North County Health Project, INC.
North County Health Project, INC. was paid $29.48M by Medicaid between Jan 2018 and Dec 2024, across 97 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
OCEANSIDE, CA 92054
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 | 28,382 | $4.98M | |
| 2019 | 60,106 | $4.81M | |
| 2020 | 60,808 | $3.49M | |
| 2021 | 77,881 | $3.46M | |
| 2022 | 65,836 | $3.30M | |
| 2023 | 95,984 | $5.29M | |
| 2024incomplete | 107,053 | $4.15M |
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 | 95% | 149,558 | 126,640 | $27.99M |
| 00003 | Internal/system code - not a standard HCPCS code | 4.0% | 4,701 | 4,345 | $1.18M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 10,809 | 7,061 | $82K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,688 | 1,090 | $47K |
| G9920 | Screening performed and negative | <1% | 5,681 | 5,575 | $37K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,302 | 1,068 | $27K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14,082 | 13,865 | $20K |
| 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% | 42,658 | 38,381 | $17K |
| 0072A | <1% | 183 | 183 | $12K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,111 | 864 | $10K |
| 0071A | <1% | 208 | 206 | $9K | |
| 0002A | <1% | 115 | 115 | $8K |
85 more codes
| 0001A | <1% | 116 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13,099 | $6K |
| 90677 | <1% | 647 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,496 | $3K |
| 90480 | <1% | 575 | $2K | |
| 0054A | <1% | 40 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,672 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,993 | $2K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 165 | $2K |
| 0074A | <1% | 23 | $2K | |
| 0124A | <1% | 31 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,445 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,731 | $1K |
| 99177 | <1% | 4,468 | $1K | |
| 91320 | <1% | 248 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,547 | $1K |
| 92551 | <1% | 9,186 | $955.32 | |
| 90697 | <1% | 663 | $730.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13,944 | $632.52 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 952 | $606.82 |
| 90651 | <1% | 1,152 | $597.92 | |
| 90710 | <1% | 650 | $532.40 | |
| 90680 | <1% | 1,004 | $521.13 | |
| 92552 | <1% | 3,362 | $500.70 | |
| 85018 | <1% | 18,144 | $471.00 | |
| 96156 | <1% | 8,406 | $336.36 | |
| 90619 | <1% | 468 | $304.92 | |
| 99188 | <1% | 733 | $252.00 | |
| 91319 | <1% | 86 | $240.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 16 | $206.50 |
| 99173 | <1% | 11,028 | $200.71 | |
| 90686 | <1% | 6,991 | $194.70 | |
| 90621 | <1% | 424 | $183.41 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,057 | $175.22 |
| 97803 | <1% | 8,820 | $156.40 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,398 | $126.35 |
| 99381 | <1% | 117 | $90.66 | |
| 90633 | <1% | 843 | $81.14 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,336 | $79.76 |
| 90715 | <1% | 379 | $51.34 | |
| 90656 | <1% | 794 | $50.53 | |
| 88720 | <1% | 556 | $50.44 | |
| 90670 | <1% | 2,607 | $45.00 | |
| 90698 | <1% | 1,413 | $27.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 175 | $26.18 |
| 94760 | <1% | 441 | $16.77 | |
| 90473 | <1% | 44 | $16.62 | |
| 81002 | <1% | 467 | $12.90 | |
| 90681 | <1% | 94 | $9.00 | |
| 90734 | <1% | 571 | $9.00 | |
| 83655 | <1% | 334 | $4.28 | |
| 3079F | 0% | 268 | $0.00 | |
| 3074F | 0% | 23,821 | $0.00 | |
| 97802 | 0% | 533 | $0.00 | |
| 99000 | 0% | 15,133 | $0.00 | |
| 1125F | 0% | 1,229 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 2,763 | $0.00 |
| 1126F | 0% | 12,080 | $0.00 | |
| 96151 | 0% | 2,618 | $0.00 | |
| 96150 | 0% | 198 | $0.00 | |
| 90696 | 0% | 161 | $0.00 | |
| 90744 | 0% | 547 | $0.00 | |
| 36416 | 0% | 346 | $0.00 | |
| 90620 | 0% | 42 | $0.00 | |
| 99460 | 0% | 113 | $0.00 | |
| 99462 | 0% | 32 | $0.00 | |
| 91307 | 0% | 79 | $0.00 | |
| 90474 | 0% | 35 | $0.00 | |
| 3008F | 0% | 40 | $0.00 | |
| 96146 | 0% | 19 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 1159F | 0% | 11,376 | $0.00 | |
| 99401 | 0% | 10,859 | $0.00 | |
| 1160F | 0% | 11,375 | $0.00 | |
| 3078F | 0% | 23,267 | $0.00 | |
| 96160 | 0% | 828 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 42 | $0.00 |
| 90623 | 0% | 25 | $0.00 | |
| 91300 | 0% | 12 | $0.00 | |
| 91312 | 0% | 25 | $0.00 | |
| A4614 | Peak expiratory flow rate meter, hand held | 0% | 65 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 18 | $0.00 |
| 81025 | 0% | 14 | $0.00 | |
| Z6414 | 0% | 12 | $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. | 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. | Carlsbad, CA | $6.73M |
| 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.