Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Escondido › NPI 1265618185
Clinic

Neighborhood Healthcare

Neighborhood Healthcare was paid $4.58M by Medicaid between Jan 2018 and Dec 2019, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.

33Billing provider infoNEIGHBORHOOD HEALTHCARE
ESCONDIDO, CA 92025
33aNPI1265618185assigned 01/10/2008
28Total paid$4.58M
24GClaims47,389
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in California

Rank by total paid#402 of 826
Median peer was paid$4.05M
This provider vs. median1.1×

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.

Entity ProliferationAuthorized official PATEL, RAKESH controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201820,394$2.24M
201926,995$2.34M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 96% 39,548 32,960 $4.41M
00003 Internal/system code - not a standard HCPCS code 3.7% 1,008 563 $172K
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 0% 127 121 $0.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 4,067 3,617 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 0% 89 49 $0.00
85018 0% 30 30 $0.00
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 0% 158 134 $0.00
90686 0% 13 13 $0.00
99381 0% 12 12 $0.00
90744 0% 12 12 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 0% 738 738 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 696 695 $0.00
5 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 346 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 380 $0.00
69210 0% 29 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 88 $0.00
90791 Psychiatric diagnostic evaluation 0% 48 $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 officialPATEL, RAKESH (CEO)
Same official

Other billing entities under PATEL, RAKESH

Full network →
ProviderLocationPaid
Neighborhood HealthcareHemet, CA$160.42M
Neighborhood HealthcareEscondido, CA$124.93M
Neighborhood HealthcareEl Cajon, CA$46.58M
Neighborhood HealthcareEscondido, CA$38.37M
Neighborhood HealthcareLakeside, CA$33.19M
Neighborhood HealthcarePoway, CA$20.72M
Neighborhood HealthcareTemecula, CA$15.81M
Neighborhood HealthcareMenifee, CA$5.81M
Neighborhood HealthcareEscondido, CA$3.48M
Neighborhood HealthcareEscondido, CA$3.39M
Neighborhood HealthcareRiverside, CA$3.36M
Neighborhood HealthcareEscondido, CA$2.04M
Neighborhood HealthcareRiverside, CA$1.75M
Neighborhood HealthcareRiverside, CA$447K
R Patel Dental Group INCCudahy, CA$95K
Rakesh Patel M.D. P. A.La Porte, TX$24K
Neighborhood Healthcare- Pace RiversideRiverside, CA$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.