JWCH Institute, INC.
JWCH Institute, INC. was paid $5.07M by Medicaid between Jan 2018 and Oct 2024, across 100 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoJWCH INSTITUTE, INC.
LYNWOOD, CA 90262
LYNWOOD, CA 90262
33aNPI1124182977assigned 12/19/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$5.07M
24GClaims127,295
24DCodes billed100
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#182 of 435
Median peer was paid$2.89M
This provider vs. median1.8×
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 | 17,418 | $1.49M | |
| 2019 | 31,460 | $1.23M | |
| 2020 | 40,282 | $1.08M | |
| 2021 | 29,346 | $974K | |
| 2022 | 8,719 | $289K | |
| 2023 | 52 | $0.00 | |
| 2024incomplete | 18 | $0.18 |
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 | 90% | 51,712 | 38,549 | $4.55M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 4,117 | 3,950 | $156K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 15,080 | 12,938 | $136K |
| 00003 | Internal/system code - not a standard HCPCS code | 2.3% | 873 | 873 | $115K |
| 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 | 1.4% | 2,513 | 2,402 | $69K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,288 | 1,287 | $13K |
| 0012A | <1% | 430 | 283 | $10K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 410 | 410 | $4K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 501 | 486 | $4K |
| 0011A | <1% | 402 | 350 | $4K | |
| J3490 | Unclassified drugs | <1% | 98 | 97 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 120 | 110 | $2K |
88 more codes
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 103 | $1K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 149 | $1K |
| 81025 | <1% | 1,215 | $1K | |
| 99000 | <1% | 669 | $605.30 | |
| 88142 | <1% | 387 | $595.14 | |
| 99401 | <1% | 594 | $553.03 | |
| 86592 | <1% | 45 | $64.35 | |
| 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% | 13 | $4.98 |
| 85018 | <1% | 987 | $3.02 | |
| 88164 | <1% | 14 | $1.93 | |
| 81002 | <1% | 3,199 | $1.72 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 85 | $0.18 |
| 90686 | 0% | 404 | $0.00 | |
| 99443 | 0% | 89 | $0.00 | |
| Z1034 | 0% | 2,226 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 57 | $0.00 |
| HEC1 | 0% | 528 | $0.00 | |
| Z6204 | 0% | 25 | $0.00 | |
| Z6410 | 0% | 2,005 | $0.00 | |
| 90651 | 0% | 90 | $0.00 | |
| 90723 | 0% | 755 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 337 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 466 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 967 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,209 | $0.00 |
| HTD4 | 0% | 886 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 80 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 83 | $0.00 |
| 92551 | 0% | 321 | $0.00 | |
| 93000 | 0% | 41 | $0.00 | |
| 36416 | 0% | 12 | $0.00 | |
| 1126F | 0% | 106 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 734 | $0.00 |
| Z1032 | 0% | 177 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 72 | $0.00 |
| Z1038 | 0% | 12 | $0.00 | |
| HTD1 | 0% | 44 | $0.00 | |
| 99429 | 0% | 2,769 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 31 | $0.00 |
| 90716 | 0% | 53 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 89 | $0.00 |
| 90744 | 0% | 16 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 36 | $0.00 |
| Z6406 | 0% | 13 | $0.00 | |
| 90696 | 0% | 16 | $0.00 | |
| 90658 | 0% | 420 | $0.00 | |
| 90670 | 0% | 961 | $0.00 | |
| Z6500 | 0% | 334 | $0.00 | |
| 90715 | 0% | 371 | $0.00 | |
| 90710 | 0% | 304 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 215 | $0.00 |
| 99173 | 0% | 1,036 | $0.00 | |
| 1160F | 0% | 6,496 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 880 | $0.00 |
| 1159F | 0% | 6,487 | $0.00 | |
| 80061 | Lipid panel | 0% | 414 | $0.00 |
| Z6400 | 0% | 475 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 119 | $0.00 |
| 90700 | 0% | 96 | $0.00 | |
| 90633 | 0% | 538 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 752 | $0.00 |
| 90461 | 0% | 1,452 | $0.00 | |
| VSY5 | 0% | 520 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 67 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,385 | $0.00 |
| 99201 | 0% | 30 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 32 | $0.00 |
| 82948 | 0% | 859 | $0.00 | |
| 3078F | 0% | 17 | $0.00 | |
| Z6414 | 0% | 89 | $0.00 | |
| 2028F | 0% | 84 | $0.00 | |
| PROP5 | 0% | 85 | $0.00 | |
| 90681 | 0% | 293 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 206 | $0.00 |
| 90648 | 0% | 282 | $0.00 | |
| 90649 | 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% | 554 | $0.00 |
| Z6304 | 0% | 13 | $0.00 | |
| 90734 | 0% | 58 | $0.00 | |
| 90655 | 0% | 198 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 88 | $0.00 |
| 90713 | 0% | 23 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 16 | $0.00 |
| 90707 | 0% | 43 | $0.00 | |
| 86328 | 0% | 51 | $0.00 | |
| 3725F | 0% | 83 | $0.00 | |
| 86318 | 0% | 58 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 46 | $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)
Parent organizationJWCH INSTITUTE, INC.
| 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 | Hacienda Heights, CA | $3.85M |
| 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.