Clinic
Bay Area Community Health
Bay Area Community Health was paid $563K by Medicaid between Nov 2018 and Jun 2023, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoBAY AREA COMMUNITY HEALTH
FREMONT, CA 94538
FREMONT, CA 94538
33aNPI1245719129assigned 08/10/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$563K
24GClaims9,248
24DCodes billed12
24AFirst – last monthNov 2018 – Jun 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#566 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.
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 | 197 | $26K | |
| 2019 | 3,433 | $252K | |
| 2020 | 5,548 | $285K | |
| 2021 | 45 | $553.26 | |
| 2022 | 12 | $86.52 | |
| 2023 | 13 | $86.52 |
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 | 91% | 3,936 | 3,318 | $512K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 1,863 | 957 | $21K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.3% | 736 | 455 | $13K |
| 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 | 1.4% | 518 | 319 | $8K |
| 92250 | <1% | 228 | 148 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 408 | 226 | $3K |
| 92015 | Determination of refractive state | <1% | 1,155 | 813 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 293 | 161 | $799.16 |
| 92133 | <1% | 41 | 24 | $667.43 | |
| 92020 | <1% | 23 | 14 | $221.62 | |
| 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% | 15 | 13 | $115.95 |
| V2020 | Frames, purchases | <1% | 32 | 32 | $76.72 |
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 officialSHETH, JAGAT (CFO)
Parent organizationBAY AREA COMMUNITY HEALTH
| Provider | Location | Paid |
|---|---|---|
| Bay Area Community Health | San Jose, CA | $16K |
| Bay Area Community Health | San Jose, CA | $14K |
| Bay Area Community Health | Gilroy, CA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.