Family Healthcare Network
Family Healthcare Network was paid $48.73M by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
WOODLAKE, CA 93286
Next to other Case Manager/Care Coordinator providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 47,916 | $5.93M | |
| 2019 | 56,813 | $5.69M | |
| 2020 | 70,417 | $5.95M | |
| 2021 | 116,147 | $7.67M | |
| 2022 | 153,929 | $6.69M | |
| 2023 | 199,862 | $8.57M | |
| 2024incomplete | 194,740 | $8.23M |
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 | 69% | 217,318 | 176,652 | $33.46M |
| 00003 | Internal/system code - not a standard HCPCS code | 29% | 76,471 | 49,307 | $13.96M |
| G9012 | Other specified case management service not elsewhere classified | <1% | 2,665 | 2,394 | $441K |
| 98940 | <1% | 5,182 | 3,179 | $368K | |
| 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% | 180,426 | 103,752 | $194K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 72,784 | 45,917 | $81K |
| 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% | 4,086 | 3,185 | $79K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 225 | 217 | $50K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 835 | 504 | $14K |
| 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% | 13,775 | 8,912 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 1,386 | 404 | $11K |
| G9920 | Screening performed and negative | <1% | 1,598 | 1,297 | $8K |
87 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 647 | $7K |
| 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% | 563 | $6K |
| 99223 | Prolong inpt eval add15 m | <1% | 302 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 207 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 442 | $3K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 1,534 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 70 | $2K |
| 81025 | <1% | 10,779 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,479 | $2K |
| 0012A | <1% | 27 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 573 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 122 | $1K |
| J3490 | Unclassified drugs | <1% | 299 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,899 | $916.04 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,161 | $889.85 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 11,175 | $815.33 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,192 | $583.39 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,198 | $548.36 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,746 | $479.32 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 104,041 | $473.30 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,653 | $384.38 |
| 92551 | <1% | 5,715 | $381.78 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,441 | $373.56 |
| 90686 | <1% | 3,349 | $364.85 | |
| 58300 | <1% | 24 | $358.38 | |
| 81002 | <1% | 16,686 | $269.49 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 258 | $243.81 |
| 99173 | <1% | 7,876 | $233.36 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 773 | $190.06 |
| 85018 | <1% | 9,083 | $165.82 | |
| 90715 | <1% | 498 | $141.18 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,669 | $130.03 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 10,142 | $100.34 |
| 90670 | <1% | 1,110 | $72.00 | |
| 59425 | <1% | 1,187 | $60.48 | |
| 82962 | <1% | 3,014 | $52.35 | |
| 90651 | <1% | 614 | $47.55 | |
| 90734 | <1% | 425 | $11.55 | |
| 83655 | <1% | 325 | $10.52 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 433 | $10.42 |
| 90700 | <1% | 204 | $9.00 | |
| 90713 | <1% | 93 | $9.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 655 | $5.00 |
| 86580 | <1% | 200 | $3.36 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 880 | $0.01 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 3,439 | $0.01 |
| 3078F | 0% | 11,342 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 1,022 | $0.00 |
| 3077F | 0% | 3,101 | $0.00 | |
| 90633 | 0% | 529 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 99382 | 0% | 193 | $0.00 | |
| 90746 | 0% | 124 | $0.00 | |
| 99401 | 0% | 240 | $0.00 | |
| 90710 | 0% | 278 | $0.00 | |
| 99201 | 0% | 13 | $0.00 | |
| 86703 | 0% | 80 | $0.00 | |
| G9357 | Post-partum screenings, evaluations and education performed | 0% | 26 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 15 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 62 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 57 | $0.00 |
| H1000 | Prenatal care, at-risk assessment | 0% | 28 | $0.00 |
| 90707 | 0% | 12 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| Z1034 | 0% | 3,427 | $0.00 | |
| 3079F | 0% | 5,050 | $0.00 | |
| 3075F | 0% | 3,796 | $0.00 | |
| 3074F | 0% | 8,821 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 1,205 | $0.00 |
| 90698 | 0% | 656 | $0.00 | |
| 90680 | 0% | 446 | $0.00 | |
| 90688 | 0% | 718 | $0.00 | |
| 99383 | 0% | 305 | $0.00 | |
| 90744 | 0% | 293 | $0.00 | |
| 88720 | 0% | 31 | $0.00 | |
| Z1038 | 0% | 30 | $0.00 | |
| Z1032 | 0% | 242 | $0.00 | |
| 3080F | 0% | 91 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $0.00 |
| 99381 | 0% | 40 | $0.00 | |
| 20610 | 0% | 50 | $0.00 | |
| 59430 | 0% | 59 | $0.00 | |
| 99384 | 0% | 106 | $0.00 | |
| 99406 | 0% | 113 | $0.00 | |
| 3044F | 0% | 113 | $0.00 | |
| 99460 | 0% | 98 | $0.00 | |
| 99462 | 0% | 21 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Family Healthcare Network | Fresno, CA | $218.30M |
| Family Healthcare Network | Visalia, CA | $93.48M |
| Family Healthcare Network | Hanford, CA | $76.43M |
| Family Healthcare Network | Porterville, CA | $57.66M |
| Family Healthcare Network | Visalia, CA | $53.29M |
| Family Healthcare Network | Porterville, CA | $34.76M |
| Family Healthcare Network | Visalia, CA | $31.34M |
| Family Healthcare Network | Visalia, CA | $31.00M |
| Family Healthcare Network | Goshen, CA | $25.21M |
| Family Healthcare Network | Orosi, CA | $24.94M |
| Family Healthcare Network | Tulare, CA | $20.48M |
| Family Healthcare Network | Tulare, CA | $20.28M |
| Family Healthcare Network | Porterville, CA | $11.20M |
| Family Healthcare Network | Terra Bella, CA | $8.28M |
| Family Healthcare Network | Traver, CA | $7.25M |
| Family Healthcare Network | Fresno, CA | $6.91M |
| Family Healthcare Network | Farmersville, CA | $6.66M |
| Family Healthcare Network | Strathmore, CA | $5.90M |
| Family Healthcare Network | Ivanhoe, CA | $4.50M |
| Family Healthcare Network | Springville, CA | $2.61M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.