Alameda Health System
Alameda Health System was paid $64.53M by Medicaid between Jan 2018 and Dec 2024, across 166 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoALAMEDA HEALTH SYSTEM
OAKLAND, CA 94605
OAKLAND, CA 94605
33aNPI1104959089assigned 03/13/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$64.53M
24GClaims469,378
24DCodes billed166
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#26 of 435
Median peer was paid$2.89M
This provider vs. median22×
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 MIRANDA, KIM controls 12+ 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 | 56,126 | $8.98M | |
| 2019 | 54,411 | $7.41M | |
| 2020 | 52,788 | $7.86M | |
| 2021 | 75,994 | $10.34M | |
| 2022 | 57,697 | $7.46M | |
| 2023 | 78,870 | $10.57M | |
| 2024incomplete | 93,492 | $11.91M |
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 | 82% | 188,325 | 173,931 | $52.86M |
| 00003 | Internal/system code - not a standard HCPCS code | 13% | 25,377 | 24,466 | $8.27M |
| 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% | 67,829 | 60,667 | $513K |
| 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% | 7,599 | 6,804 | $480K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,651 | 3,412 | $212K |
| 90750 | <1% | 1,345 | 1,117 | $204K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 5,377 | 3,792 | $194K |
| 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% | 27,672 | 25,071 | $183K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,029 | 957 | $177K |
| 91322 | <1% | 749 | 687 | $103K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 1,291 | 748 | $99K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17,984 | 15,275 | $80K |
154 more codes
| 90677 | <1% | 2,246 | $76K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 3,415 | $68K |
| 0012A | <1% | 1,183 | $61K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 997 | $52K |
| 0011A | <1% | 1,043 | $50K | |
| 90837 | Psychotherapy session, about an hour | <1% | 426 | $41K |
| 99451 | <1% | 1,067 | $39K | |
| 92134 | <1% | 1,385 | $39K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,435 | $36K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 293 | $34K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 391 | $30K |
| 0064A | <1% | 548 | $30K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 393 | $26K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,451 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,502 | $23K |
| 0031A | <1% | 452 | $23K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,601 | $23K |
| 0134A | <1% | 333 | $22K | |
| 0071A | <1% | 425 | $22K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,777 | $19K |
| 96156 | <1% | 1,300 | $19K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 666 | $16K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,560 | $16K |
| 90480 | <1% | 460 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 643 | $13K |
| 99401 | <1% | 946 | $12K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 330 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 11,850 | $11K |
| 20610 | <1% | 833 | $11K | |
| G9920 | Screening performed and negative | <1% | 1,000 | $11K |
| 59425 | <1% | 188 | $11K | |
| 99243 | <1% | 239 | $11K | |
| 11720 | <1% | 394 | $11K | |
| 0154A | <1% | 141 | $9K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 868 | $9K |
| 90686 | <1% | 6,361 | $9K | |
| 92015 | Determination of refractive state | <1% | 2,624 | $9K |
| 20611 | <1% | 352 | $9K | |
| 0001A | <1% | 168 | $9K | |
| 90697 | <1% | 1,832 | $8K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 278 | $8K |
| 0081A | <1% | 124 | $8K | |
| 97803 | <1% | 530 | $7K | |
| 99242 | <1% | 247 | $7K | |
| 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% | 279 | $6K |
| 97802 | <1% | 230 | $6K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 150 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,982 | $6K |
| 11056 | <1% | 169 | $6K | |
| 0124A | <1% | 80 | $5K | |
| 0054A | <1% | 93 | $5K | |
| 92551 | <1% | 6,094 | $5K | |
| 90746 | <1% | 167 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 682 | $4K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 213 | $4K |
| 90715 | <1% | 1,237 | $4K | |
| 99245 | <1% | 62 | $4K | |
| 0002A | <1% | 69 | $4K | |
| 11721 | <1% | 1,360 | $3K | |
