ST. Johns Community Health
ST. Johns Community Health was paid $100.25M by Medicaid between Jan 2018 and Dec 2024, across 219 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
LOS ANGELES, CA 90037
Next to other Case Manager/Care Coordinator 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 | 20,874 | $2.81M | |
| 2019 | 26,379 | $2.20M | |
| 2020 | 155,329 | $10.08M | |
| 2021 | 169,091 | $9.26M | |
| 2022 | 277,715 | $18.37M | |
| 2023 | 453,942 | $29.08M | |
| 2024incomplete | 437,962 | $28.45M |
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 | 79% | 430,702 | 367,496 | $79.25M |
| 00003 | Internal/system code - not a standard HCPCS code | 13% | 54,639 | 51,290 | $12.64M |
| G9012 | Other specified case management service not elsewhere classified | 1.7% | 38,036 | 22,752 | $1.67M |
| 0001A | 1.1% | 22,232 | 16,572 | $1.09M | |
| 0002A | <1% | 19,910 | 14,685 | $988K | |
| H0043 | Supported housing, per diem | <1% | 7,922 | 7,125 | $922K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 30,424 | 15,726 | $849K |
| 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% | 192,938 | 171,876 | $683K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 18,693 | 12,072 | $608K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 5,370 | 3,814 | $277K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 10,367 | 7,145 | $245K |
| 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% | 18,415 | 16,572 | $169K |
207 more codes
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | <1% | 1,338 | $160K |
| 0004A | <1% | 2,903 | $159K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33,172 | $52K |
| 0072A | <1% | 857 | $48K | |
| 0064A | <1% | 739 | $43K | |
| 0071A | <1% | 736 | $43K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,966 | $39K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 3,044 | $29K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,056 | $22K |
| 99205 | Prolong outpt/office vis | <1% | 660 | $22K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,743 | $20K |
| G0467 | Community health center visit, returning patient | <1% | 562 | $19K |
| 0011A | <1% | 319 | $19K | |
| 0003A | <1% | 349 | $18K | |
| G9920 | Screening performed and negative | <1% | 28,959 | $18K |
| V2020 | Frames, purchases | <1% | 1,610 | $17K |
| H2016 | Community support for mental illness or disability, billed per day | <1% | 1,126 | $12K |
| 92015 | Determination of refractive state | <1% | 3,094 | $10K |
| 92341 | <1% | 632 | $10K | |
| 0124A | <1% | 123 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,866 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 871 | $7K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 20,198 | $7K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 20,233 | $6K |
| J3490 | Unclassified drugs | <1% | 299 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,037 | $5K |
| 81025 | <1% | 6,427 | $5K | |
| 0031A | <1% | 103 | $5K | |
| 92552 | <1% | 15,683 | $4K | |
| 0012A | <1% | 72 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,002 | $3K |
| 90651 | <1% | 1,475 | $2K | |
| 11981 | <1% | 24 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,214 | $1K |
| 90686 | <1% | 8,384 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,749 | $1K |
| 90837 | Psychotherapy session, about an hour | <1% | 36 | $1K |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | <1% | 107 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 96 | $1K |
| 0082A | <1% | 15 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 33,021 | $942.04 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,561 | $925.60 |
| D4341 | <1% | 612 | $848.85 | |
| 0013A | <1% | 12 | $804.00 | |
