Clinic
North County Health Project, INC.
North County Health Project, INC. was paid $125.68M by Medicaid between Jan 2018 and Dec 2024, across 222 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoNORTH COUNTY HEALTH PROJECT, INC.
SAN MARCOS, CA 92069
SAN MARCOS, CA 92069
33aNPI1245246917assigned 08/01/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$125.68M
24GClaims3,749,684
24DCodes billed222
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#13 of 826
Median peer was paid$4.05M
This provider vs. median31×
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.
Entity ProliferationAuthorized official PETERSEN, CHERYL controls 11+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 1,257,972 | $21.20M |
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 | 82% | 547,481 | 447,219 | $103.43M |
| 00003 | Internal/system code - not a standard HCPCS code | 15% | 75,669 | 63,502 | $18.25M |
| 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% | 460,384 | 352,075 | $705K |
| G9920 | Screening performed and negative | <1% | 43,846 | 33,599 | $533K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 94,926 | 43,437 | $452K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 1,117 | 1,111 | $449K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 695 | 695 | $288K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 60,806 | 33,021 | $280K |
| 59425 | <1% | 3,791 | 2,698 | $204K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 176,422 | 132,300 | $155K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 7,503 | 5,130 | $104K |
| 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% | 12,585 | 10,703 | $86K |
210 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,563 | $82K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 5,598 | $66K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 7,137 | $64K |
| 99404 | <1% | 3,026 | $45K | |
| 0002A | <1% | 652 | $44K | |
| 0001A | <1% | 629 | $42K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 70,751 | $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 | <1% | 7,987 | $26K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 54,196 | $24K |
| 0011A | <1% | 377 | $21K | |
| 0012A | <1% | 347 | $21K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 1,736 | $19K |
| 99401 | <1% | 44,697 | $17K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,184 | $17K |
| 0064A | <1% | 225 | $15K | |
| 0054A | <1% | 212 | $14K | |
| 0072A | <1% | 167 | $11K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 10,768 | $9K |
| 0071A | <1% | 133 | $9K | |
| 59025 | Fetal non-stress test | <1% | 3,857 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 449 | $8K |
| 0004A | <1% | 121 | $8K | |
| 98940 | <1% | 3,464 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,628 | $7K |
| 98942 | <1% | 1,298 | $6K | |
| 90750 | <1% | 2,380 | $6K | |
| 0031A | <1% | 99 | $6K | |
| 90677 | <1% | 3,365 | $6K | |
| 99402 | <1% | 443 | $6K | |
| 91320 | <1% | 1,255 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,858 | $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 | <1% | 386 | $5K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 14,528 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 10,864 | $5K |
| 0124A | <1% | 75 | $4K | |
| 59430 | <1% | 210 | $4K | |
| 81025 | <1% | 11,369 | $3K | |
| 90746 | <1% | 5,993 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 16,573 | $3K |
| 90715 | <1% | 4,597 | $3K | |
| 90480 | <1% | 1,872 | $3K | |
| 90686 | <1% | 36,039 | $3K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 2,269 | $3K |
| 97810 | <1% | 6,672 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 80,407 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,132 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 19,585 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16,640 | $2K |
| 97811 | <1% | 5,377 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,831 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 19,542 | $1K |
| 0134A | <1% | 22 | $1K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 5,904 | $1K |
| 90710 | <1% | 678 | $1K | |
| 57454 | <1% | 34 | $1K | |
| 0074A | <1% | 16 | $1K | |
| 11976 | <1% | 18 | $849.27 | |
| 92552 | <1% | 18,341 | $830.70 | |
| 81002 | <1% | 17,762 | $819.40 | |
| 92551 | <1% | 20,380 | $770.63 | |
| 96156 | <1% | 20,469 | $756.50 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,508 | $741.58 |
| 91319 | <1% | 86 | $680.00 | |
| 97803 | <1% | 37,270 | $663.22 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 4,001 | $648.00 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 4,564 | $621.08 |
| 85018 | <1% | 80,461 | $616.39 | |
| 90651 | <1% | 5,452 | $588.83 | |
| 90680 | <1% | 2,048 | $544.61 | |
| 99000 | <1% | 26,971 | $544.50 | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 12 | $544.28 |
| 99177 | <1% | 8,692 | $525.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,558 | $519.55 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,262 | $505.14 |
| 58300 | <1% | 14 | $477.86 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 642 | $384.50 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13,376 | $379.76 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 8,662 | $367.30 |
| 90697 | <1% | 2,156 | $335.55 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 13 | $330.00 |
