Bay Area Community Health
Bay Area Community Health was paid $164.55M by Medicaid between Jan 2018 and Dec 2024, across 181 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 51% of everything it billed.
33Billing provider infoBAY AREA COMMUNITY HEALTH
FREMONT, CA 94538
FREMONT, CA 94538
33aNPI1184791998assigned 11/29/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$164.55M
24GClaims1,210,035
24DCodes billed181
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#5 of 435
Median peer was paid$2.89M
This provider vs. median57×
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 | 50,785 | $8.95M | |
| 2019 | 46,879 | $7.67M | |
| 2020 | 173,949 | $23.12M | |
| 2021 | 203,027 | $28.68M | |
| 2022 | 207,860 | $26.80M | |
| 2023 | 263,502 | $35.21M | |
| 2024incomplete | 264,033 | $34.11M |
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 | 51% | 325,132 | 260,252 | $84.73M |
| 00003 | Internal/system code - not a standard HCPCS code | 45% | 238,192 | 172,844 | $74.11M |
| 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% | 262,971 | 179,441 | $1.63M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 28,057 | 11,743 | $597K |
| 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% | 59,400 | 46,353 | $539K |
| 98940 | <1% | 4,839 | 2,720 | $375K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56,843 | 39,780 | $370K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 2,617 | 2,147 | $317K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 8,547 | 6,407 | $261K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 22,703 | 12,062 | $230K |
| 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% | 1,303 | 1,039 | $108K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,957 | 2,780 | $85K |
169 more codes
| 90651 | <1% | 2,595 | $82K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,633 | $59K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,580 | $54K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,233 | $53K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,345 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,127 | $50K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 426 | $49K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,546 | $48K |
| J3490 | Unclassified drugs | <1% | 1,320 | $45K |
| 90715 | <1% | 3,729 | $43K | |
| 90750 | <1% | 816 | $41K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,866 | $39K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,508 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,849 | $33K |
| 90739 | <1% | 755 | $32K | |
| 90677 | <1% | 579 | $32K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,651 | $25K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,712 | $24K |
| 90686 | <1% | 5,870 | $21K | |
| 92552 | <1% | 2,717 | $20K | |
| 59425 | <1% | 442 | $20K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,775 | $19K |
| 99401 | <1% | 1,043 | $17K | |
| S4993 | Contraceptive pills for birth control | <1% | 660 | $17K |
| 90619 | <1% | 464 | $17K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 3,530 | $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% | 550 | $14K |
| 0004A | <1% | 204 | $13K | |
| 83026 | <1% | 9,073 | $12K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 43 | $11K |
| G9920 | Screening performed and negative | <1% | 8,652 | $11K |
| 96156 | <1% | 495 | $11K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 926 | $11K |
| 97803 | <1% | 625 | $9K | |
| 90746 | <1% | 267 | $7K | |
| 82947 | <1% | 3,425 | $6K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 470 | $6K |
| 97813 | <1% | 1,536 | $5K | |
| 90656 | <1% | 1,114 | $5K | |
| 0002A | <1% | 78 | $5K | |
| 97802 | <1% | 209 | $5K | |
| 0064A | <1% | 85 | $5K | |
| 99383 | <1% | 344 | $5K | |
| 90633 | <1% | 1,733 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,237 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 9,089 | $4K |
| 90734 | <1% | 790 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,142 | $4K |
| 90660 | <1% | 814 | $4K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 318 | $4K |
| 97810 | <1% | 1,622 | $4K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 545 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 462 | $4K |
| 0012A | <1% | 57 | $4K | |
| 99384 | <1% | 156 | $3K | |
| 84703 | <1% | 4,016 | $3K | |
| 98942 | <1% | 3,801 | $3K | |
| 85018 | <1% | 3,914 | $3K | |