| 0081A | <1% | 28 | $670.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 121 | $667.00 |
| A4267 | Contraceptive supply, condom, male, each | <1% | 56 | $568.63 |
| 99000 | <1% | 22,346 | $506.85 | |
| 80061 | Lipid panel | <1% | 15,130 | $459.06 |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 412 | $432.00 |
| D0120 | Dental checkup, returning patient | <1% | 1,131 | $405.00 |
| 90734 | <1% | 943 | $393.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,403 | $383.13 |
| 90633 | <1% | 2,746 | $335.16 | |
| 58300 | <1% | 23 | $330.12 | |
| 90715 | <1% | 1,911 | $256.29 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,759 | $235.00 |
| D1110 | Prophylaxis - adult | <1% | 391 | $234.50 |
| 83655 | <1% | 3,498 | $212.49 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 547 | $197.00 |
| D4910 | <1% | 146 | $185.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,129 | $182.70 |
| 86703 | <1% | 66 | $167.47 | |
| 92250 | <1% | 1,354 | $153.67 | |
| D1320 | <1% | 435 | $142.50 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,407 | $138.60 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 342 | $118.00 |
| D9430 | <1% | 325 | $110.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 12,014 | $109.99 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 475 | $102.90 |
| 85018 | <1% | 8,679 | $99.38 | |
| 99381 | <1% | 167 | $95.19 | |
| D1310 | <1% | 6,252 | $92.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 488 | $84.60 |
| 99188 | <1% | 1,204 | $71.82 | |
| 3074F | <1% | 74,954 | $68.93 | |
| 99201 | <1% | 167 | $68.47 | |
| D1120 | Dental cleaning, child | <1% | 388 | $67.50 |
| 99442 | <1% | 6,960 | $54.88 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 538 | $47.03 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 21 | $45.10 |
| 96127 | <1% | 771 | $43.29 | |
| 81001 | <1% | 20,997 | $42.11 | |
| 99173 | <1% | 18,058 | $34.63 | |
| 99441 | <1% | 2,910 | $33.40 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 450 | $31.00 |
| D0603 | <1% | 2,267 | $30.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 211 | $30.00 |
| 82274 | <1% | 843 | $29.54 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 447 | $28.81 |
| 82947 | <1% | 3,976 | $27.46 | |
| 82043 | <1% | 875 | $22.36 | |
| 82570 | <1% | 875 | $20.24 | |
| 90688 | <1% | 1,677 | $19.17 | |
| 90670 | <1% | 2,644 | $17.91 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15,279 | $17.00 |
| D0350 | <1% | 1,874 | $16.80 | |
| 86780 | <1% | 13 | $11.40 | |
| 90716 | <1% | 912 | $9.00 | |
| 85049 | <1% | 1,615 | $3.77 | |
| 90611 | <1% | 140 | $1.28 | |
| D0602 | <1% | 813 | $1.00 | |
| 0501F | 0% | 2,462 | $0.00 | |
| 3080F | 0% | 821 | $0.00 | |
| Z1032 | 0% | 2,323 | $0.00 | |
| 90723 | 0% | 720 | $0.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 176 | $0.00 |
| 3079F | 0% | 6,466 | $0.00 | |
| Z1034 | 0% | 17,368 | $0.00 | |
| 82270 | 0% | 743 | $0.00 | |
| 3008F | 0% | 15,388 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 129 | $0.00 |
| 90697 | 0% | 2,770 | $0.00 | |
| D1330 | 0% | 5,015 | $0.00 | |
| Z6410 | 0% | 18,842 | $0.00 | |
| 3075F | 0% | 3,594 | $0.00 | |
| INPOS | 0% | 3,639 | $0.00 | |
| 90647 | 0% | 803 | $0.00 | |
| 90677 | 0% | 2,468 | $0.00 | |
| 96161 | 0% | 133 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 1,672 | $0.00 |
| 88720 | 0% | 106 | $0.00 | |
| Z6404 | 0% | 1,412 | $0.00 | |
| 1170F | 0% | 239 | $0.00 | |
| 0503F | 0% | 188 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 129 | $0.00 |
| 94760 | 0% | 137 | $0.00 | |
| 82105 | 0% | 301 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 804 | $0.00 |
| 87529 | 0% | 73 | $0.00 | |
| 2033F | 0% | 684 | $0.00 | |
