Clinic
ST Anthony Medical Centers
ST Anthony Medical Centers was paid $2.75M by Medicaid between Jan 2018 and Aug 2024, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoST ANTHONY MEDICAL CENTERS
HOLLYWOOD, CA 90028
HOLLYWOOD, CA 90028
33aNPI1063562130assigned 01/11/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.75M
24GClaims63,994
24DCodes billed33
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#466 of 826
Median peer was paid$4.05M
This provider vs. median0.7×
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 | 6,606 | $557K | |
| 2019 | 6,998 | $413K | |
| 2020 | 17,675 | $626K | |
| 2021 | 19,070 | $676K | |
| 2022 | 13,601 | $474K | |
| 2024incomplete | 44 | $0.00 |
Box 24 · Service lines
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 | 83% | 26,987 | 21,392 | $2.29M |
| 00003 | Internal/system code - not a standard HCPCS code | 16% | 3,265 | 2,590 | $450K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,001 | 5,943 | $5K |
| 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% | 5,505 | 4,885 | $2K |
| 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% | 91 | 65 | $1K |
| 1111F | <1% | 9,504 | 7,683 | $446.88 | |
| 92081 | <1% | 1,178 | 1,117 | $251.54 | |
| 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 | <1% | 150 | 145 | $221.58 |
| 99000 | <1% | 1,972 | 1,841 | $120.23 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,188 | 1,096 | $99.55 |
| 36415 | Collection of venous blood by venipuncture | <1% | 985 | 942 | $3.00 |
| 92551 | 0% | 1,000 | 942 | $0.00 |
21 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 962 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 598 | $0.00 |
| 3079F | 0% | 69 | $0.00 | |
| 3080F | 0% | 290 | $0.00 | |
| 90656 | 0% | 157 | $0.00 | |
| 93000 | 0% | 41 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 130 | $0.00 |
| 3074F | 0% | 15 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 16 | $0.00 |
| 3044F | 0% | 13 | $0.00 | |
| 3075F | 0% | 16 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 52 | $0.00 |
| 3077F | 0% | 411 | $0.00 | |
| 92552 | 0% | 48 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 279 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 1,792 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 170 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 30 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 3078F | 0% | 31 | $0.00 | |
| 81002 | 0% | 36 | $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 officialANTHONY, AWAD (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST Anthony Medical Centers | Los Angeles, CA | $4.54M |
| ST Anthony Medical Centers | Los Angeles, CA | $2.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.