Managed care
Bay Area Accountable Care Network, INC
Bay Area Accountable Care Network, INC was paid $671K by Medicaid between Jan 2018 and Sep 2018, across 199 billing codes. Its largest line is 99285, emergency room visit (most serious) — 13% of everything it billed.
33Billing provider infoBAY AREA ACCOUNTABLE CARE NETWORK, INC
ENCINO, CA 91436
ENCINO, CA 91436
33aNPI1093167835assigned 07/05/2016
33bProvider typeHealth Maintenance Organization
28Total paid$671K
24GClaims101,245
24DCodes billed199
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#40 of 151
Median peer was paid$59K
This provider vs. median11×
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 | 101,245 | $671K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 13% | 997 | 884 | $88K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 10% | 1,150 | 1,100 | $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 | 10.0% | 2,050 | 1,875 | $67K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.9% | 1,621 | 1,570 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 7,739 | 7,135 | $55K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.5% | 1,144 | 1,104 | $51K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 7.5% | 1,086 | 364 | $50K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 179 | 179 | $18K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.0% | 163 | 163 | $14K |
| 59425 | 2.0% | 255 | 160 | $14K | |
| A4267 | Contraceptive supply, condom, male, each | 1.9% | 95 | 91 | $13K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.9% | 2,314 | 2,292 | $13K |
187 more codes
| A0429 | Emergency ambulance ride, basic life support | 1.8% | 83 | $12K |
| A0427 | Emergency ambulance ride, advanced life support | 1.6% | 79 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 1,435 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 951 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 213 | $8K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 222 | $6K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 121 | $6K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 148 | $6K |
| 97803 | <1% | 3,000 | $6K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 443 | $6K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 142 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 732 | $5K |
| 71045 | Radiologic examination, chest; single view | <1% | 462 | $5K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 133 | $4K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 58 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 424 | $4K |
| 97802 | <1% | 1,983 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 270 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 314 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,285 | $3K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 13 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 68 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 53 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 3,259 | $2K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 25 | $2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | <1% | 12 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 76 | $1K |
| T4541 | Incontinence product, disposable underpad, large, each | <1% | 84 | $1K |
| 76641 | <1% | 22 | $1K | |
| 85018 | <1% | 2,215 | $906.84 | |
| 73630 | <1% | 105 | $877.32 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 44 | $852.46 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 529 | $841.44 |
| 88142 | <1% | 173 | $750.96 | |
| 81025 | <1% | 372 | $722.73 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,687 | $707.75 |
| J3490 | Unclassified drugs | <1% | 12 | $698.79 |
| 97161 | <1% | 13 | $623.26 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 40 | $548.26 |
| A0425 | Ground mileage, per statute mile | <1% | 353 | $515.12 |
| 80076 | <1% | 199 | $462.81 | |
| 71020 | <1% | 85 | $432.62 | |
| 90651 | <1% | 189 | $417.16 | |
| 73610 | <1% | 69 | $377.22 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 16 | $376.29 |
| 87806 | <1% | 78 | $367.49 | |
| 3008F | <1% | 2,839 | $353.00 | |
| 81001 | <1% | 1,530 | $336.46 | |
| 99000 | <1% | 581 | $324.52 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,858 | $287.64 |
| 73030 | <1% | 27 | $286.55 | |
| 73562 | <1% | 17 | $261.14 | |
| 83970 | <1% | 26 | $250.76 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 104 | $235.46 |
| 85610 | <1% | 305 | $215.43 | |
| 74018 | <1% | 18 | $212.74 | |
| 73110 | <1% | 18 | $208.04 | |
| 82728 | <1% | 73 | $196.93 | |
| 73130 | <1% | 17 | $160.41 | |
| 80061 | Lipid panel | <1% | 2,620 | $154.07 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 467 | $153.00 |