| 0001A | <1% | 46 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,084 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 122 | $3K |
| 90670 | <1% | 702 | $2K | |
| 90661 | <1% | 570 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 16 | $2K |
| 90707 | <1% | 191 | $2K | |
| 81025 | <1% | 1,747 | $2K | |
| 99188 | <1% | 328 | $2K | |
| 90648 | <1% | 586 | $2K | |
| 96151 | <1% | 264 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 181 | $1K |
| 90716 | <1% | 606 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 55 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 25 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 932 | $993.84 |
| 87428 | <1% | 16 | $953.85 | |
| 90688 | <1% | 509 | $946.86 | |
| 90674 | <1% | 135 | $917.53 | |
| 90620 | <1% | 105 | $890.12 | |
| 90710 | <1% | 285 | $828.40 | |
| 0054A | <1% | 12 | $804.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 192 | $694.69 |
| 82962 | <1% | 1,263 | $669.45 | |
| 87210 | <1% | 271 | $645.78 | |
| 90655 | <1% | 137 | $628.44 | |
| 97814 | <1% | 1,467 | $598.88 | |
| 90713 | <1% | 286 | $578.76 | |
| 81002 | <1% | 1,418 | $569.01 | |
| 90756 | <1% | 166 | $567.00 | |
| 90694 | <1% | 15 | $496.23 | |
| S5000 | Prescription drug, generic | <1% | 323 | $483.28 |
| 83655 | <1% | 119 | $462.00 | |
| 86580 | <1% | 756 | $456.04 | |
| 83986 | <1% | 207 | $451.18 | |
| 97811 | <1% | 1,620 | $446.53 | |
| 90744 | <1% | 239 | $441.92 | |
| 99381 | <1% | 38 | $440.16 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 204 | $408.20 |
| 92250 | <1% | 578 | $379.17 | |
| 90723 | <1% | 215 | $326.04 | |
| 90680 | <1% | 143 | $297.20 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 34 | $292.20 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 286 | $249.93 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 429 | $243.33 |
| 92551 | <1% | 221 | $217.54 | |
| 90700 | <1% | 57 | $191.04 | |
| 20610 | <1% | 125 | $189.00 | |
| 99078 | <1% | 40 | $119.16 | |
| 97804 | <1% | 38 | $113.25 | |
| 90714 | <1% | 45 | $113.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,767 | $111.45 |
| 87806 | <1% | 32 | $96.12 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $88.50 |
| 96127 | <1% | 115 | $82.15 | |
| 90698 | <1% | 56 | $81.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 62 | $64.87 |
| 90461 | <1% | 357 | $59.40 | |
| 96153 | <1% | 19 | $58.90 | |
| 92015 | Determination of refractive state | <1% | 6,940 | $56.07 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 2,808 | $47.04 |
| 92133 | <1% | 51 | $32.25 | |
| 93000 | <1% | 126 | $31.57 | |
| 97032 | <1% | 1,468 | $16.76 | |
| 81003 | <1% | 134 | $11.02 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 21 | $10.70 |
| 88720 | <1% | 27 | $4.30 | |
| 3077F | 0% | 3,395 | $0.00 | |
| 3078F | 0% | 13,375 | $0.00 | |
| 99442 | 0% | 271 | $0.00 | |
| Z6304 | 0% | 1,391 | $0.00 | |
| Z6500 | 0% | 305 | $0.00 | |
| Z6200 | 0% | 364 | $0.00 | |
| Z6400 | 0% | 1,053 | $0.00 | |
| Z6300 | 0% | 147 | $0.00 | |
| V2020 | Frames, purchases | 0% | 450 | $0.00 |
| 3046F | 0% | 371 | $0.00 | |
| Z6302 | 0% | 261 | $0.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 305 | $0.00 |
| 99173 | 0% | 2,119 | $0.00 | |
| S0197 | Prenatal vitamins, 30-day supply | 0% | 45 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 69 | $0.00 |
| 3051F | 0% | 17 | $0.00 | |
| Z6308 | 0% | 24 | $0.00 | |
| 92341 | 0% | 15 | $0.00 | |
| Z6208 | 0% | 24 | $0.00 | |
| Z6414 | 0% | 37 | $0.00 | |
| Z6206 | 0% | 65 | $0.00 | |
| Z6408 | 0% | 73 | $0.00 | |
| 09920 | 0% | 12 | $0.00 | |
| Z6202 | 0% | 22 | $0.00 | |
| 3074F | 0% | 14,240 | $0.00 | |
| 3075F | 0% | 1,123 | $0.00 | |
| 3079F | 0% | 3,067 | $0.00 | |
| Z6204 | 0% | 1,190 | $0.00 | |
| Z6406 | 0% | 1,775 | $0.00 | |
| 3080F | 0% | 623 | $0.00 | |
| Z1034 | 0% | 901 | $0.00 | |
| 3044F | 0% | 989 | $0.00 | |
| 36416 | 0% | 40 | $0.00 | |
| Z6404 | 0% | 331 | $0.00 | |
| Z1032 | 0% | 210 | $0.00 | |
| 92002 | 0% | 104 | $0.00 | |
| 97010 | 0% | 727 | $0.00 | |
| 97014 | 0% | 1,515 | $0.00 | |
| Z6410 | 0% | 455 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 682 | $0.00 |
| Z6402 | 0% | 143 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 42 | $0.00 |
| Z6306 | 0% | 68 | $0.00 | |
| 99239 | Hospital discharge day management, more than 30 minutes | 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 officialBAINS, NAVNEET (DEPUTY DIRECTOR OF CLIENT SERVICES)
Parent organizationBAY AREA COMMUNITY HEALTH