Family Healthcare Network
Family Healthcare Network was paid $20.48M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 70% of everything it billed.
TULARE, CA 93274
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 | 38,030 | $4.15M | |
| 2019 | 30,436 | $3.49M | |
| 2020 | 45,839 | $3.73M | |
| 2021 | 43,196 | $2.74M | |
| 2022 | 73,400 | $2.15M | |
| 2023 | 89,244 | $2.21M | |
| 2024incomplete | 84,467 | $2.01M |
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 | 70% | 107,263 | 88,522 | $14.37M |
| 00003 | Internal/system code - not a standard HCPCS code | 27% | 37,681 | 19,138 | $5.51M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 1.4% | 745 | 735 | $277K |
| 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% | 84,021 | 51,773 | $123K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28,514 | 18,844 | $70K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,127 | 1,632 | $46K |
| 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% | 1,171 | 953 | $35K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 658 | 449 | $30K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,572 | 1,613 | $3K |
| 0012A | <1% | 48 | 48 | $3K | |
| J3490 | Unclassified drugs | <1% | 548 | 438 | $2K |
| 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% | 4,696 | 3,093 | $2K |
62 more codes
| 81025 | <1% | 7,972 | $2K | |
| G9920 | Screening performed and negative | <1% | 1,386 | $2K |
| 0011A | <1% | 27 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,000 | $2K |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | <1% | 535 | $974.06 |
| 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% | 69 | $856.59 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 84 | $787.48 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,456 | $535.15 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 309 | $342.42 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,994 | $318.42 |
| 59425 | <1% | 257 | $308.85 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 221 | $261.34 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,397 | $205.83 |
| 81002 | <1% | 6,804 | $153.59 | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 38 | $135.83 |
| 92551 | <1% | 970 | $132.97 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 609 | $105.05 |
| 85018 | <1% | 2,890 | $86.99 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 54 | $74.04 |
| 99173 | <1% | 1,567 | $70.34 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 30 | $60.48 |
| 82962 | <1% | 4,305 | $40.32 | |
| 90651 | <1% | 65 | $26.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 973 | $18.75 |
| 90686 | <1% | 773 | $17.00 | |
| 99401 | <1% | 151 | $8.33 | |
| 97803 | <1% | 149 | $8.33 | |
| 96156 | <1% | 326 | $8.33 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 60,175 | $4.74 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 709 | $4.39 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,328 | $0.81 |
| 99406 | <1% | 763 | $0.04 | |
| 3078F | <1% | 5,381 | $0.03 | |
| 3074F | <1% | 5,223 | $0.03 | |
| 3079F | <1% | 4,626 | $0.02 | |
| 3075F | <1% | 2,666 | $0.01 | |
| 3077F | 0% | 3,183 | $0.00 | |
| 3051F | 0% | 56 | $0.00 | |
| Z6304 | 0% | 142 | $0.00 | |
| Z6400 | 0% | 247 | $0.00 | |
| 90715 | 0% | 113 | $0.00 | |
| 3046F | 0% | 103 | $0.00 | |
| 90713 | 0% | 19 | $0.00 | |
| 90734 | 0% | 45 | $0.00 | |
| Z6414 | 0% | 12 | $0.00 | |
| Z6500 | 0% | 25 | $0.00 | |
| Z6308 | 0% | 12 | $0.00 | |
| 90700 | 0% | 24 | $0.00 | |
| 3080F | 0% | 624 | $0.00 | |
| Z6406 | 0% | 145 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 243 | $0.00 |
| 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% | 1,065 | $0.00 |
| 3044F | 0% | 359 | $0.00 | |
| Z1034 | 0% | 332 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 79 | $0.00 |
| Z6204 | 0% | 144 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 144 | $0.00 |
| 96151 | 0% | 17 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 54 | $0.00 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 12 | $0.00 |
| 93000 | 0% | 30 | $0.00 | |
| 99243 | 0% | 57 | $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 | Porterville, CA | $34.76M |
| 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 | $20.28M |
| 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.