| 85027 | <1% | 584 | $146.17 | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 15 | $137.55 |
| 81000 | <1% | 2,107 | $123.54 | |
| 87081 | <1% | 87 | $112.13 | |
| 84484 | <1% | 122 | $110.13 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,984 | $104.02 |
| 87040 | <1% | 14 | $103.47 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,102 | $96.20 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 30 | $91.21 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 2,310 | $75.23 |
| 92081 | <1% | 812 | $75.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 247 | $69.08 |
| 90658 | <1% | 227 | $65.00 | |
| 85730 | <1% | 174 | $63.08 | |
| 83735 | <1% | 19 | $60.14 | |
| 73080 | <1% | 15 | $59.38 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 631 | $57.56 |
| 87077 | <1% | 202 | $51.77 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,104 | $50.63 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 762 | $48.50 |
| 84702 | <1% | 232 | $48.15 | |
| 87110 | <1% | 778 | $48.00 | |
| 81003 | <1% | 327 | $35.84 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,461 | $34.00 |
| 83690 | <1% | 175 | $33.78 | |
| 11721 | <1% | 53 | $33.51 | |
| 83540 | <1% | 132 | $31.90 | |
| 87070 | <1% | 431 | $30.11 | |
| 86592 | <1% | 894 | $30.06 | |
| 84703 | <1% | 86 | $27.53 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 719 | $26.53 |
| 84100 | <1% | 35 | $25.26 | |
| 90461 | <1% | 576 | $25.00 | |
| 87210 | <1% | 12 | $24.86 | |
| 3077F | <1% | 158 | $24.00 | |
| 1159F | <1% | 2,000 | $24.00 | |
| 82550 | <1% | 16 | $17.52 | |
| 80320 | <1% | 12 | $13.93 | |
| 87186 | <1% | 191 | $9.68 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $9.62 |
| 90620 | <1% | 12 | $9.00 | |
| 90686 | <1% | 188 | $9.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 517 | $9.00 |
| 87147 | <1% | 133 | $6.13 | |
| 82785 | <1% | 225 | $2.92 | |
| 87088 | <1% | 475 | $2.64 | |
| 86901 | <1% | 17 | $2.46 | |
| 86140 | <1% | 159 | $2.38 | |
| 81002 | <1% | 706 | $0.86 | |
| 3079F | 0% | 320 | $0.00 | |
| 3074F | 0% | 1,222 | $0.00 | |
| 1125F | 0% | 392 | $0.00 | |
| 82607 | 0% | 86 | $0.00 | |
| 92551 | 0% | 1,188 | $0.00 | |
| 83021 | 0% | 251 | $0.00 | |
| 36416 | 0% | 446 | $0.00 | |
| 2010F | 0% | 180 | $0.00 | |
| 82043 | 0% | 477 | $0.00 | |
| 83001 | 0% | 28 | $0.00 | |
| 3075F | 0% | 128 | $0.00 | |
| 96151 | 0% | 104 | $0.00 | |
| 83002 | 0% | 26 | $0.00 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 0% | 104 | $0.00 |
| 83550 | 0% | 146 | $0.00 | |
| E0570 | Nebulizer, with compressor | 0% | 13 | $0.00 |
| 90698 | 0% | 89 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 222 | $0.00 |
| 1126F | 0% | 630 | $0.00 | |
| 84436 | 0% | 542 | $0.00 | |
| 84153 | 0% | 251 | $0.00 | |
| 20553 | 0% | 172 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 122 | $0.00 |
| 3044F | 0% | 15 | $0.00 | |
| 94760 | 0% | 12 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 185 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 43 | $0.00 |
| 82950 | 0% | 54 | $0.00 | |
| 85652 | 0% | 188 | $0.00 | |
| 86803 | 0% | 12 | $0.00 | |
| 1170F | 0% | 38 | $0.00 | |
| 1000F | 0% | 39 | $0.00 | |
| 80081 | 0% | 28 | $0.00 | |
| 84479 | 0% | 329 | $0.00 | |
| 86580 | 0% | 81 | $0.00 | |
| 1111F | 0% | 26 | $0.00 | |
| 82746 | 0% | 14 | $0.00 | |
| 82044 | 0% | 14 | $0.00 | |
| 93000 | 0% | 13 | $0.00 | |
| 82962 | 0% | 13 | $0.00 | |
| 92552 | 0% | 1,463 | $0.00 | |
| 82570 | 0% | 506 | $0.00 | |
| 84460 | 0% | 12 | $0.00 | |
| 1160F | 0% | 1,408 | $0.00 | |
| 3078F | 0% | 1,282 | $0.00 | |
| 82948 | 0% | 90 | $0.00 | |
| 83525 | 0% | 128 | $0.00 | |
| 82652 | 0% | 50 | $0.00 | |
| 1158F | 0% | 175 | $0.00 | |
| 99173 | 0% | 1,341 | $0.00 | |
| 90670 | 0% | 104 | $0.00 | |
| 3725F | 0% | 220 | $0.00 | |
| 83655 | 0% | 726 | $0.00 | |
| 86038 | 0% | 103 | $0.00 | |
| 86003 | 0% | 241 | $0.00 | |
| 86431 | 0% | 142 | $0.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 300 | $0.00 |
| 84481 | 0% | 65 | $0.00 | |
| 82947 | 0% | 235 | $0.00 | |
| 90649 | 0% | 128 | $0.00 | |
| 82274 | 0% | 167 | $0.00 | |
| 84403 | 0% | 12 | $0.00 | |
| 82465 | 0% | 125 | $0.00 | |
| 90710 | 0% | 38 | $0.00 | |
| 82248 | 0% | 19 | $0.00 | |
| 84439 | 0% | 315 | $0.00 | |
| 84550 | 0% | 417 | $0.00 | |
| 80074 | 0% | 63 | $0.00 | |
| 90685 | 0% | 32 | $0.00 | |
| 90734 | 0% | 49 | $0.00 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 44 | $0.00 |
| 99408 | 0% | 38 | $0.00 | |
| 90633 | 0% | 40 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 20 | $0.00 |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 0% | 16 | $0.00 |
| 0521F | 0% | 12 | $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 officialBOROWSKY, JIM (CFO)