Clinic
JWCH Institute, INC.
JWCH Institute, INC. was paid $218K by Medicaid between Jan 2018 and Dec 2024, across 204 billing codes. Its largest line is H0045, Respite care services, not in the home, per diem — 27% of everything it billed.
33Billing provider infoJWCH INSTITUTE, INC.
LOS ANGELES, CA 90013
LOS ANGELES, CA 90013
33aNPI1245413699assigned 12/07/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$218K
24GClaims1,196,974
24DCodes billed204
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#599 of 826
Median peer was paid$4.05M
This provider vs. median0.1×
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 BALLESTEROS, ALVARO controls 17+ 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 | 77,795 | $40K | |
| 2019 | 148,113 | $83K | |
| 2020 | 112,320 | $58K | |
| 2021 | 124,249 | $8K | |
| 2022 | 179,424 | $11K | |
| 2023 | 252,916 | $10K | |
| 2024incomplete | 302,157 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0045 | Respite care services, not in the home, per diem | 27% | 12 | 12 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 255,433 | 230,833 | $43K |
| 90732 | 9.8% | 395 | 395 | $21K | |
| 90658 | 8.3% | 9,923 | 9,910 | $18K | |
| 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 | 7.0% | 58,046 | 54,964 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.5% | 60,149 | 55,263 | $14K |
| 90670 | 5.6% | 1,788 | 1,787 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 24,832 | 24,558 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 4,910 | 4,887 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,669 | 4,654 | $2K |
| 90715 | <1% | 1,917 | 1,914 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 4,352 | 4,167 | $1K |
192 more codes
| 92002 | <1% | 1,131 | $1K | |
| 82948 | <1% | 42,926 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,693 | $1K |
| 1159F | <1% | 165,188 | $1K | |
| 1160F | <1% | 163,346 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,581 | $1K |
| G0467 | Community health center visit, returning patient | <1% | 1,332 | $1K |
| 90649 | <1% | 268 | $815.40 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,811 | $812.69 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14,470 | $808.89 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 977 | $765.89 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,335 | $763.50 |
| 92551 | <1% | 6,735 | $696.67 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,777 | $660.27 |
| 92015 | Determination of refractive state | <1% | 4,960 | $631.64 |
| 99201 | <1% | 606 | $568.81 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,606 | $560.54 |
| 90633 | <1% | 1,729 | $535.94 | |
| 81002 | <1% | 17,789 | $500.20 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 811 | $475.48 |
| 86580 | <1% | 1,251 | $415.43 | |
| D1310 | <1% | 510 | $409.50 | |
| 85018 | <1% | 9,255 | $374.34 | |
| D1330 | <1% | 517 | $366.60 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 9,226 | $360.48 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,418 | $337.03 |
| 90710 | <1% | 552 | $307.82 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,984 | $288.38 |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 380 | $268.94 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 273 | $257.46 |
| 99173 | <1% | 16,486 | $245.36 | |
| D0190 | <1% | 1,247 | $225.00 | |
| 99241 | <1% | 471 | $220.31 | |
| 90736 | <1% | 64 | $216.78 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,263 | $199.47 |
| 93000 | <1% | 695 | $198.87 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,678 | $183.26 |
