North County Health Project, INC.
North County Health Project, INC. was paid $6.73M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
CARLSBAD, CA 92008
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,242 | $1.23M | |
| 2019 | 10,395 | $956K | |
| 2020 | 13,398 | $868K | |
| 2021 | 15,386 | $855K | |
| 2022 | 14,423 | $751K | |
| 2023 | 18,381 | $984K | |
| 2024incomplete | 25,674 | $1.08M |
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 | 99% | 36,437 | 31,858 | $6.69M |
| 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% | 9,545 | 8,902 | $15K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,039 | 446 | $8K |
| G9920 | Screening performed and negative | <1% | 1,143 | 1,130 | $4K |
| 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% | 2,329 | 2,208 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,494 | 4,088 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,227 | 2,190 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,144 | 1,131 | $734.06 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 850 | 840 | $350.80 |
| 92551 | <1% | 1,761 | 1,743 | $232.48 | |
| 90619 | <1% | 75 | 74 | $168.98 | |
| 92552 | <1% | 779 | 772 | $116.83 |
49 more codes
| 96156 | <1% | 1,529 | $84.30 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 227 | $74.78 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 15 | $72.04 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,535 | $71.76 |
| 99173 | <1% | 2,572 | $68.51 | |
| 85018 | <1% | 3,034 | $66.35 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 40 | $57.20 |
| 90686 | <1% | 1,119 | $45.73 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 61 | $41.38 |
| 90688 | <1% | 54 | $24.37 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | $24.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 943 | $8.83 |
| 81025 | <1% | 12 | $8.40 | |
| 99401 | <1% | 1,884 | $0.01 | |
| 97803 | <1% | 1,812 | $0.01 | |
| 1126F | 0% | 1,396 | $0.00 | |
| 3074F | 0% | 6,054 | $0.00 | |
| 3075F | 0% | 311 | $0.00 | |
| 90656 | 0% | 91 | $0.00 | |
| 3079F | 0% | 1,161 | $0.00 | |
| 99000 | 0% | 2,504 | $0.00 | |
| 36416 | 0% | 40 | $0.00 | |
| 90651 | 0% | 276 | $0.00 | |
| 3080F | 0% | 101 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 619 | $0.00 |
| 96151 | 0% | 405 | $0.00 | |
| 1125F | 0% | 128 | $0.00 | |
| 97802 | 0% | 12 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 71 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 55 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $0.00 |
| 3078F | 0% | 5,312 | $0.00 | |
| 1160F | 0% | 3,858 | $0.00 | |
| 1159F | 0% | 3,858 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 75 | $0.00 |
| 90734 | 0% | 162 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 114 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 48 | $0.00 |
| 3077F | 0% | 227 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 65 | $0.00 |
| 96160 | 0% | 52 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| 99177 | 0% | 26 | $0.00 | |
| 90621 | 0% | 78 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 13 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 13 | $0.00 |
| 90750 | 0% | 12 | $0.00 | |
| 81002 | 0% | 12 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 16 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| North County Health Project, INC. | San Marcos, CA | $125.68M |
| 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. | 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.