JWCH Institute, INC
JWCH Institute, INC was paid $3.85M by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoJWCH INSTITUTE, INC
HACIENDA HEIGHTS, CA 91745
HACIENDA HEIGHTS, CA 91745
33aNPI1104274596assigned 05/26/2016
33bProvider typeCase Manager/Care Coordinator
28Total paid$3.85M
24GClaims70,896
24DCodes billed86
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#201 of 435
Median peer was paid$2.89M
This provider vs. median1.3×
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 BALLESTEROS, ALVARO controls 17+ 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 | 2,904 | $371K | |
| 2019 | 6,504 | $410K | |
| 2020 | 9,615 | $494K | |
| 2021 | 11,918 | $497K | |
| 2022 | 10,829 | $523K | |
| 2023 | 14,086 | $795K | |
| 2024incomplete | 15,040 | $757K |
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 | 94% | 26,707 | 20,642 | $3.63M |
| 00003 | Internal/system code - not a standard HCPCS code | 5.1% | 1,124 | 1,124 | $196K |
| 98940 | <1% | 3,408 | 2,387 | $17K | |
| 0012A | <1% | 173 | 126 | $3K | |
| 0064A | <1% | 80 | 59 | $2K | |
| 0071A | <1% | 23 | 13 | $940.00 | |
| 0011A | <1% | 143 | 131 | $750.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 14 | 14 | $633.92 |
| 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% | 8,226 | 7,475 | $560.09 |
| 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% | 1,031 | 1,003 | $516.53 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 476 | 471 | $220.00 |
| 0072A | <1% | 13 | 12 | $107.00 |
74 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 896 | $62.09 |
| 90648 | <1% | 94 | $9.00 | |
| 90723 | <1% | 41 | $9.00 | |
| 99173 | <1% | 1,590 | $3.63 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 281 | $3.51 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,240 | $0.02 |
| 90655 | 0% | 45 | $0.00 | |
| 3078F | 0% | 1,589 | $0.00 | |
| 1160F | 0% | 3,726 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 231 | $0.00 |
| 82948 | 0% | 373 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 317 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 4,077 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 137 | $0.00 |
| 3077F | 0% | 12 | $0.00 | |
| 99408 | 0% | 734 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 409 | $0.00 |
| 81002 | 0% | 71 | $0.00 | |
| 90658 | 0% | 436 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 45 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 67 | $0.00 |
| 1159F | 0% | 3,869 | $0.00 | |
| 90461 | 0% | 435 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 68 | $0.00 |
| PROP5 | 0% | 15 | $0.00 | |
| 90670 | 0% | 24 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 218 | $0.00 |
| 90700 | 0% | 61 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 71 | $0.00 |
| D0190 | 0% | 96 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 53 | $0.00 |
| 2022F | 0% | 16 | $0.00 | |
| 0502F | 0% | 15 | $0.00 | |
| 90633 | 0% | 26 | $0.00 | |
| 2028F | 0% | 12 | $0.00 | |
| 90713 | 0% | 30 | $0.00 | |
| 82274 | 0% | 40 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| 90715 | 0% | 26 | $0.00 | |
| D9993 | 0% | 27 | $0.00 | |
| Z6400 | 0% | 13 | $0.00 | |
| 90685 | 0% | 27 | $0.00 | |
| 96160 | 0% | 23 | $0.00 | |
| 3044F | 0% | 144 | $0.00 | |
| 3074F | 0% | 1,552 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,624 | $0.00 |
| 1126F | 0% | 812 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 554 | $0.00 |
| 85018 | 0% | 82 | $0.00 | |
| 3079F | 0% | 780 | $0.00 | |
| 3075F | 0% | 672 | $0.00 | |
| 90686 | 0% | 131 | $0.00 | |
| 1125F | 0% | 199 | $0.00 | |
| 90660 | 0% | 12 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 20 | $0.00 |
| 92551 | 0% | 418 | $0.00 | |
| 1170F | 0% | 32 | $0.00 | |
| Z6410 | 0% | 149 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 63 | $0.00 |
| Z1034 | 0% | 62 | $0.00 | |
| 90677 | 0% | 69 | $0.00 | |
| 91301 | 0% | 112 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 117 | $0.00 |
| D1330 | 0% | 27 | $0.00 | |
| 88142 | 0% | 15 | $0.00 | |
| 90656 | 0% | 48 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 48 | $0.00 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 20 | $0.00 |
| 86580 | 0% | 43 | $0.00 | |
| 3061F | 0% | 12 | $0.00 | |
| 90651 | 0% | 21 | $0.00 | |
| D1310 | 0% | 27 | $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 officialBALLESTEROS, ALVARO (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| JWCH Institute, INC. | Los Angeles, CA | $119.49M |
| JWCH Institute INC | Los Angeles, CA | $28.06M |
| JWCH Institute, INC. | Norwalk, CA | $16.20M |
| JWCH Institute, INC | Downey, CA | $12.94M |
| JWCH Institute, INC. | Bell Gardens, CA | $6.40M |
| JWCH Institute, INC. | Lynwood, CA | $5.07M |
| JWCH Institute, INC. | Bellflower, CA | $2.24M |
| JWCH Institute, INC. | Lancaster, CA | $1.12M |
| JWCH Institute, INC. | Los Angeles, CA | $218K |
| JWCH Institute, INC. | Lancaster, CA | $100K |
| JWCH Institute, INC. | Bell Gardens, CA | $67K |
| JWCH Institute, INC. | Palmdale, CA | $56K |
| JWCH Institute INC | Lynwood, CA | $52K |
| JWCH Institute, INC. | Bell Gardens, CA | $40K |
| JWCH Institute, INC. | Lancaster, CA | $11K |
| JWCH Institute, INC | Pasadena, CA | $10K |
| JWCH Institute, INC. | Bellflower, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.