Altamed Health Services Corp
Altamed Health Services Corp was paid $50.84M by Medicaid between Jan 2018 and Dec 2024, across 165 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
LOS ANGELES, CA 90023
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 | 49,184 | $8.29M | |
| 2019 | 124,960 | $7.17M | |
| 2020 | 99,862 | $6.58M | |
| 2021 | 105,343 | $7.35M | |
| 2022 | 100,878 | $5.91M | |
| 2023 | 124,508 | $7.75M | |
| 2024incomplete | 145,154 | $7.80M |
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 | 76% | 212,843 | 182,376 | $38.39M |
| 00003 | Internal/system code - not a standard HCPCS code | 22% | 47,896 | 42,141 | $11.42M |
| 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% | 119,359 | 76,231 | $244K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 5,038 | 2,599 | $96K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 8,824 | 6,814 | $93K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,000 | 3,089 | $72K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,078 | 3,919 | $70K |
| G9920 | Screening performed and negative | <1% | 7,343 | 4,956 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,186 | 5,882 | $57K |
| 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% | 35,952 | 22,180 | $48K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,837 | 1,342 | $38K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37,683 | 25,859 | $27K |
153 more codes
| G0467 | Community health center visit, returning patient | <1% | 862 | $24K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 771 | $20K |
| 90686 | <1% | 11,835 | $20K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 21,528 | $12K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 955 | $12K |
| 0064A | <1% | 209 | $11K | |
| 0011A | <1% | 197 | $9K | |
| 90670 | <1% | 3,821 | $8K | |
| 83655 | <1% | 1,864 | $8K | |
| 90651 | <1% | 1,800 | $8K | |
| 90680 | <1% | 2,579 | $7K | |
| 90698 | <1% | 2,116 | $6K | |
| 90633 | <1% | 1,719 | $6K | |
| 0012A | <1% | 112 | $6K | |
| 92551 | <1% | 1,176 | $6K | |
| D0120 | Dental checkup, returning patient | <1% | 2,880 | $5K |
| D1120 | Dental cleaning, child | <1% | 932 | $5K |
| 90697 | <1% | 1,852 | $5K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,951 | $4K |
| 90461 | <1% | 13,414 | $4K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 22 | $4K |
| 90688 | <1% | 4,277 | $4K | |
| 90677 | <1% | 1,392 | $3K | |
| 90619 | <1% | 572 | $3K | |
| 85018 | <1% | 4,834 | $2K | |
| 90656 | <1% | 1,995 | $2K | |
| 90671 | <1% | 853 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 402 | $2K |
| 81025 | <1% | 7,129 | $2K | |
| 90734 | <1% | 515 | $2K | |
| 90715 | <1% | 1,328 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,168 | $1K |
| D1310 | <1% | 986 | $1K | |
| 90710 | <1% | 266 | $1K | |
| 90480 | <1% | 892 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,452 | $998.54 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,871 | $996.90 |
| 90696 | <1% | 202 | $909.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 329 | $904.44 |
| 90716 | <1% | 142 | $826.86 | |
| D0274 | Bitewings - four radiographic images | <1% | 1,160 | $730.80 |
| 0134A | <1% | 12 | $670.00 | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 671 | $641.08 |
| 90707 | <1% | 111 | $616.48 | |
| 90744 | <1% | 829 | $527.16 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16,376 | $510.40 |
| 90750 | <1% | 616 | $494.57 | |
| 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 | <1% | 44 | $468.00 |
| J3490 | Unclassified drugs | <1% | 13 | $312.48 |
| 59425 | <1% | 818 | $301.80 | |
| 99243 | <1% | 376 | $297.50 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 745 | $168.63 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 49 | $162.80 |
| 0124A | <1% | 29 | $134.00 | |
| 90681 | <1% | 103 | $126.00 | |
| D1110 | Prophylaxis - adult | <1% | 35 | $122.50 |
| 90648 | <1% | 30 | $108.00 | |
| 90700 | <1% | 33 | $108.00 | |
| 11721 | <1% | 739 | $83.44 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,997 | $81.76 |
| 81002 | <1% | 1,626 | $68.40 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 58 | $60.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 1,140 | $49.52 |
| D0603 | <1% | 280 | $45.00 | |
| D9430 | <1% | 37 | $44.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,883 | $39.27 |
| D1206 | Topical application of fluoride varnish | <1% | 44 | $36.00 |
| 99000 | <1% | 2,312 | $35.90 | |
| 92250 | <1% | 128 | $35.36 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,702 | $32.02 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,359 | $28.56 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 3,288 | $25.23 |
