Altamed Health Services Corporation
Altamed Health Services Corporation was paid $3.36M by Medicaid between Jan 2018 and Mar 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoALTAMED HEALTH SERVICES CORPORATION
LOS ANGELES, CA 90022
LOS ANGELES, CA 90022
33aNPI1124234505assigned 05/15/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$3.36M
24GClaims156,275
24DCodes billed66
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#209 of 435
Median peer was paid$2.89M
This provider vs. median1.2×
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.
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 | 20,740 | $438K | |
| 2019 | 29,267 | $637K | |
| 2020 | 26,278 | $587K | |
| 2021 | 30,044 | $671K | |
| 2022 | 24,013 | $560K | |
| 2023 | 22,566 | $470K | |
| 2024incomplete | 3,367 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 32,448 | 29,417 | $775K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 9,058 | 8,713 | $405K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 6,410 | 6,255 | $347K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.0% | 16,379 | 13,421 | $301K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.3% | 3,576 | 3,482 | $246K |
| 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 | 7.1% | 5,897 | 5,555 | $239K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 5,080 | 4,808 | $224K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.9% | 2,432 | 2,077 | $132K |
| 90686 | 2.1% | 8,742 | 8,605 | $69K | |
| 90670 | 1.3% | 4,872 | 4,801 | $45K | |
| 90651 | 1.3% | 2,670 | 2,652 | $43K | |
| 83655 | 1.2% | 3,558 | 3,384 | $39K |
54 more codes
| 85018 | <1% | 16,066 | $33K | |
| 90633 | <1% | 3,500 | $31K | |
| 92551 | <1% | 2,121 | $28K | |
| 90680 | <1% | 2,882 | $26K | |
| 90698 | <1% | 2,704 | $24K | |
| G9920 | Screening performed and negative | <1% | 1,307 | $22K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 164 | $21K |
| 90710 | <1% | 2,319 | $21K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 406 | $21K |
| 99384 | <1% | 220 | $18K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,461 | $17K |
| 90744 | <1% | 1,744 | $16K | |
| 90734 | <1% | 1,628 | $15K | |
| 90648 | <1% | 1,628 | $15K | |
| 90715 | <1% | 1,365 | $14K | |
| 90696 | <1% | 1,530 | $14K | |
| 90700 | <1% | 1,498 | $14K | |
| 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% | 540 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 369 | $13K |
| 99383 | <1% | 172 | $12K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 311 | $12K |
| 90671 | <1% | 323 | $11K | |
| 90716 | <1% | 986 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 925 | $8K |
| 90707 | <1% | 880 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 114 | $7K |
| 90688 | <1% | 688 | $7K | |
| 90697 | <1% | 699 | $7K | |
| 99241 | <1% | 161 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 484 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,158 | $5K |
| 90619 | <1% | 345 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 158 | $4K |
| 81002 | <1% | 1,567 | $4K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 66 | $2K |
| 99000 | <1% | 511 | $2K | |
| 99173 | <1% | 45 | $1K | |
| 99243 | <1% | 15 | $973.65 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 73 | $953.39 |
| 90685 | <1% | 96 | $864.00 | |
| 99382 | <1% | 14 | $823.86 | |
| 99050 | <1% | 90 | $738.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 148 | $716.32 |
| 81025 | <1% | 244 | $700.26 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 83 | $596.33 |
| 86580 | <1% | 125 | $488.74 | |
| 87400 | <1% | 62 | $358.98 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 40 | $270.68 |
| 80053 | Comprehensive metabolic panel | <1% | 28 | $260.77 |
| 90723 | <1% | 25 | $225.00 | |
| 80061 | Lipid panel | <1% | 17 | $204.89 |
| 90660 | <1% | 21 | $189.00 | |
| 87070 | <1% | 15 | $120.16 | |
| 90713 | <1% | 12 | $108.00 |
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 officialSANTY, CRAIG (AVP LTC, ADHC ADMINISTRATOR)