Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEIGHBORHOOD HEALTHCARE

NPI: 1154786846 · HEMET, CA 92543 · Federally Qualified Health Center (FQHC) · NPI assigned 12/22/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PATEL, RAKESH controls 17+ related entities in our dataset. Read more

$160.42M
Total Medicaid Paid
931,794
Total Claims
760,631
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, RAKESH (CEO)
NPI Enumeration Date12/22/2015

Related Entities

Other providers sharing the same authorized official: PATEL, RAKESH

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 208,312 $39.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 479,061 382,763 $146.80M
00003 Internal/system code - not a standard HCPCS code 32,256 23,958 $13.02M
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 30,722 13,377 $344K
98940 15,090 6,973 $131K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 197,172 178,703 $80K
0012A 132 132 $9K
G0467 Federally 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 286 240 $7K
0002A 93 93 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 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 270 205 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 257 257 $3K
0001A 18 18 $1K
0011A 17 17 $1K
58300 15 12 $499.65
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,257 1,238 $54.28
92552 29 29 $49.56
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,000 1,996 $43.41
81025 91 91 $37.10
81002 340 275 $14.19
85018 43 43 $2.05
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,546 1,543 $0.00
99215 Prolong outpt/office vis 325 325 $0.00
90832 Psychotherapy, 30 minutes with patient 31,661 19,912 $0.00
97811 420 312 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,589 5,581 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,110 2,110 $0.00
Z6414 479 443 $0.00
Z6400 4,789 3,754 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,322 1,309 $0.00
99442 7,458 7,110 $0.00
90791 Psychiatric diagnostic evaluation 1,693 1,672 $0.00
97810 4,577 2,627 $0.00
99382 126 125 $0.00
Z6200 693 692 $0.00
90785 1,400 1,020 $0.00
11720 1,832 1,822 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 265 263 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 303 303 $0.00
11056 1,109 1,097 $0.00
11721 2,216 2,212 $0.00
0502F 48 30 $0.00
99173 17 17 $0.00
99383 297 296 $0.00
Z6406 3,726 3,348 $0.00
90834 Psychotherapy, 45 minutes with patient 4,243 2,958 $0.00
99441 7,754 7,246 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,736 1,734 $0.00
Z6402 1,228 1,225 $0.00
99385 158 158 $0.00
90792 Psychiatric diagnostic evaluation with medical services 400 399 $0.00
Z6204 921 906 $0.00
99386 62 62 $0.00
Z1032 34 34 $0.00
90697 12 12 $0.00
99205 Prolong outpt/office vis 63 59 $0.00
99384 123 123 $0.00
Z1034 338 226 $0.00
90677 12 12 $0.00
99443 208 184 $0.00
99381 78 78 $0.00
20550 17 12 $0.00
99070 24 24 $0.00
0500F 13 13 $0.00
98943 56 25 $0.00