Clinic
North East Medical Services
North East Medical Services was paid $47.54M by Medicaid between Jan 2018 and Dec 2024, across 208 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoNORTH EAST MEDICAL SERVICES
DALY CITY, CA 94015
DALY CITY, CA 94015
33aNPI1104103001assigned 11/07/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$47.54M
24GClaims967,713
24DCodes billed208
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#72 of 826
Median peer was paid$4.05M
This provider vs. median12×
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 | 51,323 | $3.00M | |
| 2019 | 69,634 | $2.81M | |
| 2020 | 108,703 | $5.62M | |
| 2021 | 135,364 | $6.87M | |
| 2022 | 116,339 | $5.66M | |
| 2023 | 188,320 | $11.42M | |
| 2024incomplete | 298,030 | $12.16M |
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 | 89% | 224,165 | 184,231 | $42.12M |
| 00003 | Internal/system code - not a standard HCPCS code | 2.5% | 4,558 | 3,516 | $1.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 144,780 | 100,072 | $599K |
| 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% | 10,322 | 9,168 | $360K |
| 80061 | Lipid panel | <1% | 24,866 | 24,791 | $237K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 15,647 | 15,585 | $209K |
| 80053 | Comprehensive metabolic panel | <1% | 23,002 | 22,778 | $159K |
| 86480 | <1% | 3,409 | 3,408 | $154K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 21,266 | 20,982 | $147K |
| 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% | 13,463 | 9,827 | $144K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 4,780 | 2,481 | $140K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 6,539 | 6,533 | $132K |
196 more codes
| 90750 | <1% | 1,686 | $108K | |
| 86803 | <1% | 6,698 | $94K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 898 | $89K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,613 | $86K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,827 | $85K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 43,240 | $84K |
| 86704 | <1% | 5,112 | $63K | |
| 87340 | <1% | 5,787 | $60K | |
| 82274 | <1% | 4,312 | $60K | |
| G9920 | Screening performed and negative | <1% | 2,874 | $58K |
| 0002A | <1% | 926 | $56K | |
| 0001A | <1% | 835 | $49K | |
| 86706 | <1% | 4,068 | $43K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 5,608 | $42K |
| 90688 | <1% | 6,954 | $41K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 658 | $39K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,930 | $36K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,373 | $34K |
| 0031A | <1% | 515 | $32K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,577 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,064 | $29K |
| 90739 | <1% | 444 | $28K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,631 | $28K |
| H0049 | Alcohol and/or drug screening | <1% | 4,061 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,197 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,271 | $22K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,149 | $22K |
| 82043 | <1% | 5,492 | $21K | |
| 0011A | <1% | 505 | $21K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,723 | $21K |
| 86317 | <1% | 1,915 | $20K | |
| 82570 | <1% | 5,633 | $20K | |
| 86703 | <1% | 1,362 | $19K | |
| 85027 | <1% | 19,819 | $19K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 118 | $19K |
| 90756 | <1% | 867 | $18K | |
| 90746 | <1% | 213 | $16K | |
| 84460 | <1% | 3,160 | $16K | |
| D1110 | Prophylaxis - adult | <1% | 632 | $15K |
| 99385 | <1% | 643 | $15K | |
| 90686 | <1% | 8,002 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28,294 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,054 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,033 | $12K |
| 0012A | <1% | 208 | $12K | |
| 99000 | <1% | 4,087 | $11K | |
| 99386 | <1% | 342 | $10K | |
| 90651 | <1% | 1,711 | $10K | |
| 0054A | <1% | 170 | $10K | |
| 90620 | <1% | 675 | $9K | |
| 0064A | <1% | 148 | $8K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 88 | $8K |
| D1120 | Dental cleaning, child | <1% | 539 | $7K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 219 | $7K |
| 0004A | <1% | 132 | $7K | |
| 99188 | <1% | 735 | $7K | |
| 0124A | <1% | 460 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 654 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 119 | $6K |
| 90658 | <1% | 1,354 | $6K | |
| 99429 | <1% | 233 | $6K | |
| 83655 | <1% | 445 | $6K | |
| 90670 | <1% | 1,744 | $6K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 205 | $6K |
| 92551 | <1% | 9,139 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 871 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 395 | $5K |
| 90662 | <1% | 1,064 | $5K | |
| 90715 | <1% | 642 | $5K | |
| D9430 | <1% | 446 | $5K | |
| 90656 | <1% | 2,025 | $5K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 113 | $4K |
