Clinic
ST Anthony Medical Centers
ST Anthony Medical Centers was paid $2.62M by Medicaid between Jan 2018 and Aug 2024, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoST ANTHONY MEDICAL CENTERS
LOS ANGELES, CA 90044
LOS ANGELES, CA 90044
33aNPI1225188204assigned 01/11/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.62M
24GClaims71,763
24DCodes billed33
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#472 of 826
Median peer was paid$4.05M
This provider vs. median0.6×
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 | 6,320 | $470K | |
| 2019 | 7,604 | $395K | |
| 2020 | 14,260 | $453K | |
| 2021 | 14,527 | $416K | |
| 2022 | 10,904 | $349K | |
| 2023 | 13,028 | $370K | |
| 2024incomplete | 5,120 | $166K |
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 | 96% | 31,801 | 25,850 | $2.51M |
| 00003 | Internal/system code - not a standard HCPCS code | 3.9% | 752 | 598 | $103K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,698 | 6,792 | $4K |
| 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% | 8,070 | 7,337 | $2K |
| 92551 | <1% | 2,742 | 2,726 | $1K | |
| 99000 | <1% | 1,794 | 1,718 | $58.04 | |
| 92081 | <1% | 3,039 | 3,019 | $32.62 | |
| 90734 | <1% | 14 | 13 | $9.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 549 | 538 | $8.08 |
| 86580 | <1% | 44 | 42 | $3.33 | |
| 1111F | 0% | 6,884 | 6,108 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,502 | 2,468 | $0.00 |
21 more codes
| 3080F | 0% | 268 | $0.00 | |
| 90656 | 0% | 565 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,835 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 582 | $0.00 |
| 3079F | 0% | 29 | $0.00 | |
| 3074F | 0% | 74 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 82 | $0.00 |
| 93000 | 0% | 12 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 129 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 337 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 311 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 243 | $0.00 |
| 81025 | 0% | 24 | $0.00 | |
| 3077F | 0% | 363 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 726 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 37 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 138 | $0.00 |
| 3078F | 0% | 27 | $0.00 | |
| 92552 | 0% | 65 | $0.00 | |
| 90715 | 0% | 15 | $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 officialANTHONY, AWAD (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST Anthony Medical Centers | Los Angeles, CA | $4.54M |
| ST Anthony Medical Centers | Hollywood, CA | $2.75M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.