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 69 | $277.13 |
| 90662 | <1% | 185 | $262.00 | |
| 83655 | <1% | 2,121 | $233.75 | |
| 82947 | <1% | 797 | $204.60 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 194 | $164.89 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 285 | $128.23 |
| 99173 | <1% | 6,679 | $120.90 | |
| 90680 | <1% | 57 | $108.00 | |
| 86580 | <1% | 2,275 | $94.93 | |
| 93000 | <1% | 293 | $87.54 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 567 | $83.43 |
| 87420 | <1% | 742 | $80.26 | |
| 90381 | <1% | 15 | $72.00 | |
| 90620 | <1% | 32 | $54.00 | |
| J1750 | Injection, iron dextran, 50 mg | <1% | 145 | $51.84 |
| 90633 | <1% | 319 | $36.00 | |
| 92227 | <1% | 116 | $27.82 | |
| 90688 | <1% | 712 | $13.76 | |
| 90651 | <1% | 165 | $9.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 197 | $6.00 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 44 | $3.96 |
| 3077F | 0% | 5,266 | $0.00 | |
| 3078F | 0% | 33,587 | $0.00 | |
| 98940 | 0% | 12 | $0.00 | |
| 90670 | 0% | 322 | $0.00 | |
| Z6400 | 0% | 523 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| 86703 | 0% | 37 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 3079F | 0% | 9,623 | $0.00 | |
| 3074F | 0% | 34,169 | $0.00 | |
| 3075F | 0% | 6,283 | $0.00 | |
| Z1034 | 0% | 23,077 | $0.00 | |
| 88720 | 0% | 20 | $0.00 | |
| 99024 | 0% | 17 | $0.00 | |
| 3080F | 0% | 2,945 | $0.00 | |
| Z1032 | 0% | 445 | $0.00 | |
| 90723 | 0% | 84 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 299 | $0.00 |
| Z1038 | 0% | 128 | $0.00 | |
| 90647 | 0% | 126 | $0.00 | |
| 88142 | 0% | 16 | $0.00 | |
| 86780 | 0% | 44 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 33 | $0.00 |
| 90716 | 0% | 13 | $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 officialSOTO PEREZ, GRACIELA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Altura Centers for Health | Tulare, CA | $36.34M |
| Altura Centers for Health | Tulare, CA | $8.58M |
| Altura Centers for Health | Tulare, CA | $7.69M |
| Altura Centers for Health | Woodville, CA | $6.59M |
| Altura Centers for Health | Tulare, CA | $1.19M |
| Altura Centers for Health | Tulare, CA | $731K |
| Altura Centers for Health | Tulare, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.