Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › JWCH INSTITUTE, INC.

JWCH INSTITUTE, INC.

NPI: 1245413699 · LOS ANGELES, CA 90013 · Federally Qualified Health Center (FQHC) · NPI assigned 12/07/2007

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

Authorized official BALLESTEROS, ALVARO controls 17+ related entities in our dataset. Read more

$218K
Total Medicaid Paid
1,196,974
Total Claims
1,115,684
Beneficiaries
204
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBALLESTEROS, ALVARO (CHIEF EXECUTIVE OFFICER)
Parent OrganizationJWCH INSTITUTE, INC.
NPI Enumeration Date12/07/2007

Related Entities

Other providers sharing the same authorized official: BALLESTEROS, ALVARO

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 302,157 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0045 Respite care services, not in the home, per diem 12 12 $58K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 255,433 230,833 $43K
90732 395 395 $21K
90658 9,923 9,910 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 58,046 54,964 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 60,149 55,263 $14K
90670 1,788 1,787 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24,832 24,558 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,910 4,887 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,669 4,654 $2K
90715 1,917 1,914 $2K
99215 Prolong outpt/office vis 4,352 4,167 $1K
92002 1,131 1,131 $1K
82948 42,926 39,211 $1K
90472 Immunization administration, each additional vaccine (list separately) 4,693 4,652 $1K
1159F 165,188 152,491 $1K
1160F 163,346 150,730 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,581 1,581 $1K
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 1,332 1,185 $1K
90649 268 268 $815.40
90832 Psychotherapy, 30 minutes with patient 2,811 2,208 $812.69
83036 Hemoglobin; glycosylated (A1C) 14,470 14,175 $808.89
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 977 972 $765.89
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,335 2,324 $763.50
92551 6,735 6,721 $696.67
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,777 1,775 $660.27
92015 Determination of refractive state 4,960 4,945 $631.64
99201 606 470 $568.81
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,606 2,594 $560.54
90633 1,729 1,729 $535.94
81002 17,789 15,386 $500.20
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 811 807 $475.48
86580 1,251 1,240 $415.43
D1310 510 509 $409.50
85018 9,255 9,184 $374.34
D1330 517 516 $366.60
H1001 Prenatal care, at-risk enhanced service; antepartum management 9,226 6,891 $360.48
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,418 3,415 $337.03
90710 552 551 $307.82
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,984 2,796 $288.38
H2000 Comprehensive multidisciplinary evaluation 380 355 $268.94
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 273 273 $257.46
99173 16,486 16,454 $245.36
D0190 1,247 1,246 $225.00
99241 471 468 $220.31
90736 64 64 $216.78
90834 Psychotherapy, 45 minutes with patient 2,263 1,812 $199.47
93000 695 689 $198.87
H1003 Prenatal care, at-risk enhanced service; education 1,678 1,309 $183.26
90723 772 772 $180.91
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 685 683 $177.85
D0603 252 252 $163.50
11721 1,024 1,020 $132.31
90648 985 984 $121.91
36416 2,848 2,803 $120.31
90655 585 584 $119.00
92226 439 238 $118.38
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 553 549 $118.32
90756 49 49 $115.00
90713 246 246 $109.07
90746 315 315 $87.81
99401 1,527 1,510 $87.24
92250 877 827 $83.42
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 554 412 $82.75
88142 2,122 2,086 $81.60
90620 431 431 $81.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 504 489 $75.11
99490 Ccm add 20min 258 191 $73.24
99000 3,747 3,647 $68.21
86318 73 71 $61.88
81025 1,182 1,148 $61.32
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 438 436 $57.30
98940 2,120 1,655 $52.70
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 536 493 $45.74
36415 Collection of venous blood by venipuncture 3,183 3,056 $39.90
