Clinic
East Valley Community Health Center, INC
East Valley Community Health Center, INC was paid $407K by Medicaid between Jan 2018 and Nov 2024, across 141 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoEAST VALLEY COMMUNITY HEALTH CENTER, INC
WEST COVINA, CA 91790
WEST COVINA, CA 91790
33aNPI1053437509assigned 03/22/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$407K
24GClaims946,621
24DCodes billed141
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#579 of 826
Median peer was paid$4.05M
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.
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 | 30,637 | $74K | |
| 2019 | 46,726 | $63K | |
| 2020 | 44,485 | $29K | |
| 2021 | 81,325 | $59K | |
| 2022 | 123,735 | $57K | |
| 2023 | 247,589 | $85K | |
| 2024incomplete | 372,124 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 71% | 179,205 | 162,075 | $291K |
| 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 | 11% | 21,586 | 20,634 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.4% | 22,643 | 21,595 | $26K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.1% | 4,104 | 3,931 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.1% | 280 | 279 | $9K |
| 3074F | 1.0% | 80,012 | 71,288 | $4K | |
| 3078F | <1% | 86,283 | 77,183 | $4K | |
| 90686 | <1% | 5,128 | 5,082 | $2K | |
| 81025 | <1% | 5,910 | 5,779 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,125 | 2,118 | $1K |
| 81002 | <1% | 17,758 | 14,419 | $1K | |
| 97802 | <1% | 3,969 | 3,944 | $1K |
129 more codes
| 1160F | <1% | 32,857 | $1K | |
| 1126F | <1% | 43,985 | $1K | |
| 1159F | <1% | 72,480 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,233 | $925.83 |
| 97803 | <1% | 6,577 | $854.61 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 179 | $814.20 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 895 | $732.53 |
| 3079F | <1% | 16,714 | $653.30 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,133 | $564.33 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 3,417 | $561.99 |
| 1170F | <1% | 61,645 | $549.90 | |
| 3075F | <1% | 13,578 | $461.77 | |
| 92551 | <1% | 4,497 | $373.17 | |
| 90670 | <1% | 1,293 | $333.00 | |
| 3077F | <1% | 8,611 | $299.18 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 585 | $271.40 |
| 82962 | <1% | 17,167 | $250.18 | |
| 90732 | <1% | 38 | $243.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,325 | $240.38 |
| 90633 | <1% | 504 | $216.00 | |
| 85018 | <1% | 7,702 | $179.19 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 14 | $174.72 |
| 90715 | <1% | 1,422 | $144.00 | |
| 99385 | <1% | 296 | $139.96 | |
| 83655 | <1% | 1,148 | $130.50 | |
| 99384 | <1% | 48 | $130.24 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 11,756 | $128.36 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 866 | $117.93 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,268 | $108.24 |
| 90651 | <1% | 489 | $108.00 | |
| 3008F | <1% | 61,483 | $91.85 | |
| 88142 | <1% | 993 | $68.00 | |
| 90698 | <1% | 609 | $63.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,508 | $60.00 |
| 90674 | <1% | 520 | $54.00 | |
| 90716 | <1% | 51 | $54.00 | |
| 90734 | <1% | 371 | $54.00 | |
| 90700 | <1% | 27 | $54.00 | |
| 92015 | Determination of refractive state | <1% | 3,721 | $39.97 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,351 | $39.44 |
| 92250 | <1% | 2,847 | $32.53 | |
| G9920 | Screening performed and negative | <1% | 3,577 | $29.00 |
| 90707 | <1% | 32 | $27.00 | |
| 90744 | <1% | 237 | $18.00 | |
| 90696 | <1% | 41 | $18.00 | |
| 90710 | <1% | 161 | $18.00 | |
