Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › COMPLETE CARE COMMUNITY HEALTH CENTER, INC

COMPLETE CARE COMMUNITY HEALTH CENTER, INC

NPI: 1215113964 · LOS ANGELES, CA 90033 · PACE Provider Organization · NPI assigned 01/11/2008

$72.50M
Total Medicaid Paid
1,346,460
Total Claims
941,735
Beneficiaries
169
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLENCHITSKY, DINA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date01/11/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47,140 $4.71M
2019 99,766 $7.06M
2020 178,271 $10.16M
2021 225,716 $12.47M
2022 215,501 $10.69M
2023 264,312 $13.86M
2024 315,754 $13.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 362,899 266,835 $70.70M
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 9,323 6,772 $321K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 92,234 56,785 $266K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 155,309 98,517 $253K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54,860 36,024 $218K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,478 1,967 $150K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,338 5,047 $90K
99215 Prolong outpt/office vis 7,959 5,218 $57K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,296 980 $43K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,793 9,347 $33K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,104 802 $27K
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 1,572 1,571 $26K
A4267 Contraceptive supply, condom, male, each 2,384 2,374 $26K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,580 3,500 $21K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,125 1,219 $18K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,185 6,660 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,313 3,989 $17K
92551 29,064 19,386 $16K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,006 911 $15K
99205 Prolong outpt/office vis 439 263 $14K
96367 1,069 537 $13K
20552 2,447 2,071 $13K
H1001 Prenatal care, at-risk enhanced service; antepartum management 16,268 12,577 $11K
20611 384 298 $11K
20610 2,191 1,845 $11K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 14,466 10,562 $10K
J1030 Injection, methylprednisolone acetate, 40 mg 5,391 4,457 $7K
99000 60,013 43,809 $7K
90686 5,674 4,066 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 32,199 23,899 $6K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 189 189 $6K
J3490 Unclassified drugs 119 83 $6K
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose 18 13 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,578 6,484 $5K
90834 Psychotherapy, 45 minutes with patient 5,745 3,278 $4K
H1002 Prenatal care, at risk enhanced service; care coordination 1,218 1,205 $4K
90715 1,419 1,000 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,576 4,549 $3K
90651 1,886 1,351 $3K
H1003 Prenatal care, at-risk enhanced service; education 8,492 6,610 $3K
90472 Immunization administration, each additional vaccine (list separately) 17,260 12,686 $2K
H2000 Comprehensive multidisciplinary evaluation 6,252 4,110 $2K
99173 28,988 18,960 $2K
93000 1,427 916 $2K
81025 5,534 4,457 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,719 3,037 $2K
S5000 Prescription drug, generic 196 174 $2K
97803 8,363 6,473 $2K
90670 5,112 3,833 $1K
96156 12,121 8,401 $1K
90734 952 669 $1K
81002 62,303 37,024 $1K
99401 8,435 6,403 $1K
90619 391 233 $1K
90633 1,981 1,340 $927.48
90621 574 407 $873.00
S4993 Contraceptive pills for birth control 38 38 $864.00
90698 1,245 867 $783.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,942 1,332 $725.27
90677 337 227 $684.62
59425 195 152 $666.58
90671 957 723 $652.50
90791 Psychiatric diagnostic evaluation 610 431 $640.40
99381 1,011 920 $607.78
S9452 Nutrition classes, non-physician provider, per session 3,659 2,726 $523.12
59430 471 468 $469.34
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 795 629 $451.31
97802 3,272 2,316 $447.14
J1885 Injection, ketorolac tromethamine, per 15 mg 2,033 1,693 $441.45
90832 Psychotherapy, 30 minutes with patient 676 415 $427.03
99497 81 79 $381.97
90710 433 287 $378.00
96402 287 268 $351.56
J0696 Injection, ceftriaxone sodium, per 250 mg 685 510 $348.04
90656 306 223 $334.91
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 262 259 $317.88
96415 84 69 $300.83
90680 2,164 1,742 $297.00
90744 569 412 $288.00
90620 99 68 $283.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 612 320 $273.58
99385 189 119 $252.65
99384 234 209 $246.79
90697 931 734 $225.00
96375 Therapeutic injection; each additional sequential IV push 82 79 $198.40
20605 16 13 $185.01
99403 2,712 1,907 $168.22
90648 2,351 1,820 $153.00
36415 Collection of venous blood by venipuncture 2,530 2,246 $148.79
85018 7,817 5,323 $141.73
99386 45 27 $136.80
J1010 Injection, methylprednisolone acetate, 1 mg 411 347 $124.11
96151 371 321 $120.00
99383 211 206 $117.56
90674 42 28 $93.76
88150 788 518 $87.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 273 252 $68.46
90716 177 118 $54.00
3077F 2,565 1,743 $51.96
99242 572 324 $47.20
90707 182 116 $36.00
90696 71 52 $36.00
99382 13 13 $27.00
90723 1,129 910 $27.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 373 241 $18.00
90700 174 113 $18.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 552 296 $12.59
90681 32 25 $9.00
90473 2,424 1,925 $8.08
86580 175 127 $7.91
J1750 Injection, iron dextran, 50 mg 19 12 $6.52
S0197 Prenatal vitamins, 30-day supply 1,430 1,403 $4.20
82962 3,734 2,443 $1.80
J7050 Infusion, normal saline solution, 250 cc 13 13 $0.70
3078F 19,415 12,225 $0.12
3074F 19,850 12,274 $0.09
3079F 4,276 2,881 $0.02
G8752 Most recent systolic blood pressure < 140 mmhg 9,817 6,490 $0.01
1159F 20,970 13,721 $0.01
3075F 2,115 1,457 $0.01
G8754 Most recent diastolic blood pressure < 90 mmhg 2,429 1,693 $0.01
Z6414 5,520 3,809 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 1,423 1,025 $0.00
Z6308 2,934 2,391 $0.00
Z6400 10,128 8,400 $0.00
Z6304 9,322 6,902 $0.00
Z6500 2,947 2,931 $0.00
Z6208 2,456 2,022 $0.00
1160F 4,943 3,505 $0.00
96158 872 693 $0.00
11721 76 63 $0.00
Z6202 174 163 $0.00
99188 174 111 $0.00
96417 100 61 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 57 30 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 30 17 $0.00
0502F 65 39 $0.00
96152 72 72 $0.00
96159 14 13 $0.00
H1000 Prenatal care, at-risk assessment 176 134 $0.00
96153 44 39 $0.00
Z6302 103 99 $0.00
A4207 Syringe with needle, sterile 2 cc, each 13 13 $0.00
99201 39 35 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 59 33 $0.00
Z6410 17,320 12,614 $0.00
Z1034 21,003 16,228 $0.00
Z6406 9,675 7,522 $0.00
3080F 1,249 774 $0.00
Z1032 2,172 2,161 $0.00
Z6204 6,672 5,690 $0.00
G9231 Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period 1,234 826 $0.00
G0008 Administration of influenza virus vaccine 40 36 $0.00
1111F 3,163 2,306 $0.00
Z1038 485 481 $0.00
88738 709 440 $0.00
Z6404 577 501 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 691 440 $0.00
1126F 281 245 $0.00
96150 34 28 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 156 121 $0.00
3008F 102 84 $0.00
1170F 41 26 $0.00
99243 50 31 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 118 117 $0.00
1101F 15 15 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 53 53 $0.00
1125F 281 253 $0.00
99241 54 32 $0.00