Medicaid Provider Spending

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

TRI-STATE COMMUNITY HEALTHCARE CENTER

NPI: 1023526084 · HEMET, CA 92543 · Federally Qualified Health Center (FQHC) · NPI assigned 01/11/2018

$0.00
Total Medicaid Paid
10,578
Total Claims
9,629
Beneficiaries
36
Codes Billed
2018-10
First Month
2022-08
Last Month

Provider Details

Authorized OfficialMINEROS, CRYSTALE (MANAGED CARE DIRECTOR)
Parent OrganizationTRI-STATE COMMUNITY HEALTHCARE CENTER
NPI Enumeration Date01/11/2018

Related Entities

Other providers sharing the same authorized official: MINEROS, CRYSTALE

ProviderCityStateTotal Paid
TRI-STATE COMMUNITY HEALTHCARE CENTER ADELANTO CA $30.38M
TRI-STATE COMMUNITY HEALTHCARE CENTER LOS ANGELES CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16 $0.00
2019 9,638 $0.00
2020 87 $0.00
2021 223 $0.00
2022 614 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
3008F 1,185 1,025 $0.00
1125F 228 213 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 802 705 $0.00
83036 Hemoglobin; glycosylated (A1C) 13 13 $0.00
3079F 271 250 $0.00
36416 192 190 $0.00
1000F 78 66 $0.00
3074F 591 534 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 732 664 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 437 399 $0.00
1036F 61 52 $0.00
1126F 351 325 $0.00
36415 Collection of venous blood by venipuncture 186 184 $0.00
96150 16 15 $0.00
92551 147 146 $0.00
99000 197 195 $0.00
80053 Comprehensive metabolic panel 19 19 $0.00
3080F 108 105 $0.00
3075F 141 136 $0.00
85018 167 166 $0.00
3044F 13 13 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 57 57 $0.00
3077F 186 173 $0.00
1159F 768 696 $0.00
90461 34 34 $0.00
1160F 600 545 $0.00
82948 97 91 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 112 110 $0.00
99173 154 153 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33 32 $0.00
3078F 522 478 $0.00
G0444 Annual depression screening, 5 to 15 minutes 834 730 $0.00
0521F 140 131 $0.00
99401 1,033 912 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 61 60 $0.00