Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH COUNTY HEALTH PROJECT, INC.

NPI: 1255347704 · CARLSBAD, CA 92008 · Federally Qualified Health Center (FQHC) · NPI assigned 08/01/2006

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

Authorized official PETERSEN, CHERYL controls 11+ related entities in our dataset. Read more

$6.73M
Total Medicaid Paid
104,899
Total Claims
96,686
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPETERSEN, CHERYL (CFO)
NPI Enumeration Date08/01/2006

Related Entities

Other providers sharing the same authorized official: PETERSEN, CHERYL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 25,674 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 36,437 31,858 $6.69M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,545 8,902 $15K
90832 Psychotherapy, 30 minutes with patient 1,039 446 $8K
G9920 Screening performed and negative 1,143 1,130 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,329 2,208 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,494 4,088 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,227 2,190 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,144 1,131 $734.06
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 850 840 $350.80
92551 1,761 1,743 $232.48
90619 75 74 $168.98
92552 779 772 $116.83
96156 1,529 1,524 $84.30
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 227 224 $74.78
90791 Psychiatric diagnostic evaluation 15 12 $72.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,535 2,505 $71.76
99173 2,572 2,547 $68.51
85018 3,034 3,000 $66.35
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 39 $57.20
90686 1,119 1,117 $45.73
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 61 58 $41.38
90688 54 53 $24.37
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 34 31 $24.00
90472 Immunization administration, each additional vaccine (list separately) 943 939 $8.83
81025 12 12 $8.40
99401 1,884 1,880 $0.01
97803 1,812 1,808 $0.01
1126F 1,396 1,345 $0.00
3074F 6,054 5,629 $0.00
3075F 311 306 $0.00
90656 91 91 $0.00
3079F 1,161 1,125 $0.00
99000 2,504 2,491 $0.00
36416 40 40 $0.00
90651 276 276 $0.00
3080F 101 99 $0.00
S9451 Exercise classes, non-physician provider, per session 619 619 $0.00
96151 405 405 $0.00
1125F 128 124 $0.00
97802 12 12 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 71 71 $0.00
83036 Hemoglobin; glycosylated (A1C) 55 55 $0.00
36415 Collection of venous blood by venipuncture 12 12 $0.00
3078F 5,312 4,940 $0.00
1160F 3,858 3,494 $0.00
1159F 3,858 3,494 $0.00
99215 Prolong outpt/office vis 75 75 $0.00
90734 162 162 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 114 112 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 48 $0.00
3077F 227 216 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 65 65 $0.00
96160 52 51 $0.00
90715 28 28 $0.00
99177 26 26 $0.00
90621 78 78 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13 13 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $0.00
90750 12 12 $0.00
81002 12 12 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 16 $0.00