| 99188 | <1% | 43 | $17.82 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 354 | $16.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 501 | $16.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 257 | $13.92 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,798 | $13.46 |
| 86580 | <1% | 266 | $13.32 | |
| 90620 | <1% | 15 | $9.00 | |
| 90736 | <1% | 28 | $9.00 | |
| 94760 | <1% | 175 | $5.53 | |
| 1125F | 0% | 5,534 | $0.00 | |
| 94010 | 0% | 84 | $0.00 | |
| 3044F | 0% | 38,369 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 1,072 | $0.00 |
| 3351F | 0% | 3,511 | $0.00 | |
| 1123F | 0% | 15,815 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 58 | $0.00 |
| 0501F | 0% | 4,163 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 836 | $0.00 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 507 | $0.00 |
| 1000F | 0% | 2,405 | $0.00 | |
| 90697 | 0% | 104 | $0.00 | |
| 90680 | 0% | 483 | $0.00 | |
| 3048F | 0% | 743 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 99 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 200 | $0.00 |
| 99386 | 0% | 176 | $0.00 | |
| 93000 | 0% | 98 | $0.00 | |
| 90677 | 0% | 243 | $0.00 | |
| 0503F | 0% | 245 | $0.00 | |
| 90656 | 0% | 372 | $0.00 | |
| 3080F | 0% | 534 | $0.00 | |
| 90474 | 0% | 103 | $0.00 | |
| 86592 | 0% | 95 | $0.00 | |
| 36416 | 0% | 162 | $0.00 | |
| 3049F | 0% | 522 | $0.00 | |
| 96156 | 0% | 383 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 358 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 230 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 116 | $0.00 |
| 99381 | 0% | 12 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 48 | $0.00 |
| 99000 | 0% | 26 | $0.00 | |
| 82043 | 0% | 37 | $0.00 | |
| 90688 | 0% | 99 | $0.00 | |
| 3352F | 0% | 54 | $0.00 | |
| 0012A | 0% | 13 | $0.00 | |
| 99383 | 0% | 20 | $0.00 | |
| 0500F | 0% | 12 | $0.00 | |
| 3725F | 0% | 8,432 | $0.00 | |
| 1158F | 0% | 15,815 | $0.00 | |
| 99401 | 0% | 258 | $0.00 | |
| 99173 | 0% | 5,458 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 934 | $0.00 |
| 0502F | 0% | 5,010 | $0.00 | |
| 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 | 0% | 1,288 | $0.00 |
| 80305 | 0% | 180 | $0.00 | |
| 90461 | 0% | 290 | $0.00 | |
| 92134 | 0% | 438 | $0.00 | |
| 3046F | 0% | 127 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 288 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 988 | $0.00 |
| 90750 | 0% | 229 | $0.00 | |
| 2028F | 0% | 655 | $0.00 | |
| 90749 | 0% | 14 | $0.00 | |
| 3050F | 0% | 176 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 144 | $0.00 |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 0% | 159 | $0.00 |
| 92020 | 0% | 27 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 464 | $0.00 |
| M1016 | Female patients unable to bear children | 0% | 229 | $0.00 |
| 3051F | 0% | 76 | $0.00 | |
| 88164 | 0% | 13 | $0.00 | |
| 99499 | 0% | 12 | $0.00 | |
| 90671 | 0% | 24 | $0.00 | |
| 99201 | 0% | 23 | $0.00 | |
| 90687 | 0% | 94 | $0.00 | |
| 90746 | 0% | 47 | $0.00 | |
| 91300 | 0% | 15 | $0.00 | |
| 82274 | 0% | 14 | $0.00 | |
| V2020 | Frames, purchases | 0% | 12 | $0.00 |
| 90661 | 0% | 30 | $0.00 | |
| 92133 | 0% | 13 | $0.00 | |
| 90648 | 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 officialMARDINI, ALICIA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| East Valley Community Health Center, INC. | West Covina, CA | $34.47M |
| East Valley Community Health Center, INC. | Pomona, CA | $21.97M |
| East Valley Community Health Center, INC. | Covina, CA | $6.40M |
| East Valley Community Health Center, INC. | La Puente, CA | $1.64M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.