Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEIGHBORHOOD HEALTHCARE

NPI: 1023518768 · POWAY, CA 92064 · Federally Qualified Health Center (FQHC) · NPI assigned 02/20/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PATEL, RAKESH controls 17+ related entities in our dataset. Read more

$20.72M
Total Medicaid Paid
189,566
Total Claims
153,349
Beneficiaries
25
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, RAKESH (CEO)
NPI Enumeration Date02/20/2018

Related Entities

Other providers sharing the same authorized official: PATEL, RAKESH

ProviderCityStateTotal Paid
NEIGHBORHOOD HEALTHCARE HEMET CA $160.42M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $124.93M
NEIGHBORHOOD HEALTHCARE EL CAJON CA $46.58M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $38.37M
NEIGHBORHOOD HEALTHCARE LAKESIDE CA $33.19M
NEIGHBORHOOD HEALTHCARE TEMECULA CA $15.81M
NEIGHBORHOOD HEALTHCARE MENIFEE CA $5.81M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $4.58M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $3.48M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $3.39M
NEIGHBORHOOD HEALTHCARE RIVERSIDE CA $3.36M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $2.04M
NEIGHBORHOOD HEALTHCARE RIVERSIDE CA $1.75M
NEIGHBORHOOD HEALTHCARE RIVERSIDE CA $447K
R PATEL DENTAL GROUP INC CUDAHY CA $95K
RAKESH PATEL M.D. P. A. LA PORTE TX $24K
NEIGHBORHOOD HEALTHCARE- PACE RIVERSIDE RIVERSIDE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,722 $152K
2019 8,650 $892K
2020 32,473 $3.41M
2021 38,791 $4.14M
2022 32,168 $3.37M
2023 38,020 $3.97M
2024 36,742 $4.80M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 102,335 79,639 $20.71M
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 194 150 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37,959 33,716 $2K
0002A 25 25 $2K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 26 26 $360.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,792 6,302 $213.90
90834 Psychotherapy, 45 minutes with patient 3,906 2,702 $134.32
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,111 1,103 $114.40
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,750 15,146 $37.50
90792 Psychiatric diagnostic evaluation with medical services 937 932 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 126 125 $0.00
99385 39 39 $0.00
99441 155 145 $0.00
99443 24 23 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 172 172 $0.00
90832 Psychotherapy, 30 minutes with patient 13,522 7,960 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 275 274 $0.00
99442 2,467 2,139 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 595 593 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 145 145 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 253 252 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 469 469 $0.00
90791 Psychiatric diagnostic evaluation 279 278 $0.00
99215 Prolong outpt/office vis 759 745 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 251 249 $0.00