Family Healthcare Network
Family Healthcare Network was paid $218.30M by Medicaid between Jun 2018 and Dec 2024, across 141 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
FRESNO, CA 93727
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 | 70,170 | $8.01M | |
| 2019 | 160,466 | $21.68M | |
| 2020 | 250,155 | $28.26M | |
| 2021 | 340,739 | $37.00M | |
| 2022 | 368,104 | $27.81M | |
| 2023 | 492,195 | $42.81M | |
| 2024incomplete | 592,967 | $52.73M |
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 | 90% | 653,401 | 561,473 | $196.48M |
| 00003 | Internal/system code - not a standard HCPCS code | 8.9% | 53,586 | 35,263 | $19.46M |
| 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% | 25,789 | 22,911 | $933K |
| 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% | 474,634 | 302,833 | $345K |
| 98940 | <1% | 1,063 | 426 | $314K | |
| 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% | 87,214 | 59,484 | $281K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 5,573 | 5,403 | $133K |
| G0466 | Community health center visit, new patientFederally 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 | <1% | 1,648 | 1,637 | $83K |
| 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% | 24,691 | 18,338 | $54K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 147,093 | 96,414 | $47K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 2,230 | 1,856 | $37K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 194,260 | 103,184 | $30K |
129 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 540 | $19K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 622 | $16K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12,877 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,621 | $8K |
| G9920 | Screening performed and negative | <1% | 6,449 | $8K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 379 | $5K |
| 90686 | <1% | 30,441 | $4K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 3,428 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 6,946 | $2K |
| 99460 | <1% | 236 | $2K | |
| J3490 | Unclassified drugs | <1% | 1,171 | $2K |
| 99381 | <1% | 4,595 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 382 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 18,801 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 87 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,823 | $1K |
| 0071A | <1% | 18 | $1K | |
| 0011A | <1% | 18 | $1K | |
| 0012A | <1% | 17 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 199 | $1K |
| 90651 | <1% | 5,015 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 481 | $1K |
| 99385 | <1% | 893 | $981.78 | |
| 93000 | <1% | 464 | $941.02 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 22,695 | $785.41 |
| 99201 | <1% | 1,805 | $650.24 | |
| 81025 | <1% | 17,473 | $636.98 | |
| 81002 | <1% | 30,735 | $464.55 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 969 | $442.39 |
| 90715 | <1% | 4,064 | $423.71 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14,595 | $398.16 |
| 99386 | <1% | 128 | $319.84 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17,172 | $305.65 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,008 | $299.43 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 9,572 | $290.65 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 22,205 | $281.27 |
| 90677 | <1% | 3,359 | $269.28 | |
| 92551 | <1% | 40,749 | $238.84 | |
| 58300 | <1% | 15 | $181.69 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,611 | $170.34 |
| 90670 | <1% | 15,645 | $142.30 | |
| 85018 | <1% | 50,180 | $140.08 | |
| 88720 | <1% | 5,188 | $128.11 | |
| 92133 | <1% | 389 | $126.84 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 11,981 | $120.51 |
| 99173 | <1% | 43,553 | $81.73 | |
| 90698 | <1% | 9,857 | $78.40 | |
| 3078F | <1% | 14,087 | $72.04 | |
| 3074F | <1% | 13,869 | $72.01 | |
| 90744 | <1% | 5,435 | $58.50 | |
| 82962 | <1% | 9,052 | $57.69 | |
| 90633 | <1% | 6,624 | $55.90 | |
| 90746 | <1% | 297 | $52.00 | |
| 99382 | <1% | 621 | $51.33 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,223 | $49.78 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 67 | $48.00 |
| 58100 | <1% | 14 | $41.04 | |
| 92015 | Determination of refractive state | <1% | 6,618 | $39.79 |
| 90680 | <1% | 5,310 | $36.00 | |
| 90688 | <1% | 7,251 | $33.37 | |
| 11721 | <1% | 454 | $32.57 | |
| 90697 | <1% | 3,200 | $29.55 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 122 | $25.23 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,175 | $21.39 |
| 90681 | <1% | 1,210 | $18.00 | |
| 90648 | <1% | 300 | $9.90 | |
| 90707 | <1% | 1,643 | $9.00 | |
| 90710 | <1% | 679 | $9.00 | |
| 90716 | <1% | 1,655 | $9.00 | |
| 90647 | <1% | 805 | $9.00 | |
| 90696 | <1% | 579 | $9.00 | |
| 86580 | <1% | 109 | $3.67 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 13,049 | $0.71 |
| 99406 | <1% | 4,555 | $0.25 | |
| 3077F | 0% | 9,559 | $0.00 | |
| 90734 | 0% | 2,909 | $0.00 | |
| 90380 | 0% | 222 | $0.00 | |
| 83655 | 0% | 2,217 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 6,224 | $0.00 |
| 0124A | 0% | 269 | $0.00 | |
| 3046F | 0% | 430 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 843 | $0.00 |
| 59425 | 0% | 777 | $0.00 | |
| 90700 | 0% | 1,182 | $0.00 | |
| 91320 | 0% | 220 | $0.00 | |
| Z6400 | 0% | 124 | $0.00 | |
| 90685 | 0% | 31 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 747 | $0.00 |
| 90713 | 0% | 175 | $0.00 | |
| 92134 | 0% | 424 | $0.00 | |
| 86703 | 0% | 70 | $0.00 | |
| 11056 | 0% | 68 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 289 | $0.00 |
| 91321 | 0% | 34 | $0.00 | |
| 3051F | 0% | 100 | $0.00 | |
| 0004A | 0% | 60 | $0.00 | |
| 2022F | 0% | 16 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 27 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 6,071 | $0.00 |
| 3079F | 0% | 11,862 | $0.00 | |
| Z1034 | 0% | 5,847 | $0.00 | |
| 3080F | 0% | 3,795 | $0.00 | |
| 3075F | 0% | 6,229 | $0.00 | |
| Z1038 | 0% | 152 | $0.00 | |
| 90620 | 0% | 260 | $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% | 2,494 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 22 | $0.00 |
| 2023F | 0% | 470 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 725 | $0.00 |
| 99383 | 0% | 725 | $0.00 | |
| 99384 | 0% | 454 | $0.00 | |
| 3044F | 0% | 1,068 | $0.00 | |
| 92250 | 0% | 640 | $0.00 | |
| 90381 | 0% | 132 | $0.00 | |
| 90656 | 0% | 1,577 | $0.00 | |
| Z6410 | 0% | 16 | $0.00 | |
| 90723 | 0% | 535 | $0.00 | |
| 90480 | 0% | 41 | $0.00 | |
| 90732 | 0% | 115 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 64 | $0.00 |
| Z1032 | 0% | 494 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 40 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 85 | $0.00 |
| 59430 | 0% | 67 | $0.00 | |
| 96156 | 0% | 25 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 51 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 45 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 22 | $0.00 |
| 0111A | 0% | 20 | $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 | 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 | Woodlake, CA | $48.73M |
| 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.