| 90723 | <1% | 772 | $180.91 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 685 | $177.85 |
| D0603 | <1% | 252 | $163.50 | |
| 11721 | <1% | 1,024 | $132.31 | |
| 90648 | <1% | 985 | $121.91 | |
| 36416 | <1% | 2,848 | $120.31 | |
| 90655 | <1% | 585 | $119.00 | |
| 92226 | <1% | 439 | $118.38 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 553 | $118.32 |
| 90756 | <1% | 49 | $115.00 | |
| 90713 | <1% | 246 | $109.07 | |
| 90746 | <1% | 315 | $87.81 | |
| 99401 | <1% | 1,527 | $87.24 | |
| 92250 | <1% | 877 | $83.42 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 554 | $82.75 |
| 88142 | <1% | 2,122 | $81.60 | |
| 90620 | <1% | 431 | $81.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 504 | $75.11 |
| 99490 | Ccm add 20min | <1% | 258 | $73.24 |
| 99000 | <1% | 3,747 | $68.21 | |
| 86318 | <1% | 73 | $61.88 | |
| 81025 | <1% | 1,182 | $61.32 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 438 | $57.30 |
| 98940 | <1% | 2,120 | $52.70 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 536 | $45.74 |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,183 | $39.90 |
| 0011A | <1% | 1,468 | $33.96 | |
| 90700 | <1% | 356 | $30.40 | |
| 90647 | <1% | 422 | $29.65 | |
| 90686 | <1% | 3,754 | $26.73 | |
| 96151 | <1% | 222 | $25.41 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 21,955 | $24.07 |
| 3078F | <1% | 45,816 | $24.00 | |
| 0013A | <1% | 133 | $17.00 | |
| 59425 | <1% | 263 | $17.00 | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 225 | $16.66 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 307 | $16.34 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 3,078 | $10.08 |
| 90651 | <1% | 517 | $8.91 | |
| 82270 | <1% | 227 | $8.67 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 1,904 | $8.00 |
| 82274 | <1% | 1,681 | $6.00 | |
| 86328 | <1% | 27 | $2.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,755 | $0.03 |
| 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% | 4,310 | $0.01 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 492 | $0.00 |
| 3077F | 0% | 2,505 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 750 | $0.00 |
| 0502F | 0% | 1,281 | $0.00 | |
| 3725F | 0% | 4,467 | $0.00 | |
| 92134 | 0% | 172 | $0.00 | |
| 2028F | 0% | 914 | $0.00 | |
| 3051F | 0% | 427 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12,522 | $0.00 |
| 90461 | 0% | 5,063 | $0.00 | |
| 83655 | 0% | 298 | $0.00 | |
| 80061 | Lipid panel | 0% | 458 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 1,331 | $0.00 |
| 99408 | 0% | 1,234 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 451 | $0.00 |
| 90734 | 0% | 63 | $0.00 | |
| 3046F | 0% | 422 | $0.00 | |
| 90707 | 0% | 115 | $0.00 | |
| 90685 | 0% | 21 | $0.00 | |
| 90671 | 0% | 50 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 1,268 | $0.00 |
| 99242 | 0% | 31 | $0.00 | |
| 92225 | 0% | 278 | $0.00 | |
| 11056 | 0% | 53 | $0.00 | |
| 90750 | 0% | 41 | $0.00 | |
| 88164 | 0% | 14 | $0.00 | |
| 0002A | 0% | 99 | $0.00 | |
| 97803 | 0% | 215 | $0.00 | |
| 0004A | 0% | 61 | $0.00 | |
| 2022F | 0% | 170 | $0.00 | |
| 90681 | 0% | 12 | $0.00 | |
| 92083 | 0% | 60 | $0.00 | |
| 0003A | 0% | 16 | $0.00 | |
| 91300 | 0% | 17 | $0.00 | |
| H0032 | Mental health service plan development by non-physician | 0% | 83 | $0.00 |
| 0071A | 0% | 12 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 14 | $0.00 |
| 1158F | 0% | 147 | $0.00 | |
| 92201 | 0% | 70 | $0.00 | |
| 92202 | 0% | 50 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 23 | $0.00 |
| 99499 | 0% | 13 | $0.00 | |