| D0272 | Bitewings - two radiographic images | <1% | 20 | $22.00 |
| 11720 | <1% | 94 | $19.73 | |
| 3074F | 0% | 9,778 | $0.00 | |
| Z1034 | 0% | 2,588 | $0.00 | |
| 1126F | 0% | 13,056 | $0.00 | |
| D0602 | 0% | 26 | $0.00 | |
| 1125F | 0% | 1,980 | $0.00 | |
| 36416 | 0% | 265 | $0.00 | |
| 90739 | 0% | 1,690 | $0.00 | |
| 3079F | 0% | 1,889 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 900 | $0.00 |
| 3044F | 0% | 265 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,063 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 717 | $0.00 |
| D1330 | 0% | 2,812 | $0.00 | |
| 3351F | 0% | 7,377 | $0.00 | |
| 99381 | 0% | 74 | $0.00 | |
| 99441 | 0% | 461 | $0.00 | |
| 88720 | 0% | 249 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,398 | $0.00 |
| Z6406 | 0% | 13 | $0.00 | |
| D1001 | 0% | 70 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 287 | $0.00 |
| 97802 | 0% | 25 | $0.00 | |
| 96156 | 0% | 231 | $0.00 | |
| 0500F | 0% | 119 | $0.00 | |
| 82962 | 0% | 292 | $0.00 | |
| 3008F | 0% | 333 | $0.00 | |
| 1111F | 0% | 528 | $0.00 | |
| 0501F | 0% | 522 | $0.00 | |
| 3075F | 0% | 1,329 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 207 | $0.00 |
| Z6410 | 0% | 324 | $0.00 | |
| 3353F | 0% | 12 | $0.00 | |
| 59430 | 0% | 12 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 21 | $0.00 |
| G9926 | Safety concerns screening positive screen is without provision of mitigation recommendations, including but not limited to referral to other resources | 0% | 13 | $0.00 |
| 0503F | 0% | 102 | $0.00 | |
| 96127 | 0% | 22 | $0.00 | |
| Z1032 | 0% | 45 | $0.00 | |
| 99443 | 0% | 13 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 12 | $0.00 |
| 3072F | 0% | 19 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 12 | $0.00 |
| 3080F | 0% | 13 | $0.00 | |
| Z6204 | 0% | 25 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 15 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 645 | $0.00 |
| 3077F | 0% | 1,056 | $0.00 | |
| Z6400 | 0% | 4,099 | $0.00 | |
| 3078F | 0% | 12,410 | $0.00 | |
| 11750 | 0% | 18 | $0.00 | |
| 1160F | 0% | 14,017 | $0.00 | |
| 0502F | 0% | 8,585 | $0.00 | |
| 1158F | 0% | 2,172 | $0.00 | |
| D9993 | 0% | 971 | $0.00 | |
| 98927 | 0% | 45 | $0.00 | |
| 99173 | 0% | 661 | $0.00 | |
| 1159F | 0% | 9,803 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 37 | $0.00 |
| 91322 | 0% | 185 | $0.00 | |
| 91320 | 0% | 198 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 472 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 91 | $0.00 |
| 91312 | 0% | 27 | $0.00 | |
| 90662 | 0% | 313 | $0.00 | |
| 3045F | 0% | 69 | $0.00 | |
| 99442 | 0% | 136 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 84 | $0.00 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 285 | $0.00 |
| 99401 | 0% | 68 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 76 | $0.00 |
| 3046F | 0% | 45 | $0.00 | |
| 90380 | 0% | 12 | $0.00 | |
| 90746 | 0% | 14 | $0.00 | |
| Z6304 | 0% | 12 | $0.00 | |
| 99242 | 0% | 12 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 20 | $0.00 |
| 97803 | 0% | 13 | $0.00 | |
| Z6500 | 0% | 18 | $0.00 | |
| 96160 | 0% | 20 | $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 |
|---|---|---|
| Altamed Health Services Corp. | Los Angeles, CA | $305.80M |
| Altamed Health Services Corp | West Covina, CA | $83.90M |
| Altamed Health Services Corp | Pico Rivera, CA | $70.97M |
| Altamed Health Services Corp | El Monte, CA | $56.32M |
| Altamed Health Services Corp | Huntington Beach, CA | $53.30M |
| Altamed Health Services Corp | Santa Ana, CA | $43.62M |
| Altamed Health Services Corp | Santa Ana, CA | $40.31M |
| Altamed Health Services Corp | E. Los Angeles, CA | $33.24M |
| Altamed Health Services Corp | Garden Grove, CA | $30.84M |
| Altamed Health Services Corp | Los Angeles, CA | $23.94M |
| Altamed Health Services Corp | Orange, CA | $19.54M |
| Altamed Health Services Corp | Pico Rivera, CA | $14.32M |
| Altamed Health Services Corp | Anaheim, CA | $7.95M |
| Robert L. Young, JR. , DDS | Charlotte, NC | $7.89M |
| Altamed Health Services Corp | Los Angeles, CA | $3.75M |
| Altamed Health Services Corp | Anaheim, CA | $3.62M |
| Altamed Health Services Corp | Anaheim, CA | $3.60M |
| Robert L Young 2 DDS PA | Mint Hill, NC | $2.39M |
| Altamed Health Services Corp | Los Angeles, CA | $2.03M |
| Altamed Health Services Corporation | Los Angeles, CA | $1.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.