Managed care
Greater Fresno Health Organization, INC.
Greater Fresno Health Organization, INC. was paid $1.57M by Medicaid between Jan 2018 and Jul 2024, across 54 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.
33Billing provider infoGREATER FRESNO HEALTH ORGANIZATION, INC.
FRESNO, CA 93727
FRESNO, CA 93727
33aNPI1265521488assigned 10/12/2006
33bProvider typeExclusive Provider Organization
28Total paid$1.57M
24GClaims65,151
24DCodes billed54
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Exclusive Provider Organization providers in California
Rank by total paid#4 of 55
Median peer was paid$90K
This provider vs. median17×
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 | 34,662 | $968K | |
| 2019 | 25,379 | $531K | |
| 2020 | 5,096 | $75K | |
| 2024incomplete | 14 | $0.00 |
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 | 99% | 22,046 | 20,506 | $1.55M |
| 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% | 19,398 | 17,307 | $10K |
| 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% | 899 | 857 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 570 | 555 | $3K |
| 90746 | <1% | 451 | 428 | $1K | |
| 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% | 1,318 | 1,247 | $956.88 |
| 90707 | <1% | 78 | 78 | $605.00 | |
| 92552 | <1% | 1,802 | 1,729 | $589.57 | |
| 90715 | <1% | 287 | 285 | $457.56 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 222 | 211 | $414.00 |
| 93000 | <1% | 527 | 522 | $352.56 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 476 | 462 | $312.95 |
42 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 138 | $291.69 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 193 | $279.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,435 | $193.32 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 366 | $161.02 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 448 | $125.40 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 402 | $102.47 |
| 99173 | <1% | 1,744 | $64.72 | |
| 86580 | <1% | 471 | $63.54 | |
| 90685 | <1% | 14 | $47.25 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 50 | $44.80 |
| 90698 | <1% | 57 | $37.80 | |
| 81003 | <1% | 1,070 | $31.83 | |
| 82270 | <1% | 321 | $27.60 | |
| 99000 | <1% | 139 | $24.01 | |
| 81025 | <1% | 238 | $23.85 | |
| 90688 | <1% | 1,782 | $21.07 | |
| 90620 | <1% | 14 | $18.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 309 | $17.72 |
| 94760 | <1% | 25 | $15.84 | |
| 82948 | <1% | 474 | $15.36 | |
| 85018 | <1% | 649 | $7.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,093 | $2.40 |
| 90670 | 0% | 57 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 126 | $0.00 |
| 90633 | 0% | 63 | $0.00 | |
| 3046F | 0% | 14 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 26 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 185 | $0.00 |
| 90734 | 0% | 13 | $0.00 | |
| 3078F | 0% | 34 | $0.00 | |
| 3077F | 0% | 26 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,622 | $0.00 |
| 90651 | 0% | 25 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 19 | $0.00 |
| 90686 | 0% | 223 | $0.00 | |
| 90716 | 0% | 27 | $0.00 | |
| 3074F | 0% | 29 | $0.00 | |
| 99385 | 0% | 13 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| 99172 | 0% | 101 | $0.00 | |
| 90732 | 0% | 12 | $0.00 | |
| 3079F | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialMOUANOUTOUA, BLA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Greater Fresno Health Organization INC. | Fresno, CA | $11.46M |
| Greater Fresno Health Organization, INC. | Fresno, CA | $4.86M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.