Tiburcio Vasquez Health Center, INC.
Tiburcio Vasquez Health Center, INC. was paid $27.31M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoTIBURCIO VASQUEZ HEALTH CENTER, INC.
HAYWARD, CA 94541
HAYWARD, CA 94541
33aNPI1073676243assigned 12/19/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$27.31M
24GClaims425,956
24DCodes billed109
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#77 of 435
Median peer was paid$2.89M
This provider vs. median9.5×
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 | 41,388 | $4.64M | |
| 2019 | 47,431 | $3.72M | |
| 2020 | 63,532 | $4.04M | |
| 2021 | 80,241 | $4.74M | |
| 2022 | 61,965 | $3.03M | |
| 2023 | 63,251 | $3.20M | |
| 2024incomplete | 68,148 | $3.94M |
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 | 79% | 128,483 | 112,281 | $21.52M |
| 00003 | Internal/system code - not a standard HCPCS code | 15% | 18,355 | 17,733 | $4.18M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 9,111 | 3,674 | $337K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.2% | 4,198 | 2,010 | $337K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 101,937 | 63,640 | $279K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,784 | 1,340 | $152K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,831 | 9,770 | $118K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 879 | 526 | $68K |
| 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% | 19,288 | 12,363 | $54K |
| 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% | 1,088 | 960 | $49K |
| J3490 | Unclassified drugs | <1% | 1,025 | 932 | $42K |
| G9920 | Screening performed and negative | <1% | 9,816 | 6,201 | $29K |
97 more codes
| 0002A | <1% | 235 | $16K | |
| 0001A | <1% | 229 | $15K | |
| 92133 | <1% | 658 | $15K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,201 | $13K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 15 | $10K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 330 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,394 | $5K |
| 0071A | <1% | 67 | $4K | |
| 0064A | <1% | 64 | $4K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 779 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,156 | $3K |
| 0072A | <1% | 50 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 852 | $3K |
| 81025 | <1% | 4,874 | $3K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,276 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,316 | $3K |
| 90750 | <1% | 167 | $2K | |
| 0124A | <1% | 33 | $2K | |
| 11981 | <1% | 24 | $2K | |
| 0082A | <1% | 29 | $2K | |
| 90686 | <1% | 10,481 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 428 | $2K |
| 97802 | <1% | 566 | $2K | |
| 90677 | <1% | 433 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 649 | $1K |
| 92025 | <1% | 85 | $1K | |
| 0004A | <1% | 21 | $1K | |
| 90739 | <1% | 180 | $1K | |
| 90715 | <1% | 621 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 87 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,903 | $951.24 |
| 92134 | <1% | 47 | $870.75 | |
| 90670 | <1% | 3,076 | $853.00 | |
| 0054A | <1% | 12 | $804.00 | |
| 81003 | <1% | 7,587 | $594.02 | |
| 92015 | Determination of refractive state | <1% | 2,575 | $564.35 |
| 96156 | <1% | 429 | $543.94 | |
| 90723 | <1% | 2,080 | $538.00 | |
| 97803 | <1% | 733 | $494.40 | |
| 90647 | <1% | 2,205 | $485.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 278 | $376.00 |
| 90633 | <1% | 2,418 | $289.00 | |
| 90656 | <1% | 833 | $270.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 237 | $253.14 |
| 87428 | <1% | 542 | $252.00 | |
| 90480 | <1% | 77 | $240.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13,292 | $205.39 |
| 0074A | <1% | 16 | $201.00 | |
| 90716 | <1% | 306 | $170.00 | |
| 85018 | <1% | 4,030 | $137.56 | |
| 99385 | <1% | 114 | $125.51 | |
| 90651 | <1% | 1,499 | $124.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $96.21 |
| 90619 | <1% | 256 | $90.00 | |
| 90681 | <1% | 558 | $70.00 | |
| 99401 | <1% | 221 | $67.28 | |
| 99383 | <1% | 14 | $60.31 | |
| 99381 | <1% | 164 | $42.38 | |
| 99000 | <1% | 31 | $39.93 | |
| 90461 | <1% | 6,206 | $37.64 | |
| 90710 | <1% | 425 | $30.00 | |
| 90734 | <1% | 664 | $30.00 | |
| 90744 | <1% | 16 | $26.00 | |
| 90707 | <1% | 20 | $10.00 | |
| 92551 | 0% | 1,694 | $0.00 | |
| Z6204 | 0% | 273 | $0.00 | |
| Z1034 | 0% | 5,770 | $0.00 | |
| 92499 | 0% | 203 | $0.00 | |
| Z6404 | 0% | 229 | $0.00 | |
| Z6406 | 0% | 264 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,737 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 148 | $0.00 |
| Z1032 | 0% | 213 | $0.00 | |
| 99386 | 0% | 22 | $0.00 | |
| 91305 | 0% | 15 | $0.00 | |
| 0081A | 0% | 16 | $0.00 | |
| 88720 | 0% | 67 | $0.00 | |
| 59430 | 0% | 64 | $0.00 | |
| Z6410 | 0% | 111 | $0.00 | |
| Z1038 | 0% | 64 | $0.00 | |
| 90620 | 0% | 67 | $0.00 | |
| 92227 | 0% | 114 | $0.00 | |
| 91307 | 0% | 51 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 13 | $0.00 |
| 90473 | 0% | 322 | $0.00 | |
| Z6300 | 0% | 179 | $0.00 | |
| 99173 | 0% | 1,812 | $0.00 | |
| Z6302 | 0% | 202 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 51 | $0.00 |
| Z6400 | 0% | 280 | $0.00 | |
| 91308 | 0% | 32 | $0.00 | |
| Z6200 | 0% | 433 | $0.00 | |
| 81002 | 0% | 383 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 45 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 49 | $0.00 |
| Z6500 | 0% | 14 | $0.00 | |
| 90713 | 0% | 34 | $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 officialSCHWAB-GALINDO, ANDREA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Tiburcio Vasquez Health Center, INC. | San Leandro, CA | $29.12M |
| Tiburcio Vasquez Health Center, INC. | Union City, CA | $17.19M |
| Tiburcio Vasquez Health Center, INC. | Hayward, CA | $10.29M |
| Tiburcio Vasquez Health Center, INC. | Hayward, CA | $3.51M |
| Tiburcio Vasquez Health Center, INC. | Union City, CA | $1.26M |
| Tiburcio Vasquez Health Center, INC. | Castro Valley, CA | $151K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.