Clinic
Neighborhood Healthcare
Neighborhood Healthcare was paid $160.42M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoNEIGHBORHOOD HEALTHCARE
HEMET, CA 92543
HEMET, CA 92543
33aNPI1154786846assigned 12/22/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$160.42M
24GClaims931,794
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#7 of 826
Median peer was paid$4.05M
This provider vs. median40×
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 PATEL, RAKESH 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 | 3,410 | $635K | |
| 2019 | 14,344 | $2.38M | |
| 2020 | 102,371 | $14.92M | |
| 2021 | 181,893 | $25.61M | |
| 2022 | 171,442 | $30.12M | |
| 2023 | 250,022 | $46.93M | |
| 2024incomplete | 208,312 | $39.83M |
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 | 92% | 479,061 | 382,763 | $146.80M |
| 00003 | Internal/system code - not a standard HCPCS code | 8.1% | 32,256 | 23,958 | $13.02M |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 30,722 | 13,377 | $344K |
| 98940 | <1% | 15,090 | 6,973 | $131K | |
| 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% | 197,172 | 178,703 | $80K |
| 0012A | <1% | 132 | 132 | $9K | |
| 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% | 286 | 240 | $7K |
| 0002A | <1% | 93 | 93 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41,671 | 39,490 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 270 | 205 | $4K |
| 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% | 39,493 | 37,308 | $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% | 257 | 257 | $3K |
53 more codes
| 0001A | <1% | 18 | $1K | |
| 0011A | <1% | 17 | $1K | |
| 58300 | <1% | 15 | $499.65 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,257 | $54.28 |
| 92552 | <1% | 29 | $49.56 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,000 | $43.41 |
| 81025 | <1% | 91 | $37.10 | |
| 81002 | <1% | 340 | $14.19 | |
| 85018 | <1% | 43 | $2.05 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 1,546 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 325 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 31,661 | $0.00 |
| 97811 | 0% | 420 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 5,589 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,110 | $0.00 |
| Z6414 | 0% | 479 | $0.00 | |
| Z6400 | 0% | 4,789 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,322 | $0.00 |
| 99442 | 0% | 7,458 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 1,693 | $0.00 |
| 97810 | 0% | 4,577 | $0.00 | |
| 99382 | 0% | 126 | $0.00 | |
| Z6200 | 0% | 693 | $0.00 | |
| 90785 | 0% | 1,400 | $0.00 | |
| 11720 | 0% | 1,832 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 265 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 303 | $0.00 |
| 11056 | 0% | 1,109 | $0.00 | |
| 11721 | 0% | 2,216 | $0.00 | |
| 0502F | 0% | 48 | $0.00 | |
| 99173 | 0% | 17 | $0.00 | |
| 99383 | 0% | 297 | $0.00 | |
| Z6406 | 0% | 3,726 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 4,243 | $0.00 |
| 99441 | 0% | 7,754 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 1,736 | $0.00 |
| Z6402 | 0% | 1,228 | $0.00 | |
| 99385 | 0% | 158 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 400 | $0.00 |
| Z6204 | 0% | 921 | $0.00 | |
| 99386 | 0% | 62 | $0.00 | |
| Z1032 | 0% | 34 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 63 | $0.00 |
| 99384 | 0% | 123 | $0.00 | |
| Z1034 | 0% | 338 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 99443 | 0% | 208 | $0.00 | |
| 99381 | 0% | 78 | $0.00 | |
| 20550 | 0% | 17 | $0.00 | |
| 99070 | 0% | 24 | $0.00 | |
| 0500F | 0% | 13 | $0.00 | |
| 98943 | 0% | 56 | $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 officialPATEL, RAKESH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Neighborhood Healthcare | Escondido, CA | $124.93M |
| Neighborhood Healthcare | El Cajon, CA | $46.58M |
| Neighborhood Healthcare | Escondido, CA | $38.37M |
| Neighborhood Healthcare | Lakeside, CA | $33.19M |
| Neighborhood Healthcare | Poway, CA | $20.72M |
| Neighborhood Healthcare | Temecula, CA | $15.81M |
| Neighborhood Healthcare | Menifee, CA | $5.81M |
| Neighborhood Healthcare | Escondido, CA | $4.58M |
| Neighborhood Healthcare | Escondido, CA | $3.48M |
| Neighborhood Healthcare | Escondido, CA | $3.39M |
| Neighborhood Healthcare | Riverside, CA | $3.36M |
| Neighborhood Healthcare | Escondido, CA | $2.04M |
| Neighborhood Healthcare | Riverside, CA | $1.75M |
| Neighborhood Healthcare | Riverside, CA | $447K |
| R Patel Dental Group INC | Cudahy, CA | $95K |
| Rakesh Patel M.D. P. A. | La Porte, TX | $24K |
| Neighborhood Healthcare- Pace Riverside | Riverside, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.