Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN MARCOS › NORTH COUNTY HEALTH PROJECT, INC.

NORTH COUNTY HEALTH PROJECT, INC.

NPI: 1245246917 · SAN MARCOS, CA 92069 · Federally Qualified Health Center (FQHC) · NPI assigned 08/01/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PETERSEN, CHERYL controls 11+ related entities in our dataset. Read more

$125.68M
Total Medicaid Paid
3,749,684
Total Claims
2,926,601
Beneficiaries
222
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPETERSEN, CHERYL (CFO)
Parent OrganizationNORTH COUNTY HEALTH PROJECT, INC.
NPI Enumeration Date08/01/2006

Related Entities

Other providers sharing the same authorized official: PETERSEN, CHERYL

ProviderCityStateTotal Paid
NORTH COUNTY HEALTH PROJECT, INC. OCEANSIDE CA $57.50M
NORTH COUNTY HEALTH PROJECT, INC. OCEANSIDE CA $29.48M
NORTH COUNTY HEALTH PROJECT, INC. ENCINITAS CA $16.48M
NORTH COUNTY HEALTH PROJECT, INC PERRIS CA $15.77M
NORTH COUNTY HEALTH PROJECT, INC. RAMONA CA $15.60M
NORTH COUNTY HEALTH PROJECT, INC. OCEANSIDE CA $11.36M
NORTH COUNTY HEALTH PROJECT, INC. CARLSBAD CA $6.73M
NORTH COUNTY HEALTH PROJECT, INC. OCEANSIDE CA $1.59M
NORTH COUNTY HEALTH PROJECT, INC. OCEANSIDE CA $366K
NORTH COUNTY HEALTH PROJECT, INC. SAN MARCOS CA $180K
NORTH COUNTY HEALTH PROJECT, INC. SAN MARCOS CA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 241,247 $18.83M
2019 380,821 $15.89M
2020 278,095 $14.90M
2021 269,307 $15.13M
2022 407,468 $16.80M
2023 914,774 $22.93M
2024 1,257,972 $21.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 547,481 447,219 $103.43M
00003 Internal/system code - not a standard HCPCS code 75,669 63,502 $18.25M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 460,384 352,075 $705K
G9920 Screening performed and negative 43,846 33,599 $533K
90832 Psychotherapy, 30 minutes with patient 94,926 43,437 $452K
G9008 Coordinated care fee, physician coordinated care oversight services 1,117 1,111 $449K
G9012 Other specified case management service not elsewhere classified 695 695 $288K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 60,806 33,021 $280K
59425 3,791 2,698 $204K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 176,422 132,300 $155K
90791 Psychiatric diagnostic evaluation 7,503 5,130 $104K
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 12,585 10,703 $86K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,563 1,430 $82K
90792 Psychiatric diagnostic evaluation with medical services 5,598 3,988 $66K
90834 Psychotherapy, 45 minutes with patient 7,137 3,463 $64K
99404 3,026 2,892 $45K
0002A 652 652 $44K
0001A 629 629 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70,751 58,243 $35K
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 7,987 7,779 $26K
96110 Developmental screening, with scoring and documentation, per standardized instrument 54,196 44,517 $24K
0011A 377 377 $21K
0012A 347 347 $21K
G9919 Screening performed and positive and provision of recommendations 1,736 1,332 $19K
99401 44,697 39,199 $17K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,184 1,945 $17K
0064A 225 225 $15K
0054A 212 212 $14K
0072A 167 167 $11K
H1001 Prenatal care, at-risk enhanced service; antepartum management 10,768 8,228 $9K
0071A 133 133 $9K
59025 Fetal non-stress test 3,857 1,651 $8K
99215 Prolong outpt/office vis 449 439 $8K
0004A 121 119 $8K
98940 3,464 1,980 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,628 1,994 $7K
98942 1,298 699 $6K
90750 2,380 1,972 $6K
0031A 99 99 $6K
90677 3,365 2,460 $6K
99402 443 422 $6K
91320 1,255 1,048 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,858 2,248 $6K
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 386 372 $5K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 14,528 13,109 $5K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 10,864 7,984 $5K
0124A 75 75 $4K
59430 210 210 $4K
81025 11,369 9,764 $3K
90746 5,993 4,891 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,573 13,129 $3K
90715 4,597 3,785 $3K
90480 1,872 1,556 $3K
90686 36,039 30,865 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,269 1,507 $3K
97810 6,672 4,048 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 80,407 65,077 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,132 5,544 $2K
83036 Hemoglobin; glycosylated (A1C) 19,585 17,573 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16,640 12,849 $2K
97811 5,377 3,402 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,831 3,140 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 19,542 15,423 $1K
0134A 22 22 $1K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 5,904 4,659 $1K
90710 678 596 $1K
57454 34 25 $1K
0074A 16 16 $1K
11976 18 14 $849.27
92552 18,341 16,153 $830.70
81002 17,762 14,589 $819.40
92551 20,380 17,058 $770.63
96156 20,469 17,632 $756.50
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,508 2,251 $741.58
91319 86 69 $680.00