| G0466 | Community health center visit, new patient | <1% | 41 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 162 | $3K |
| 90713 | <1% | 214 | $3K | |
| 0173A | <1% | 45 | $3K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 49 | $3K |
| 99385 | <1% | 221 | $3K | |
| 90723 | <1% | 2,138 | $3K | |
| 99070 | <1% | 27 | $3K | |
| 90694 | <1% | 139 | $2K | |
| 0072A | <1% | 44 | $2K | |
| 90647 | <1% | 1,982 | $2K | |
| 99188 | <1% | 203 | $2K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 149 | $2K |
| 73630 | <1% | 58 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 184 | $2K |
| 90619 | <1% | 217 | $2K | |
| 90681 | <1% | 1,008 | $2K | |
| 91319 | <1% | 92 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 135 | $2K |
| 90670 | <1% | 1,380 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 24 | $2K |
| 91318 | <1% | 117 | $2K | |
| 73564 | <1% | 36 | $2K | |
| 91320 | <1% | 77 | $1K | |
| 92226 | <1% | 65 | $1K | |
| 90633 | <1% | 2,144 | $1K | |
| 81025 | <1% | 2,115 | $973.37 | |
| J3490 | Unclassified drugs | <1% | 24 | $951.60 |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $888.96 |
| 0073A | <1% | 13 | $871.00 | |
| 87210 | <1% | 1,145 | $807.07 | |
| 0074A | <1% | 12 | $804.00 | |
| 0034A | <1% | 18 | $722.00 | |
| 94760 | <1% | 93 | $650.07 | |
| 90680 | <1% | 572 | $640.00 | |
| 99381 | <1% | 45 | $623.26 | |
| 90688 | <1% | 715 | $610.60 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 157 | $561.13 |
| 90716 | <1% | 473 | $560.00 | |
| 90651 | <1% | 1,078 | $556.00 | |
| 99417 | Prolong home eval add 15m | <1% | 24 | $510.84 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 18 | $508.42 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 24 | $435.36 |
| 88720 | <1% | 267 | $402.73 | |
| 90744 | <1% | 261 | $390.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 110 | $320.13 |
| 92083 | <1% | 12 | $305.10 | |
| 90714 | <1% | 83 | $260.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 28 | $235.48 |
| 81002 | <1% | 459 | $217.73 | |
| 99173 | <1% | 4,402 | $206.23 | |
| 95251 | <1% | 17 | $198.20 | |
| 82247 | <1% | 107 | $195.18 | |
| 90707 | <1% | 179 | $190.00 | |
| 92133 | <1% | 12 | $185.72 | |
| G0008 | Administration of influenza virus vaccine | <1% | 445 | $175.57 |
| 90381 | <1% | 33 | $160.00 | |
| 90710 | <1% | 634 | $160.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $126.93 |
| 99383 | <1% | 33 | $98.02 | |
| 11055 | <1% | 29 | $96.25 | |
| 90756 | <1% | 228 | $42.29 | |
| 90696 | <1% | 107 | $20.00 | |
| 90380 | <1% | 13 | $20.00 | |
| 90700 | <1% | 83 | $20.00 | |
| 90473 | <1% | 94 | $19.24 | |
| 90734 | <1% | 435 | $10.00 | |
| 90673 | <1% | 14 | $0.14 | |
| 90656 | <1% | 31 | $0.04 | |
| Z1034 | 0% | 4,289 | $0.00 | |
| 85018 | 0% | 579 | $0.00 | |
| Z6402 | 0% | 933 | $0.00 | |
| Z6204 | 0% | 687 | $0.00 | |
| Z6406 | 0% | 645 | $0.00 | |
| Z1032 | 0% | 199 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 25 | $0.00 |
| 90620 | 0% | 14 | $0.00 | |
| 99443 | 0% | 13 | $0.00 | |
| Z6410 | 0% | 27 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 424 | $0.00 |
| 90474 | 0% | 72 | $0.00 | |
| Z1038 | 0% | 28 | $0.00 | |
| 99441 | 0% | 29 | $0.00 | |
| Z6300 | 0% | 876 | $0.00 | |
| Z6412 | 0% | 233 | $0.00 | |
| 99442 | 0% | 711 | $0.00 | |
| Z6200 | 0% | 878 | $0.00 | |
| Z6400 | 0% | 874 | $0.00 | |
| Z6304 | 0% | 636 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 34 | $0.00 |
| Z6308 | 0% | 39 | $0.00 | |
| Z6414 | 0% | 26 | $0.00 | |
| Z6208 | 0% | 26 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 44 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 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 officialMIRANDA, KIM (CFO)
| Provider | Location | Paid |
|---|---|---|
| Alameda Health System | Oakland, CA | $57.80M |
| Dignity Health | Red Bluff, CA | $28.47M |
| Dignity Health | Cottonwood, CA | $8.28M |
| Dignity Health | Red Bluff, CA | $4.59M |
| Dignity Health | Mount Shasta, CA | $2.82M |
| Dignity Health | Redding, CA | $1.58M |
| Dignity Health | Redding, CA | $1.34M |
| Dignity Health | Mount Shasta, CA | $1.28M |
| Dignity Health | Weed, CA | $981K |
| Alameda Health System | Hayward, CA | $392K |
| Dignity Health | Redding, CA | $273K |
| Dignity Health | Red Bluff, CA | $134K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.