| 90662 | <1% | 661 | $317.35 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26,648 | $314.11 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,072 | $241.70 |
| 11721 | <1% | 643 | $233.86 | |
| 90670 | <1% | 5,893 | $213.00 | |
| 97813 | <1% | 114 | $200.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 153 | $194.84 |
| 90688 | <1% | 3,765 | $185.63 | |
| 90716 | <1% | 206 | $176.25 | |
| 90619 | <1% | 2,392 | $167.29 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,335 | $162.13 |
| 90732 | <1% | 218 | $152.00 | |
| 73630 | <1% | 134 | $145.08 | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 1,379 | $142.56 |
| 93000 | <1% | 215 | $138.94 | |
| 99173 | <1% | 38,770 | $134.83 | |
| 97026 | <1% | 3,477 | $132.50 | |
| 90656 | <1% | 6,164 | $125.32 | |
| 90633 | <1% | 2,697 | $122.78 | |
| 72100 | <1% | 73 | $121.16 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 350 | $120.00 |
| 99070 | <1% | 463 | $119.85 | |
| 96151 | <1% | 21,090 | $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 | <1% | 21 | $104.28 |
| 36415 | Collection of venous blood by venipuncture | <1% | 56,090 | $93.78 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 899 | $84.38 |
| 97802 | <1% | 1,590 | $82.47 | |
| 97814 | <1% | 57 | $80.00 | |
| 97124 | <1% | 2,029 | $79.54 | |
| 73562 | <1% | 139 | $70.14 | |
| 99201 | <1% | 565 | $68.47 | |
| 90696 | <1% | 193 | $63.03 | |
| 96160 | <1% | 28,126 | $46.73 | |
| 99381 | <1% | 248 | $45.33 | |
| 86580 | <1% | 515 | $45.29 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 359 | $37.25 |
| 92250 | <1% | 211 | $37.08 | |
| 71045 | Radiologic examination, chest; single view | <1% | 73 | $35.34 |
| 11730 | <1% | 200 | $32.02 | |
| 98960 | <1% | 42 | $26.39 | |
| 73610 | <1% | 96 | $25.14 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 14 | $23.46 |
| 94760 | <1% | 1,544 | $20.19 | |
| 99188 | <1% | 900 | $18.00 | |
| 82947 | <1% | 1,241 | $16.96 | |
| 88720 | <1% | 729 | $16.08 | |
| 69209 | <1% | 110 | $11.54 | |
| 96146 | <1% | 33 | $9.76 | |
| 90698 | <1% | 3,317 | $9.00 | |
| 90744 | <1% | 941 | $9.00 | |
| 90621 | <1% | 1,953 | $9.00 | |
| 99403 | <1% | 135 | $8.41 | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 63 | $8.41 |
| G0008 | Administration of influenza virus vaccine | <1% | 410 | $8.00 |
| 90473 | <1% | 150 | $5.52 | |
| 90756 | <1% | 104 | $4.46 | |
| H0049 | Alcohol and/or drug screening | <1% | 1,208 | $0.73 |
| 3075F | 0% | 29,526 | $0.00 | |
| 3008F | 0% | 159,968 | $0.00 | |
| 90620 | 0% | 580 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 9,648 | $0.00 |
| 1125F | 0% | 22,666 | $0.00 | |
| 3074F | 0% | 242,223 | $0.00 | |
| Z1032 | 0% | 1,235 | $0.00 | |
| 3079F | 0% | 63,141 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 1,888 | $0.00 |
| 1126F | 0% | 78,596 | $0.00 | |
| Z1034 | 0% | 13,466 | $0.00 | |
| Z6406 | 0% | 1,878 | $0.00 | |
| 3044F | 0% | 2,753 | $0.00 | |
| 3080F | 0% | 9,289 | $0.00 | |
| 36416 | 0% | 3,004 | $0.00 | |
| 3052F | 0% | 302 | $0.00 | |
| Z6204 | 0% | 1,619 | $0.00 | |
| Z6410 | 0% | 6,115 | $0.00 | |
| Z6404 | 0% | 263 | $0.00 | |
| Z1038 | 0% | 310 | $0.00 | |
| 99462 | 0% | 164 | $0.00 | |
| Z6402 | 0% | 107 | $0.00 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 236 | $0.00 |
| 96150 | 0% | 254 | $0.00 | |
| 11055 | 0% | 111 | $0.00 | |
| 90845 | 0% | 17 | $0.00 | |
| 99460 | 0% | 219 | $0.00 | |
| 82962 | 0% | 112 | $0.00 | |
| 96380 | 0% | 53 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $0.00 |
| 96127 | 0% | 26 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 63 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 31 | $0.00 |
| 90474 | 0% | 144 | $0.00 | |
| 94010 | 0% | 113 | $0.00 | |
| 90739 | 0% | 16 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 23 | $0.00 |
| 99406 | 0% | 15 | $0.00 | |
| 90734 | 0% | 2,132 | $0.00 | |
| 3078F | 0% | 221,817 | $0.00 | |
| 83655 | 0% | 984 | $0.00 | |
| 3077F | 0% | 22,911 | $0.00 | |
| 1159F | 0% | 174,350 | $0.00 | |
| 1160F | 0% | 174,348 | $0.00 | |
| 99442 | 0% | 1,790 | $0.00 | |
| Z6414 | 0% | 1,740 | $0.00 | |
| 99408 | 0% | 296 | $0.00 | |
| 3051F | 0% | 930 | $0.00 | |
| A7000 | Canister, disposable, used with suction pump, each | 0% | 41 | $0.00 |
| 3046F | 0% | 288 | $0.00 | |
| Z6400 | 0% | 4,150 | $0.00 | |
| 90707 | 0% | 164 | $0.00 | |
| 90681 | 0% | 356 | $0.00 | |
| 4004F | 0% | 540 | $0.00 | |
| 90685 | 0% | 219 | $0.00 | |
| 11056 | 0% | 321 | $0.00 | |
| Z6302 | 0% | 74 | $0.00 | |
| Z6200 | 0% | 513 | $0.00 | |
| 99409 | 0% | 295 | $0.00 | |
| 86703 | 0% | 61 | $0.00 | |
| 90623 | 0% | 106 | $0.00 | |
| A4550 | Surgical trays | 0% | 33 | $0.00 |
| 73140 | 0% | 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 | 0% | 96 | $0.00 |
| Z6208 | 0% | 12 | $0.00 | |
| Z6304 | 0% | 268 | $0.00 | |
| 73030 | 0% | 59 | $0.00 | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 34 | $0.00 |
| 99397 | 0% | 62 | $0.00 | |
| 69210 | 0% | 37 | $0.00 | |
| A7002 | Tubing, used with suction pump, each | 0% | 41 | $0.00 |
| 73130 | 0% | 13 | $0.00 | |
| 91312 | 0% | 12 | $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 officialPETERSEN, CHERYL (CFO)
Parent organizationNORTH COUNTY HEALTH PROJECT, INC.
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.