Physician
East County Family Health Center INC
East County Family Health Center INC was paid $160K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99490, Ccm add 20min — 24% of everything it billed.
33Billing provider infoEAST COUNTY FAMILY HEALTH CENTER INC
EL CAJON, CA 92020
EL CAJON, CA 92020
33aNPI1023022092assigned 07/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$160K
24GClaims43,677
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#491 of 2,511
Median peer was paid$13K
This provider vs. median12×
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 | 2,540 | $22K | |
| 2019 | 3,787 | $4K | |
| 2020 | 5,699 | $30K | |
| 2021 | 6,628 | $22K | |
| 2022 | 9,909 | $18K | |
| 2023 | 10,519 | $49K | |
| 2024incomplete | 4,595 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99490 | Ccm add 20min | 24% | 9,388 | 9,383 | $39K |
| 99454 | 21% | 3,158 | 3,117 | $33K | |
| 99457 | 18% | 6,083 | 6,077 | $29K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 13,354 | 12,550 | $24K |
| 99487 | Ccm add 20min | 5.7% | 637 | 635 | $9K |
| 99458 | 4.8% | 2,218 | 2,218 | $8K | |
| 99439 | 3.6% | 3,211 | 3,209 | $6K | |
| 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 | 2.9% | 946 | 944 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 23 | 14 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 131 | 131 | $2K |
| 99422 | <1% | 253 | 235 | $1K | |
| 99453 | <1% | 103 | 102 | $440.85 |
24 more codes
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 48 | $387.36 |
| 90658 | <1% | 23 | $357.39 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 212 | $350.40 |
| 99385 | <1% | 16 | $264.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 149 | $204.00 |
| 95249 | <1% | 16 | $186.55 | |
| 96156 | <1% | 380 | $85.45 | |
| 90662 | <1% | 195 | $79.62 | |
| 82947 | <1% | 1,322 | $71.63 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $0.52 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 154 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 297 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 62 | $0.00 |
| 96160 | 0% | 86 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 71 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 14 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 319 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 277 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 283 | $0.00 |
| 92551 | 0% | 141 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 56 | $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 officialALMANSOUR, MUMTAZ (MD)