Clinic
Pomona Community Health Center
Pomona Community Health Center was paid $6.57M by Medicaid between May 2019 and Dec 2024, across 52 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoPOMONA COMMUNITY HEALTH CENTER
ONTARIO, CA 91761
ONTARIO, CA 91761
33aNPI1154860963assigned 02/14/2017
33bProvider typeCommunity Health Clinic/Center
28Total paid$6.57M
24GClaims83,276
24DCodes billed52
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#58 of 288
Median peer was paid$2.15M
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2019 | 6,021 | $312K | |
| 2020 | 14,297 | $1.16M | |
| 2021 | 19,231 | $1.60M | |
| 2022 | 12,258 | $1.02M | |
| 2023 | 15,169 | $1.25M | |
| 2024incomplete | 16,300 | $1.22M |
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 | 68% | 31,491 | 27,542 | $4.46M |
| 00003 | Internal/system code - not a standard HCPCS code | 32% | 11,331 | 8,458 | $2.08M |
| 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% | 13,632 | 11,664 | $10K |
| 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% | 5,877 | 5,144 | $5K |
| 0011A | <1% | 63 | 63 | $4K | |
| 0012A | <1% | 58 | 56 | $4K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 436 | 246 | $1K |
| 0013A | <1% | 16 | 16 | $1K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 215 | 148 | $558.03 |
| 81002 | <1% | 2,324 | 1,487 | $529.31 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,672 | 1,531 | $507.95 |
| 81025 | <1% | 1,140 | 1,017 | $314.52 |
40 more codes
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 119 | $270.00 |
| 92551 | <1% | 492 | $237.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,232 | $173.90 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,117 | $92.92 |
| 90715 | <1% | 100 | $50.00 | |
| 85018 | <1% | 1,412 | $43.47 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 865 | $34.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 66 | $23.76 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 381 | $17.08 |
| Z1034 | 0% | 859 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,491 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 127 | $0.00 |
| 3008F | 0% | 126 | $0.00 | |
| 90686 | 0% | 310 | $0.00 | |
| 0500F | 0% | 15 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 48 | $0.00 |
| 82962 | 0% | 189 | $0.00 | |
| 1036F | 0% | 77 | $0.00 | |
| 1126F | 0% | 109 | $0.00 | |
| 3074F | 0% | 51 | $0.00 | |
| 99385 | 0% | 43 | $0.00 | |
| 90739 | 0% | 12 | $0.00 | |
| 90674 | 0% | 16 | $0.00 | |
| 90651 | 0% | 27 | $0.00 | |
| 3044F | 0% | 22 | $0.00 | |
| 99173 | 0% | 1,870 | $0.00 | |
| 0502F | 0% | 1,701 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 245 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 238 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 41 | $0.00 |
| 4274F | 0% | 106 | $0.00 | |
| 99408 | 0% | 299 | $0.00 | |
| 3078F | 0% | 46 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 23 | $0.00 |
| 90670 | 0% | 13 | $0.00 | |
| 90661 | 0% | 46 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 30 | $0.00 |
| 90750 | 0% | 16 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 27 | $0.00 |
| 86703 | 0% | 14 | $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 officialSILVER, ELLEN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Pomona Community Health Center | Pomona, CA | $16.17M |
| Pomona Community Health Center | Ontario, CA | $9.26M |
| Pomona Community Health Center | Pomona, CA | $634K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.