97803 37,270 32,629 $663.22
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,001 3,395 $648.00
H1003 Prenatal care, at-risk enhanced service; education 4,564 3,548 $621.08
85018 80,461 67,921 $616.39
90651 5,452 4,281 $588.83
90680 2,048 1,527 $544.61
99000 26,971 26,780 $544.50
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 12 12 $544.28
99177 8,692 6,936 $525.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,558 1,412 $519.55
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,262 1,723 $505.14
58300 14 12 $477.86
71046 Radiologic examination, chest; 2 views 642 638 $384.50
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13,376 11,118 $379.76
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,662 6,803 $367.30
90697 2,156 1,498 $335.55
99231 Subsequent hospital care, per day, straightforward or low complexity 13 12 $330.00
90662 661 605 $317.35
90472 Immunization administration, each additional vaccine (list separately) 26,648 21,308 $314.11
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,072 750 $241.70
11721 643 629 $233.86
90670 5,893 4,887 $213.00
97813 114 60 $200.00
99238 Hospital discharge day management, 30 minutes or less 153 147 $194.84
90688 3,765 3,349 $185.63
90716 206 153 $176.25
90619 2,392 1,735 $167.29
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,335 953 $162.13
90732 218 181 $152.00
73630 134 133 $145.08
H2000 Comprehensive multidisciplinary evaluation 1,379 1,145 $142.56
93000 215 178 $138.94
99173 38,770 33,227 $134.83
97026 3,477 2,015 $132.50
90656 6,164 4,789 $125.32
90633 2,697 2,133 $122.78
72100 73 73 $121.16
H1000 Prenatal care, at-risk assessment 350 349 $120.00
99070 463 301 $119.85
96151 21,090 18,911 $109.68
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 21 13 $104.28
36415 Collection of venous blood by venipuncture 56,090 55,141 $93.78
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 899 675 $84.38
97802 1,590 1,535 $82.47
97814 57 33 $80.00
97124 2,029 1,006 $79.54
73562 139 139 $70.14
99201 565 384 $68.47
90696 193 172 $63.03
96160 28,126 27,325 $46.73
99381 248 232 $45.33
86580 515 503 $45.29
J1885 Injection, ketorolac tromethamine, per 15 mg 359 269 $37.25
92250 211 169 $37.08
71045 Radiologic examination, chest; single view 73 73 $35.34
11730 200 111 $32.02
98960 42 33 $26.39
73610 96 96 $25.14
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 14 14 $23.46
94760 1,544 1,343 $20.19
99188 900 766 $18.00
82947 1,241 945 $16.96
88720 729 431 $16.08
69209 110 66 $11.54
96146 33 32 $9.76
90698 3,317 2,869 $9.00
90744 941 827 $9.00
90621 1,953 1,375 $9.00
99403 135 135 $8.41
H1002 Prenatal care, at risk enhanced service; care coordination 63 58 $8.41
G0008 Administration of influenza virus vaccine 410 407 $8.00
90473 150 109 $5.52
90756 104 104 $4.46
H0049 Alcohol and/or drug screening 1,208 1,194 $0.73
3075F 29,526 23,326 $0.00
3008F 159,968 149,270 $0.00
90620 580 519 $0.00
S9451 Exercise classes, non-physician provider, per session 9,648 8,514 $0.00
1125F 22,666 17,602 $0.00
3074F 242,223 176,080 $0.00
Z1032 1,235 1,231 $0.00
3079F 63,141 48,743 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 1,888 1,421 $0.00
1126F 78,596 59,484 $0.00
Z1034 13,466 10,365 $0.00
Z6406 1,878 1,532 $0.00
3044F 2,753 2,284 $0.00
3080F 9,289 7,082 $0.00
36416 3,004 2,160 $0.00
3052F 302 221 $0.00
Z6204 1,619 1,332 $0.00
Z6410 6,115 4,687 $0.00
Z6404 263 262 $0.00
Z1038 310 310 $0.00
99462 164 126 $0.00
Z6402 107 107 $0.00
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 236 190 $0.00
96150 254 223 $0.00
11055 111 109 $0.00
90845 17 12 $0.00
99460 219 215 $0.00
82962 112 100 $0.00
96380 53 37 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 14 13 $0.00
96127 26 19 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 63 59 $0.00
G0009 Administration of pneumococcal vaccine 31 27 $0.00
90474 144 97 $0.00
94010 113 68 $0.00
90739 16 16 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 23 12 $0.00
99406 15 13 $0.00
90734 2,132 1,858 $0.00
3078F 221,817 162,166 $0.00
83655 984 901 $0.00
3077F 22,911 17,906 $0.00
1159F 174,350 122,819 $0.00
1160F 174,348 122,817 $0.00
99442 1,790 1,150 $0.00
Z6414 1,740 1,334 $0.00
99408 296 293 $0.00
3051F 930 737 $0.00
A7000 Canister, disposable, used with suction pump, each 41 28 $0.00
3046F 288 224 $0.00
Z6400 4,150 3,096 $0.00
90707 164 119 $0.00
90681 356 299 $0.00
4004F 540 320 $0.00
90685 219 219 $0.00
11056 321 313 $0.00
Z6302 74 73 $0.00
Z6200 513 510 $0.00
99409 295 293 $0.00
86703 61 61 $0.00
90623 106 73 $0.00
A4550 Surgical trays 33 27 $0.00
73140 26 26 $0.00
A6451 Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard 96 64 $0.00
Z6208 12 12 $0.00
Z6304 268 169 $0.00
73030 59 59 $0.00
90846 Family psychotherapy without the patient present, 50 minutes 34 30 $0.00
99397 62 52 $0.00
69210 37 26 $0.00
A7002 Tubing, used with suction pump, each 41 28 $0.00
73130 13 13 $0.00
91312 12 12 $0.00