Family Healthcare Network
Family Healthcare Network was paid $34.76M by Medicaid between Nov 2018 and Dec 2024, across 112 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
PORTERVILLE, CA 93257
Next to other Case Manager/Care Coordinator providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 251 | $5K | |
| 2019 | 10,141 | $1.20M | |
| 2020 | 69,374 | $5.29M | |
| 2021 | 142,096 | $7.04M | |
| 2022 | 165,784 | $5.92M | |
| 2023 | 207,049 | $7.36M | |
| 2024incomplete | 243,949 | $7.94M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 77% | 191,107 | 170,039 | $26.72M |
| 00003 | Internal/system code - not a standard HCPCS code | 19% | 37,738 | 33,315 | $6.44M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 19,884 | 18,695 | $320K |
| V2020 | Frames, purchases | <1% | 22,239 | 22,155 | $302K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 16,099 | 16,019 | $204K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 887 | 817 | $190K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 151,105 | 91,112 | $103K |
| 92341 | <1% | 4,708 | 4,707 | $91K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,338 | 958 | $64K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 61,244 | 39,483 | $62K |
| 92015 | Determination of refractive state | <1% | 21,670 | 20,630 | $59K |
| 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% | 1,807 | 1,585 | $51K |
100 more codes
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 139 | $37K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 968 | $19K |
| 92250 | <1% | 1,710 | $12K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 6,618 | $9K |
| G9920 | Screening performed and negative | <1% | 4,428 | $9K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 212 | $7K |
| 0012A | <1% | 79 | $5K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 3,180 | $5K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 6,786 | $5K |
| 0011A | <1% | 55 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 339 | $3K |
| 99381 | <1% | 512 | $3K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 979 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,262 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,954 | $2K |
| 0001A | <1% | 53 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,031 | $2K |
| 81025 | <1% | 10,233 | $2K | |
| J3490 | Unclassified drugs | <1% | 347 | $1K |
| 92133 | <1% | 464 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,214 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15,665 | $922.29 |
| H1000 | Prenatal care, at-risk assessment | <1% | 74 | $854.74 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 212 | $778.14 |
| 99174 | <1% | 7,957 | $760.04 | |
| 0002A | <1% | 21 | $703.50 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 440 | $665.61 |
| 90686 | <1% | 6,226 | $531.22 | |
| 90677 | <1% | 1,323 | $469.10 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,991 | $452.69 |
| 88720 | <1% | 839 | $378.91 | |
| 92551 | <1% | 8,263 | $343.95 | |
| 81002 | <1% | 21,397 | $310.64 | |
| 90697 | <1% | 1,605 | $300.10 | |
| 90680 | <1% | 3,125 | $296.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 17 | $272.30 |
| 59425 | <1% | 2,075 | $241.92 | |
| 90715 | <1% | 708 | $233.38 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,476 | $223.69 |
| 85018 | <1% | 21,923 | $221.15 | |
| 59430 | <1% | 95 | $181.44 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 421 | $155.17 |
| 90670 | <1% | 3,880 | $136.89 | |
| 83655 | <1% | 1,892 | $136.31 | |
| 99173 | <1% | 7,115 | $117.18 | |
| 92134 | <1% | 295 | $116.75 | |
| 90647 | <1% | 2,139 | $90.00 | |
| 90633 | <1% | 2,195 | $90.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,730 | $83.91 |
| 82962 | <1% | 5,785 | $80.46 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 932 | $74.04 |
| 90723 | <1% | 2,073 | $72.00 | |
| 90651 | <1% | 993 | $40.50 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 65,273 | $37.72 |
| 90707 | <1% | 343 | $36.00 | |
| 90700 | <1% | 1,443 | $36.00 | |
| 90716 | <1% | 349 | $27.00 | |
| 99401 | <1% | 476 | $25.23 | |
| 90688 | <1% | 1,806 | $10.89 | |
| 90734 | <1% | 318 | $9.00 | |
| 96156 | <1% | 261 | $8.41 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 12,444 | $4.45 |
| 90380 | <1% | 19 | $2.55 | |
| 2023F | <1% | 1,251 | $0.14 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 942 | $0.00 |
| 3079F | 0% | 4,414 | $0.00 | |
| 3074F | 0% | 7,123 | $0.00 | |
| Z1034 | 0% | 7,976 | $0.00 | |
| 3075F | 0% | 2,336 | $0.00 | |
| 86580 | 0% | 179 | $0.00 | |
| 3044F | 0% | 475 | $0.00 | |
| Z6406 | 0% | 493 | $0.00 | |
| Z1032 | 0% | 653 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 2,354 | $0.00 |
| Z1038 | 0% | 290 | $0.00 | |
| Z6204 | 0% | 190 | $0.00 | |
| 99406 | 0% | 19 | $0.00 | |
| 3080F | 0% | 202 | $0.00 | |
| 90381 | 0% | 99 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 70 | $0.00 |
| 93000 | 0% | 20 | $0.00 | |
| 87807 | 0% | 23 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 26 | $0.00 |
| 3046F | 0% | 102 | $0.00 | |
| 3077F | 0% | 2,640 | $0.00 | |
| 3078F | 0% | 8,010 | $0.00 | |
| G9357 | Post-partum screenings, evaluations and education performed | 0% | 367 | $0.00 |
| Z6400 | 0% | 322 | $0.00 | |
| 97803 | 0% | 182 | $0.00 | |
| Z6304 | 0% | 136 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 224 | $0.00 |
| 90713 | 0% | 132 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 26 | $0.00 |
| Z6500 | 0% | 131 | $0.00 | |
| 90710 | 0% | 31 | $0.00 | |
| 90648 | 0% | 44 | $0.00 | |
| 3051F | 0% | 97 | $0.00 | |
| 2022F | 0% | 20 | $0.00 | |
| 69209 | 0% | 21 | $0.00 | |
| 90685 | 0% | 21 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Family Healthcare Network | Fresno, CA | $218.30M |
| Family Healthcare Network | Visalia, CA | $93.48M |
| Family Healthcare Network | Hanford, CA | $76.43M |
| Family Healthcare Network | Porterville, CA | $57.66M |
| Family Healthcare Network | Visalia, CA | $53.29M |
| Family Healthcare Network | Woodlake, CA | $48.73M |
| Family Healthcare Network | Visalia, CA | $31.34M |
| Family Healthcare Network | Visalia, CA | $31.00M |
| Family Healthcare Network | Goshen, CA | $25.21M |
| Family Healthcare Network | Orosi, CA | $24.94M |
| Family Healthcare Network | Tulare, CA | $20.48M |
| Family Healthcare Network | Tulare, CA | $20.28M |
| Family Healthcare Network | Porterville, CA | $11.20M |
| Family Healthcare Network | Terra Bella, CA | $8.28M |
| Family Healthcare Network | Traver, CA | $7.25M |
| Family Healthcare Network | Fresno, CA | $6.91M |
| Family Healthcare Network | Farmersville, CA | $6.66M |
| Family Healthcare Network | Strathmore, CA | $5.90M |
| Family Healthcare Network | Ivanhoe, CA | $4.50M |
| Family Healthcare Network | Springville, CA | $2.61M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.