| 3044F | 0% | 2,709 | $0.00 | |
| 3079F | 0% | 11,497 | $0.00 | |
| 1126F | 0% | 31,807 | $0.00 | |
| 3074F | 0% | 42,759 | $0.00 | |
| 99429 | 0% | 7,180 | $0.00 | |
| 1170F | 0% | 2,989 | $0.00 | |
| 2033F | 0% | 509 | $0.00 | |
| 3075F | 0% | 8,880 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 752 | $0.00 |
| 3008F | 0% | 3,802 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 452 | $0.00 |
| 1125F | 0% | 6,631 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 592 | $0.00 |
| 1034F | 0% | 187 | $0.00 | |
| D0602 | 0% | 45 | $0.00 | |
| 86701 | 0% | 19 | $0.00 | |
| 1111F | 0% | 460 | $0.00 | |
| 59430 | 0% | 558 | $0.00 | |
| 0001A | 0% | 110 | $0.00 | |
| 4010F | 0% | 370 | $0.00 | |
| 96156 | 0% | 521 | $0.00 | |
| T1016 | Case management, each 15 minutes | 0% | 172 | $0.00 |
| 0064A | 0% | 229 | $0.00 | |
| 97802 | 0% | 1,123 | $0.00 | |
| 99366 | 0% | 223 | $0.00 | |
| 0012A | 0% | 1,420 | $0.00 | |
| 99402 | 0% | 197 | $0.00 | |
| 3052F | 0% | 25 | $0.00 | |
| 90677 | 0% | 286 | $0.00 | |
| 3080F | 0% | 148 | $0.00 | |
| 90656 | 0% | 557 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 59 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 329 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 461 | $0.00 |
| 91301 | 0% | 712 | $0.00 | |
| 0094A | 0% | 24 | $0.00 | |
| 3061F | 0% | 164 | $0.00 | |
| 3072F | 0% | 12 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 304 | $0.00 |
| 76801 | 0% | 12 | $0.00 | |
| 90716 | 0% | 192 | $0.00 | |
| 1000F | 0% | 192 | $0.00 | |
| 80055 | 0% | 12 | $0.00 | |
| 90739 | 0% | 150 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 68 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 99 | $0.00 |
| 90744 | 0% | 27 | $0.00 | |
| 0031A | 0% | 31 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 25 | $0.00 |
| 92499 | 0% | 182 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 12 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 14 | $0.00 |
| 91306 | 0% | 16 | $0.00 | |
| 90680 | 0% | 58 | $0.00 | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 0% | 15 | $0.00 |
| 90696 | 0% | 26 | $0.00 | |
| 90632 | 0% | 30 | $0.00 | |
| 2023F | 0% | 30 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 28 | $0.00 |
| 97597 | 0% | 44 | $0.00 | |
| 0503F | 0% | 25 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 13 | $0.00 |
| 99406 | 0% | 53 | $0.00 | |
| 90657 | 0% | 18 | $0.00 | |
| D0601 | 0% | 15 | $0.00 | |
| 90650 | 0% | 12 | $0.00 | |
| 0500F | 0% | 14 | $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 officialBALLESTEROS, ALVARO (CHIEF EXECUTIVE OFFICER)
Parent organizationJWCH INSTITUTE, INC.
| Provider | Location | Paid |
|---|---|---|
| JWCH Institute, INC. | Los Angeles, CA | $119.49M |
| JWCH Institute INC | Los Angeles, CA | $28.06M |
| JWCH Institute, INC. | Norwalk, CA | $16.20M |
| JWCH Institute, INC | Downey, CA | $12.94M |
| JWCH Institute, INC. | Bell Gardens, CA | $6.40M |
| JWCH Institute, INC. | Lynwood, CA | $5.07M |
| JWCH Institute, INC | Hacienda Heights, CA | $3.85M |
| JWCH Institute, INC. | Bellflower, CA | $2.24M |
| JWCH Institute, INC. | Lancaster, CA | $1.12M |
| JWCH Institute, INC. | Lancaster, CA | $100K |
| JWCH Institute, INC. | Bell Gardens, CA | $67K |
| JWCH Institute, INC. | Palmdale, CA | $56K |
| JWCH Institute INC | Lynwood, CA | $52K |
| JWCH Institute, INC. | Bell Gardens, CA | $40K |
| JWCH Institute, INC. | Lancaster, CA | $11K |
| JWCH Institute, INC | Pasadena, CA | $10K |
| JWCH Institute, INC. | Bellflower, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.