Clinic
Community Medical Wellness Centers USA
Community Medical Wellness Centers USA was paid $32.35M by Medicaid between Jan 2018 and Dec 2024, across 130 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 infoCOMMUNITY MEDICAL WELLNESS CENTERS USA
LONG BEACH, CA 90813
LONG BEACH, CA 90813
33aNPI1235500513assigned 10/13/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$32.35M
24GClaims566,067
24DCodes billed130
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#114 of 826
Median peer was paid$4.05M
This provider vs. median8.0×
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 | 15,822 | $1.97M | |
| 2019 | 20,696 | $1.69M | |
| 2020 | 72,548 | $4.70M | |
| 2021 | 104,482 | $6.00M | |
| 2022 | 94,793 | $5.04M | |
| 2023 | 134,006 | $6.55M | |
| 2024incomplete | 123,720 | $6.41M |
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% | 198,755 | 126,593 | $31.10M |
| 00003 | Internal/system code - not a standard HCPCS code | 1.8% | 2,849 | 2,219 | $576K |
| G9012 | Other specified case management service not elsewhere classified | 1.0% | 7,835 | 3,134 | $331K |
| 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% | 84,481 | 64,511 | $102K |
| 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% | 14,238 | 10,858 | $49K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 35,851 | 15,069 | $38K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 8,411 | 6,462 | $27K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 4,292 | 2,156 | $19K |
| 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% | 9,289 | 7,289 | $17K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 3,579 | 2,963 | $16K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 7,106 | 5,182 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16,450 | 12,457 | $13K |
118 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,098 | $9K |
| 98940 | <1% | 4,031 | $7K | |
| 90461 | <1% | 1,274 | $4K | |
| 97803 | <1% | 2,871 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,592 | $4K |
| 96156 | <1% | 3,868 | $2K | |
| 99243 | <1% | 1,998 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,403 | $1K |
| 97802 | <1% | 10,938 | $1K | |
| 86689 | <1% | 4,565 | $1K | |
| 99442 | <1% | 48,044 | $1K | |
| 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% | 2,359 | $1K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,176 | $1K |
| 86702 | <1% | 4,549 | $909.05 | |
| 86701 | <1% | 4,560 | $823.56 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 415 | $727.36 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 5,403 | $717.38 |
| 90756 | <1% | 664 | $693.50 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 360 | $686.40 |
| 97811 | <1% | 1,857 | $640.00 | |
| G0466 | Community health center visit, new patient | <1% | 141 | $600.00 |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 3,155 | $560.52 |
| 92552 | <1% | 2,540 | $397.33 | |
| 90686 | <1% | 755 | $367.18 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,713 | $364.57 |
| 97810 | <1% | 1,837 | $320.00 | |
| 97032 | <1% | 1,809 | $308.52 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,392 | $266.63 |
| 92081 | <1% | 416 | $237.97 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 3,386 | $196.17 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 119 | $181.38 |
| 3725F | <1% | 815 | $170.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 650 | $145.69 |
| 0013A | <1% | 130 | $120.00 | |
| 3008F | <1% | 4,794 | $112.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 481 | $106.94 |
| 99422 | <1% | 2,433 | $60.61 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,487 | $49.78 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 496 | $43.41 |
| 96127 | <1% | 1,852 | $28.81 | |
| 0011A | <1% | 242 | $23.76 | |
| 99000 | <1% | 56 | $14.40 | |
| 82274 | <1% | 1,347 | $14.14 | |
| 92551 | <1% | 182 | $10.20 | |
| 81000 | <1% | 202 | $5.16 | |
| 81001 | <1% | 52 | $4.24 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 251 | $2.80 |
| 97813 | 0% | 706 | $0.00 | |
| 2025F | 0% | 287 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 518 | $0.00 |
| 97012 | 0% | 752 | $0.00 | |
| 90648 | 0% | 18 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 126 | $0.00 |
| 90658 | 0% | 54 | $0.00 | |
| 90700 | 0% | 28 | $0.00 | |
| 3077F | 0% | 31 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 449 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| 3078F | 0% | 182 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 307 | $0.00 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 72 | $0.00 |
| 90633 | 0% | 122 | $0.00 | |
| 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 | 0% | 84 | $0.00 |
| 2022F | 0% | 92 | $0.00 | |
| G0403 | Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | 0% | 147 | $0.00 |
| 0002A | 0% | 14 | $0.00 | |
| G0104 | Colorectal cancer screening; flexible sigmoidoscopy | 0% | 310 | $0.00 |
| 90670 | 0% | 125 | $0.00 | |
| 99411 | 0% | 43 | $0.00 | |
| 1160F | 0% | 20 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 224 | $0.00 |
| 90685 | 0% | 61 | $0.00 | |
| 90621 | 0% | 20 | $0.00 | |
| 90715 | 0% | 61 | $0.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 197 | $0.00 |
| 2024F | 0% | 26 | $0.00 | |
| 99421 | 0% | 25 | $0.00 | |
| 99201 | 0% | 26 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 41 | $0.00 |
| 90653 | 0% | 13 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 50 | $0.00 |
| 1125F | 0% | 120 | $0.00 | |
| 97814 | 0% | 717 | $0.00 | |
| 97124 | 0% | 2,618 | $0.00 | |
| 99443 | 0% | 14,747 | $0.00 | |
| 99386 | 0% | 177 | $0.00 | |
| 3074F | 0% | 188 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 4,219 | $0.00 |
| 90619 | 0% | 129 | $0.00 | |
| 86704 | 0% | 140 | $0.00 | |
| 90651 | 0% | 213 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 585 | $0.00 |
| 99441 | 0% | 1,280 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 24 | $0.00 |
| 99495 | 0% | 57 | $0.00 | |
| 0012A | 0% | 54 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 428 | $0.00 |
| 82950 | 0% | 76 | $0.00 | |
| 86580 | 0% | 28 | $0.00 | |
| 90716 | 0% | 37 | $0.00 | |
| 90875 | 0% | 291 | $0.00 | |
| 1170F | 0% | 240 | $0.00 | |
| 97010 | 0% | 64 | $0.00 | |
| 93000 | 0% | 99 | $0.00 | |
| 3072F | 0% | 15 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 20 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 99444 | 0% | 25 | $0.00 | |
| 90698 | 0% | 26 | $0.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 92 | $0.00 |
| 90744 | 0% | 15 | $0.00 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 12 | $0.00 |
| 90680 | 0% | 12 | $0.00 | |
| 2023F | 0% | 49 | $0.00 | |
| 57410 | 0% | 13 | $0.00 | |
| 0031A | 0% | 28 | $0.00 | |
| 1126F | 0% | 66 | $0.00 | |
| 99385 | 0% | 13 | $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 officialPAIGNE, SOMPIA (CEO)