Clinic
Mountain Health & Community Services, INC.
Mountain Health & Community Services, INC. was paid $449K by Medicaid between Jan 2018 and Jul 2019, across 3 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoMOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
ESCONDIDO, CA 92027
ESCONDIDO, CA 92027
33aNPI1063613263assigned 05/29/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$449K
24GClaims7,597
24DCodes billed3
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#577 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 | 4,413 | $257K | |
| 2019 | 3,184 | $191K |
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 | 100% | 7,537 | 6,486 | $449K |
| 36415 | Collection of venous blood by venipuncture | 0% | 29 | 29 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 31 | 29 | $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 officialSHAPLIN, JUDITH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Mountain Health & Community Services, INC | Santee, CA | $2.23M |
| Mountain Health & Community Services, INC. | Alpine, CA | $1.48M |
| Mountain Health & Community Services, INC. | San Diego, CA | $534K |
| Mountain Health & Community Services, INC. | Campo, CA | $246K |
| Mountain Health & Community Services, INC. | San Diego, CA | $97K |
| Mountain Health & Community Services, INC. | Campo, CA | $84K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.