0011A 1,468 1,463 $33.96
90700 356 356 $30.40
90647 422 422 $29.65
90686 3,754 3,750 $26.73
96151 222 211 $25.41
G8510 Screening for depression is documented as negative, a follow-up plan is not required 21,955 21,035 $24.07
3078F 45,816 43,804 $24.00
0013A 133 133 $17.00
59425 263 189 $17.00
H1002 Prenatal care, at risk enhanced service; care coordination 225 213 $16.66
G0442 Annual alcohol misuse screening, 5 to 15 minutes 307 266 $16.34
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 3,078 2,751 $10.08
90651 517 516 $8.91
82270 227 227 $8.67
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,904 1,860 $8.00
82274 1,681 1,653 $6.00
86328 27 26 $2.00
77067 Screening mammography, bilateral, including computer-aided detection 1,755 1,720 $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 4,310 3,819 $0.01
90791 Psychiatric diagnostic evaluation 492 489 $0.00
3077F 2,505 2,412 $0.00
H1000 Prenatal care, at-risk assessment 750 748 $0.00
0502F 1,281 1,013 $0.00
3725F 4,467 4,208 $0.00
92134 172 170 $0.00
2028F 914 904 $0.00
3051F 427 422 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 12,522 12,409 $0.00
90461 5,063 5,045 $0.00
83655 298 298 $0.00
80061 Lipid panel 458 451 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 1,331 1,289 $0.00
99408 1,234 1,218 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 451 440 $0.00
90734 63 63 $0.00
3046F 422 404 $0.00
90707 115 115 $0.00
90685 21 21 $0.00
90671 50 50 $0.00
90837 Psychotherapy, 53 minutes with patient 1,268 996 $0.00
99242 31 28 $0.00
92225 278 146 $0.00
11056 53 53 $0.00
90750 41 41 $0.00
88164 14 14 $0.00
0002A 99 99 $0.00
97803 215 214 $0.00
0004A 61 61 $0.00
2022F 170 100 $0.00
90681 12 12 $0.00
92083 60 60 $0.00
0003A 16 16 $0.00
91300 17 17 $0.00
H0032 Mental health service plan development by non-physician 83 43 $0.00
0071A 12 12 $0.00
D0145 Oral evaluation for a patient under three years of age 14 14 $0.00
1158F 147 143 $0.00
92201 70 37 $0.00
92202 50 26 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 23 23 $0.00
99499 13 13 $0.00
3044F 2,709 2,655 $0.00
3079F 11,497 11,149 $0.00
1126F 31,807 30,544 $0.00
3074F 42,759 40,837 $0.00
99429 7,180 6,639 $0.00
1170F 2,989 2,887 $0.00
2033F 509 492 $0.00
3075F 8,880 8,692 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 752 693 $0.00
3008F 3,802 3,644 $0.00
D1206 Topical application of fluoride varnish 452 452 $0.00
1125F 6,631 6,442 $0.00
D0140 Limited oral evaluation - problem focused 592 592 $0.00
1034F 187 156 $0.00
D0602 45 45 $0.00
86701 19 19 $0.00
1111F 460 443 $0.00
59430 558 527 $0.00
0001A 110 110 $0.00
4010F 370 365 $0.00
96156 521 521 $0.00
T1016 Case management, each 15 minutes 172 168 $0.00
0064A 229 229 $0.00
97802 1,123 1,120 $0.00
99366 223 220 $0.00
0012A 1,420 1,419 $0.00
99402 197 197 $0.00
3052F 25 25 $0.00
90677 286 283 $0.00
3080F 148 142 $0.00
90656 557 557 $0.00
84443 Thyroid stimulating hormone (TSH) 59 58 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 329 326 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 461 428 $0.00
91301 712 692 $0.00
0094A 24 24 $0.00
3061F 164 163 $0.00
3072F 12 12 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 304 288 $0.00
76801 12 12 $0.00
90716 192 192 $0.00
1000F 192 157 $0.00
80055 12 12 $0.00
90739 150 150 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 68 68 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 99 74 $0.00
90744 27 27 $0.00
0031A 31 31 $0.00
J3490 Unclassified drugs 25 25 $0.00
92499 182 95 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12 12 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $0.00
S9452 Nutrition classes, non-physician provider, per session 14 13 $0.00
91306 16 16 $0.00
90680 58 58 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 15 $0.00
90696 26 26 $0.00
90632 30 30 $0.00
2023F 30 16 $0.00
90792 Psychiatric diagnostic evaluation with medical services 28 28 $0.00
97597 44 42 $0.00
0503F 25 24 $0.00
80048 Basic metabolic panel (calcium, ionized) 13 13 $0.00
99406 53 53 $0.00
90657 18 18 $0.00
D0601 15 15 $0.00
90650 12 12 $0.00
0500F 14 14 $0.00