| 99384 | <1% | 175 | $4K | |
| 0134A | <1% | 143 | $4K | |
| 90633 | <1% | 1,563 | $4K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,041 | $4K |
| 0071A | <1% | 73 | $4K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 129 | $4K |
| V2020 | Frames, purchases | <1% | 812 | $4K |
| 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% | 277 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 122 | $4K |
| 99401 | <1% | 186 | $3K | |
| 0072A | <1% | 61 | $3K | |
| 84153 | <1% | 205 | $3K | |
| 90734 | <1% | 765 | $3K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 112 | $3K |
| 90698 | <1% | 903 | $3K | |
| 90480 | <1% | 1,020 | $3K | |
| 90677 | <1% | 324 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 8,285 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 85 | $3K |
| 99383 | <1% | 148 | $3K | |
| 84439 | <1% | 282 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,041 | $3K |
| 90744 | <1% | 661 | $2K | |
| D1310 | <1% | 668 | $2K | |
| 0082A | <1% | 30 | $2K | |
| 81001 | <1% | 4,428 | $2K | |
| 99442 | <1% | 949 | $2K | |
| D0120 | Dental checkup, returning patient | <1% | 245 | $2K |
| 90732 | <1% | 43 | $2K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 691 | $2K |
| 92227 | <1% | 95 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 143 | $1K |
| 93000 | <1% | 312 | $1K | |
| 86592 | <1% | 240 | $1K | |
| 91320 | <1% | 441 | $999.50 | |
| 90647 | <1% | 71 | $774.90 | |
| 97803 | <1% | 77 | $748.45 | |
| 82947 | <1% | 195 | $730.54 | |
| 90685 | <1% | 158 | $708.48 | |
| 90681 | <1% | 220 | $619.92 | |
| D0270 | <1% | 215 | $617.50 | |
| 90716 | <1% | 182 | $570.80 | |
| 90674 | <1% | 153 | $548.15 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,552 | $526.56 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 321 | $519.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 46 | $500.84 |
| 90723 | <1% | 43 | $476.01 | |
| 84550 | <1% | 55 | $430.21 | |
| 83721 | <1% | 54 | $414.51 | |
| 80076 | <1% | 27 | $376.24 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 12 | $360.00 |
| 90655 | <1% | 32 | $343.17 | |
| 82962 | <1% | 218 | $342.61 | |
| 90710 | <1% | 215 | $298.89 | |
| 90707 | <1% | 79 | $276.75 | |
| 85014 | <1% | 490 | $204.94 | |
| 85018 | <1% | 490 | $198.91 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 383 | $198.04 |
| 92341 | <1% | 40 | $176.04 | |
| 99381 | <1% | 16 | $167.28 | |
| 91322 | <1% | 166 | $145.92 | |
| 99397 | <1% | 19 | $145.63 | |
| 90696 | <1% | 172 | $132.84 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 32,352 | $127.26 |
| 83718 | <1% | 25 | $99.60 | |
| 82465 | <1% | 25 | $57.36 | |
| 99173 | <1% | 5,281 | $46.34 | |
| 86580 | <1% | 160 | $41.30 | |
| 86708 | <1% | 15 | $36.42 | |
| 85651 | <1% | 14 | $35.04 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 531 | $19.80 |
| 90678 | 0% | 331 | $0.00 | |
| 1159F | 0% | 9,838 | $0.00 | |
| Z6202 | 0% | 453 | $0.00 | |
| 3078F | 0% | 22,499 | $0.00 | |
| 3077F | 0% | 2,954 | $0.00 | |
| 97811 | 0% | 23,141 | $0.00 | |
| 97810 | 0% | 23,144 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 99 | $0.00 |
| Z6200 | 0% | 575 | $0.00 | |
| 91312 | 0% | 196 | $0.00 | |
| 97813 | 0% | 6,936 | $0.00 | |
| 1160F | 0% | 4,526 | $0.00 | |
| Z6208 | 0% | 341 | $0.00 | |
| 83037 | 0% | 660 | $0.00 | |
| 91300 | 0% | 226 | $0.00 | |
| 90700 | 0% | 20 | $0.00 | |
| Z6414 | 0% | 683 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 188 | $0.00 |
| 90473 | 0% | 61 | $0.00 | |
| 90687 | 0% | 181 | $0.00 | |
| 90714 | 0% | 18 | $0.00 | |
| Z6400 | 0% | 42 | $0.00 | |
| 90461 | 0% | 41 | $0.00 | |
| 97814 | 0% | 6,952 | $0.00 | |
| 3079F | 0% | 5,292 | $0.00 | |
| 3074F | 0% | 19,888 | $0.00 | |
| 3075F | 0% | 4,986 | $0.00 | |
| 3008F | 0% | 18,815 | $0.00 | |
| D1330 | 0% | 786 | $0.00 | |
| D0603 | 0% | 145 | $0.00 | |
| 3351F | 0% | 1,925 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 1,658 | $0.00 |
| Z6204 | 0% | 817 | $0.00 | |
| Z6410 | 0% | 856 | $0.00 | |
| 3044F | 0% | 122 | $0.00 | |
| 3080F | 0% | 121 | $0.00 | |
| D5899 | 0% | 22 | $0.00 | |
| Z6402 | 0% | 375 | $0.00 | |
| D0602 | 0% | 89 | $0.00 | |
| Z6406 | 0% | 1,242 | $0.00 | |
| Z6404 | 0% | 165 | $0.00 | |
| ACUHE | 0% | 36 | $0.00 | |
| 90697 | 0% | 250 | $0.00 | |
| 1126F | 0% | 260 | $0.00 | |
| 91301 | 0% | 59 | $0.00 | |
| 90619 | 0% | 194 | $0.00 | |
| 91303 | 0% | 20 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 43 | $0.00 |
| 2023F | 0% | 15 | $0.00 | |
| 91307 | 0% | 31 | $0.00 | |
| 1000F | 0% | 30 | $0.00 | |
| 99441 | 0% | 16 | $0.00 | |
| 1125F | 0% | 15 | $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 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 | 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 | San Jose, CA | $2.39M |
| 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.