Clinic
North East Medical Services
North East Medical Services was paid $2.39M by Medicaid between Jan 2018 and Jul 2019, across 16 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 63% of everything it billed.
33Billing provider infoNORTH EAST MEDICAL SERVICES
SAN JOSE, CA 95131
SAN JOSE, CA 95131
33aNPI1093992844assigned 01/23/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.39M
24GClaims15,404
24DCodes billed16
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#481 of 826
Median peer was paid$4.05M
This provider vs. median0.6×
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.
Entity ProliferationAuthorized official CHAN, EDDIE controls 20+ related entities in our dataset. Read more
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 | 12,709 | $1.70M | |
| 2019 | 2,695 | $687K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 63% | 5,935 | 4,892 | $1.51M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 36% | 4,600 | 4,186 | $849K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 227 | 215 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 296 | 259 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 274 | 266 | $8K |
| 92551 | <1% | 760 | 730 | $5K | |
| 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% | 1,433 | 1,161 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 566 | 510 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 324 | 320 | $749.95 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 76 | 75 | $209.64 |
| 99173 | <1% | 352 | 347 | $173.62 | |
| 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% | 26 | 26 | $67.34 |
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 officialCHAN, EDDIE (PRESIDENT & CEO)
Parent organizationNORTH EAST MEDICAL SERVICES
| Provider | Location | Paid |
|---|---|---|
| North East Medical Services | San Francisco, CA | $142.96M |
| North East Medical Services | San Francisco, CA | $59.12M |
| North East Medical Services | Daly City, CA | $47.54M |
| North East Medical Services | San Jose, CA | $38.88M |
| North East Medical Services | San Francisco, CA | $16.05M |
| North East Medical Services | San Francisco, CA | $10.35M |
| North East Medical Services | San Francisco, CA | $8.89M |
| North East Medical Services | San Francisco, CA | $8.50M |
| North East Medical Services | Daly City, CA | $546K |
| North East Medical Services | San Francisco, CA | $233K |
| North East Medical Services | San Francisco, CA | $131K |
| North East Medical Services | San Francisco, CA | $64K |
| North East Medical Services | San Francisco, CA | $40K |
| North East Medical Services | San Francisco, CA | $40K |
| North East Medical Services | Daly City, CA | $35K |
| North East Medical Services | Daly City, CA | $15K |
| North East Medical Services | San Francisco, CA | $7K |
| North East Medical Services | San Francisco, CA | $2K |
| North East Medical Services | San Francisco, CA | $2K |
| North East Medical Services | San Francisco, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.