Physician
North Orange County Regional Health Foundation
North Orange County Regional Health Foundation was paid $12.26M by Medicaid between Jan 2018 and Dec 2024, across 117 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 infoNORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION
ANAHEIM, CA 92801
ANAHEIM, CA 92801
33aNPI1194974402assigned 09/10/2008
33bProvider typeFamily Medicine Physician
28Total paid$12.26M
24GClaims205,240
24DCodes billed117
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#37 of 2,511
Median peer was paid$13K
This provider vs. median955×
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 | 11,138 | $1.21M | |
| 2019 | 11,829 | $1.26M | |
| 2020 | 30,001 | $1.56M | |
| 2021 | 39,338 | $1.81M | |
| 2022 | 31,615 | $1.93M | |
| 2023 | 35,758 | $2.17M | |
| 2024incomplete | 45,561 | $2.34M |
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% | 47,945 | 37,343 | $6.30M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 49,955 | 36,956 | $4.14M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 9,668 | 7,505 | $360K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 2,660 | 2,353 | $253K |
| 96156 | 1.9% | 4,621 | 4,513 | $227K | |
| G9012 | Other specified case management service not elsewhere classified | 1.7% | 340 | 339 | $208K |
| 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 | 1.2% | 1,052 | 946 | $143K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 691 | 502 | $54K |
| 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% | 1,632 | 1,290 | $47K |
| 99386 | <1% | 331 | 254 | $33K | |
| 0002A | <1% | 664 | 373 | $33K | |
| 0001A | <1% | 677 | 383 | $29K |
105 more codes
| 99385 | <1% | 348 | $29K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 513 | $27K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,419 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,371 | $26K |
| 99000 | <1% | 3,364 | $25K | |
| 96151 | <1% | 416 | $23K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,171 | $22K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 654 | $22K |
| 0003A | <1% | 344 | $18K | |
| 96150 | <1% | 301 | $17K | |
| 93000 | <1% | 544 | $13K | |
| 0012A | <1% | 277 | $13K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 370 | $12K |
| G9920 | Screening performed and negative | <1% | 1,658 | $12K |
| 96127 | <1% | 2,074 | $11K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 409 | $10K |
| 0011A | <1% | 260 | $10K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 783 | $9K |
| 92229 | <1% | 93 | $9K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 327 | $8K |
| 90688 | <1% | 618 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 225 | $7K |
| 92551 | <1% | 1,000 | $6K | |
| 0124A | <1% | 91 | $6K | |
| 90715 | <1% | 253 | $5K | |
| 0013A | <1% | 100 | $5K | |
| 87428 | <1% | 126 | $4K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 121 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 246 | $4K |
| 81003 | <1% | 1,839 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 63 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 318 | $3K |
| 90756 | <1% | 114 | $3K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,342 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 107 | $3K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 314 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 39 | $2K |
| 0071A | <1% | 43 | $2K | |
| 99406 | <1% | 184 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 303 | $2K |
| 90744 | <1% | 62 | $2K | |
| 85018 | <1% | 872 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 33 | $1K |
| 99401 | <1% | 78 | $1K | |
| 0072A | <1% | 18 | $1K | |
| 90686 | <1% | 128 | $898.98 | |
| 99173 | <1% | 598 | $897.62 | |
| 90461 | <1% | 176 | $882.00 | |
| 92552 | <1% | 63 | $808.05 | |
| 92015 | Determination of refractive state | <1% | 1,303 | $687.34 |
| 90687 | <1% | 49 | $625.80 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 47 | $512.32 |
| 82947 | <1% | 144 | $378.23 | |
| 99188 | <1% | 12 | $352.00 | |
| 81025 | <1% | 206 | $346.20 | |
| 81000 | <1% | 48 | $288.88 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 810 | $200.00 |
| 99384 | <1% | 35 | $150.64 | |
| 86780 | <1% | 16 | $129.06 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 640 | $114.00 |
| 87400 | <1% | 26 | $110.34 | |
| 69209 | <1% | 12 | $75.16 | |
| 85999 | <1% | 17 | $51.17 | |
| 90716 | <1% | 17 | $45.00 | |
| 88142 | <1% | 13 | $12.96 | |
| 90633 | <1% | 18 | $9.00 | |
| 3008F | <1% | 6,150 | $0.46 | |
| 3074F | <1% | 11,875 | $0.17 | |
| 3078F | <1% | 10,627 | $0.14 | |
| 3075F | <1% | 2,845 | $0.12 | |
| 3079F | <1% | 5,228 | $0.11 | |
| 3077F | <1% | 2,600 | $0.06 | |
| 3080F | <1% | 1,363 | $0.06 | |
| 1034F | <1% | 42 | $0.03 | |
| 4004F | <1% | 41 | $0.02 | |
| 3046F | 0% | 13 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 40 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 5,428 | $0.00 |
| 1160F | 0% | 76 | $0.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 336 | $0.00 |
| V2020 | Frames, purchases | 0% | 556 | $0.00 |
| 92341 | 0% | 128 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 38 | $0.00 |
| 1158F | 0% | 76 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 28 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 29 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 443 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 20 | $0.00 |
| 90734 | 0% | 13 | $0.00 | |
| 81002 | 0% | 40 | $0.00 | |
| A4267 | Contraceptive supply, condom, male, each | 0% | 18 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 29 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 4,866 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 628 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 59 | $0.00 |
| Z1034 | 0% | 522 | $0.00 | |
| 86580 | 0% | 14 | $0.00 | |
| 3044F | 0% | 62 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 35 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 46 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 31 | $0.00 |
| 3017F | 0% | 14 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 12 | $0.00 |
| 99441 | 0% | 36 | $0.00 | |
| 90651 | 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 officialMAGDALENO, ROCIO (CHIEF EXECUTIVE OFFICER)