| 99384 | 0% | 150 | $0.00 | |
| D9995 | 0% | 370 | $0.00 | |
| 90656 | 0% | 287 | $0.00 | |
| 1111F | 0% | 914 | $0.00 | |
| 90696 | 0% | 121 | $0.00 | |
| 91307 | 0% | 363 | $0.00 | |
| 90620 | 0% | 25 | $0.00 | |
| D0170 | 0% | 30 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 46 | $0.00 |
| Z6402 | 0% | 220 | $0.00 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 32 | $0.00 |
| Z1038 | 0% | 189 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 60 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 29 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 39 | $0.00 |
| 90680 | 0% | 27 | $0.00 | |
| 91318 | 0% | 26 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 219 | $0.00 |
| 0500F | 0% | 445 | $0.00 | |
| 97802 | 0% | 64 | $0.00 | |
| 90744 | 0% | 30 | $0.00 | |
| 87807 | 0% | 16 | $0.00 | |
| 99383 | 0% | 53 | $0.00 | |
| 1126F | 0% | 27 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 29 | $0.00 |
| 91315 | 0% | 47 | $0.00 | |
| 91317 | 0% | 28 | $0.00 | |
| 6WKFU | 0% | 17 | $0.00 | |
| 90381 | 0% | 35 | $0.00 | |
| 1125F | 0% | 16 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| D4342 | 0% | 13 | $0.00 | |
| Z6202 | 0% | 2,871 | $0.00 | |
| 3078F | 0% | 84,133 | $0.00 | |
| 3077F | 0% | 7,361 | $0.00 | |
| 0502F | 0% | 17,246 | $0.00 | |
| D9993 | 0% | 1,257 | $0.00 | |
| 91300 | 0% | 1,177 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 2,118 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 65 | $0.00 |
| Z6414 | 0% | 1,067 | $0.00 | |
| 1160F | 0% | 917 | $0.00 | |
| 90700 | 0% | 177 | $0.00 | |
| 90681 | 0% | 1,195 | $0.00 | |
| 90710 | 0% | 316 | $0.00 | |
| Z6200 | 0% | 1,481 | $0.00 | |
| Z6400 | 0% | 3,534 | $0.00 | |
| Z6500 | 0% | 597 | $0.00 | |
| 81420 | Fetal chromosomal aneuploidy genomic sequence analysis panel | 0% | 436 | $0.00 |
| Z6302 | 0% | 1,507 | $0.00 | |
| 1158F | 0% | 230 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 400 | $0.00 |
| Z6300 | 0% | 242 | $0.00 | |
| D0270 | 0% | 119 | $0.00 | |
| 91312 | 0% | 95 | $0.00 | |
| 1WKFU | 0% | 385 | $0.00 | |
| 92100 | 0% | 338 | $0.00 | |
| 90707 | 0% | 445 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 273 | $0.00 |
| 90746 | 0% | 187 | $0.00 | |
| 2026F | 0% | 193 | $0.00 | |
| 2WKFU | 0% | 246 | $0.00 | |
| 1159F | 0% | 239 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 38 | $0.00 |
| 2022F | 0% | 61 | $0.00 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 0% | 40 | $0.00 |
| D2140 | 0% | 83 | $0.00 | |
| M0239 | Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring | 0% | 40 | $0.00 |
| Z6208 | 0% | 71 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 75 | $0.00 |
| Z6308 | 0% | 15 | $0.00 | |
| 90380 | 0% | 13 | $0.00 | |
| LTFUP | 0% | 13 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 13 | $0.00 |
| 3046F | 0% | 47 | $0.00 | |
| 90713 | 0% | 16 | $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 |
|---|---|---|
| ST. Johns Community Health | Los Angeles, CA | $28.59M |
| ST. Johns Community Health | Compton, CA | $24.23M |
| ST. Johns Community Health | Lynwood, CA | $9.84M |
| ST. Johns Community Health | Los Angeles, CA | $8.05M |
| ST. Johns Community Health | Los Angeles, CA | $5.19M |
| ST. Johns Community Health | Los Angeles, CA | $3.52M |
| ST. Johns Community Health | Compton, CA | $3.17M |
| ST. Johns Community Health | Los Angeles, CA | $2.49M |
| ST. Johns Community Health | Compton, CA | $1.32M |
| ST. Johns Community Health | Los Angeles, CA | $874K |
| ST. Johns Community Health | Los Angeles, CA | $669K |
| ST. Johns Community Health | Los Angeles, CA | $565K |
| ST. Johns Community Health | Los Angeles, CA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.