Alameda Health System
Alameda Health System was paid $392K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 59425, — 43% of everything it billed.
33Billing provider infoALAMEDA HEALTH SYSTEM
HAYWARD, CA 94545
HAYWARD, CA 94545
33aNPI1023219821assigned 05/30/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$392K
24GClaims79,102
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#288 of 435
Median peer was paid$2.89M
This provider vs. median0.1×
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 MIRANDA, KIM controls 12+ 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 | 14 | $0.00 | |
| 2019 | 3,487 | $3K | |
| 2020 | 12,305 | $9K | |
| 2021 | 12,992 | $116.39 | |
| 2022 | 13,683 | $61K | |
| 2023 | 14,513 | $98K | |
| 2024incomplete | 22,108 | $220K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 43% | 2,717 | 2,167 | $167K | |
| 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 | 27% | 12,995 | 12,782 | $106K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 25,147 | 24,238 | $87K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.2% | 139 | 138 | $16K |
| 59430 | 1.2% | 83 | 80 | $5K | |
| 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% | 493 | 493 | $3K |
| 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% | 141 | 137 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15,857 | 14,651 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,958 | 10,830 | $1K |
| 90732 | <1% | 73 | 72 | $301.68 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 392 | 392 | $294.88 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 342 | 332 | $260.16 |
23 more codes
| 90715 | <1% | 309 | $260.00 | |
| 90656 | <1% | 1,264 | $171.02 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 201 | $68.60 |
| 90686 | <1% | 3,424 | $39.36 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,346 | $35.01 |
| 92551 | <1% | 1,631 | $12.24 | |
| 81002 | <1% | 26 | $2.15 | |
| 11721 | <1% | 27 | $0.73 | |
| 81025 | 0% | 42 | $0.00 | |
| 90746 | 0% | 363 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 253 | $0.00 |
| 90633 | 0% | 329 | $0.00 | |
| 90658 | 0% | 114 | $0.00 | |
| 90681 | 0% | 13 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 31 | $0.00 |
| 90670 | 0% | 110 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| 90707 | 0% | 13 | $0.00 | |
| 90651 | 0% | 92 | $0.00 | |
| 90647 | 0% | 25 | $0.00 | |
| 90723 | 0% | 28 | $0.00 | |
| 90688 | 0% | 98 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 14 | $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 officialMIRANDA, KIM (CFO)
| Provider | Location | Paid |
|---|---|---|
| Alameda Health System | Oakland, CA | $64.53M |
| Alameda Health System | Oakland, CA | $57.80M |
| Dignity Health | Red Bluff, CA | $28.47M |
| Dignity Health | Cottonwood, CA | $8.28M |
| Dignity Health | Red Bluff, CA | $4.59M |
| Dignity Health | Mount Shasta, CA | $2.82M |
| Dignity Health | Redding, CA | $1.58M |
| Dignity Health | Redding, CA | $1.34M |
| Dignity Health | Mount Shasta, CA | $1.28M |
| Dignity Health | Weed, CA | $981K |
| Dignity Health | Redding, CA | $273K |
| Dignity Health | Red Bluff, CA | $134K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.