North County Health Project, INC.
North County Health Project, INC. was paid $15.60M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
RAMONA, CA 92065
Next to other Federally Qualified Health Center (FQHC) 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 | 11,991 | $2.19M | |
| 2019 | 16,610 | $1.97M | |
| 2020 | 18,378 | $1.63M | |
| 2021 | 21,172 | $2.10M | |
| 2022 | 26,915 | $2.47M | |
| 2023 | 44,195 | $3.14M | |
| 2024incomplete | 47,528 | $2.10M |
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 | 75% | 62,585 | 52,132 | $11.64M |
| 00003 | Internal/system code - not a standard HCPCS code | 25% | 16,055 | 13,033 | $3.88M |
| 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% | 17,945 | 16,269 | $25K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 3,306 | 1,963 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,276 | 7,592 | $11K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 714 | 311 | $9K |
| G9920 | Screening performed and negative | <1% | 1,495 | 1,469 | $7K |
| 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% | 6,704 | 6,235 | $7K |
| 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% | 247 | 190 | $3K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 90 | 60 | $2K |
| 98940 | <1% | 660 | 454 | $2K | |
| 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 | <1% | 124 | 95 | $1K |
67 more codes
| G9919 | Screening performed and positive and provision of recommendations | <1% | 119 | $659.75 |
| 91320 | <1% | 65 | $466.68 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 917 | $444.82 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 38 | $374.67 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 214 | $305.55 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 610 | $284.79 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 151 | $228.23 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 382 | $175.40 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,012 | $164.06 |
| 90480 | <1% | 65 | $160.00 | |
| 90686 | <1% | 786 | $129.07 | |
| 92552 | <1% | 579 | $100.14 | |
| 99201 | <1% | 17 | $89.52 | |
| 90698 | <1% | 30 | $87.36 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,102 | $70.17 |
| 90746 | <1% | 76 | $69.58 | |
| 90688 | <1% | 130 | $63.00 | |
| 90715 | <1% | 180 | $62.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 738 | $37.87 |
| 85018 | <1% | 2,574 | $37.87 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 222 | $37.39 |
| 99401 | <1% | 891 | $19.07 | |
| 99173 | <1% | 1,537 | $12.09 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 787 | $12.00 |
| 92551 | <1% | 719 | $10.10 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 86 | $7.80 |
| 99177 | <1% | 67 | $7.50 | |
| 99000 | <1% | 3,943 | $3.63 | |
| 3078F | 0% | 8,266 | $0.00 | |
| 1160F | 0% | 6,685 | $0.00 | |
| 82947 | 0% | 309 | $0.00 | |
| 3077F | 0% | 1,304 | $0.00 | |
| 90734 | 0% | 65 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 29 | $0.00 |
| 81002 | 0% | 29 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 269 | $0.00 |
| 1159F | 0% | 6,685 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| 90670 | 0% | 73 | $0.00 | |
| 97803 | 0% | 783 | $0.00 | |
| 96160 | 0% | 87 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 28 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 90662 | 0% | 15 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 16 | $0.00 |
| 83655 | 0% | 26 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 12 | $0.00 |
| 3075F | 0% | 1,860 | $0.00 | |
| 3074F | 0% | 9,005 | $0.00 | |
| 3079F | 0% | 3,434 | $0.00 | |
| 1126F | 0% | 4,580 | $0.00 | |
| 96150 | 0% | 13 | $0.00 | |
| 3008F | 0% | 44 | $0.00 | |
| 3044F | 0% | 438 | $0.00 | |
| 1125F | 0% | 2,271 | $0.00 | |
| 90677 | 0% | 69 | $0.00 | |
| 90656 | 0% | 163 | $0.00 | |
| 3080F | 0% | 471 | $0.00 | |
| 97802 | 0% | 13 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 513 | $0.00 |
| 96156 | 0% | 432 | $0.00 | |
| 90651 | 0% | 41 | $0.00 | |
| 96151 | 0% | 407 | $0.00 | |
| 94760 | 0% | 15 | $0.00 | |
| 82962 | 0% | 30 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 32 | $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 |
|---|---|---|
| North County Health Project, INC. | San Marcos, CA | $125.68M |
| North County Health Project, INC. | Oceanside, CA | $57.50M |
| North County Health Project, INC. | Oceanside, CA | $29.48M |
| North County Health Project, INC. | Encinitas, CA | $16.48M |
| North County Health Project, INC | Perris, CA | $15.77M |
| North County Health Project, INC. | Oceanside, CA | $11.36M |
| North County Health Project, INC. | Carlsbad, CA | $6.73M |
| North County Health Project, INC. | Oceanside, CA | $1.59M |
| North County Health Project, INC. | Oceanside, CA | $366K |
| North County Health Project, INC. | San Marcos, CA | $180K |
| North County Health Project, INC. | San Marcos, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.