The West Oakland Health Council
The West Oakland Health Council was paid $44.03M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoTHE WEST OAKLAND HEALTH COUNCIL
OAKLAND, CA 94607
OAKLAND, CA 94607
33aNPI1306967021assigned 04/02/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$44.03M
24GClaims265,865
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#46 of 435
Median peer was paid$2.89M
This provider vs. median15×
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 | 26,861 | $5.73M | |
| 2019 | 32,708 | $5.60M | |
| 2020 | 44,963 | $6.25M | |
| 2021 | 55,105 | $8.07M | |
| 2022 | 30,186 | $5.04M | |
| 2023 | 37,063 | $6.48M | |
| 2024incomplete | 38,979 | $6.87M |
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 | 83% | 135,947 | 117,402 | $36.58M |
| 00003 | Internal/system code - not a standard HCPCS code | 16% | 23,085 | 20,341 | $7.00M |
| 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 | 1.0% | 7,023 | 5,893 | $449K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% | 15 | 15 | $991.05 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 477 | 475 | $657.28 |
| 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% | 10,887 | 10,370 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 3,096 | 3,065 | $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% | 42,448 | 38,842 | $0.00 |
| 90686 | 0% | 1,464 | 1,461 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,304 | 1,303 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 533 | 293 | $0.00 |
| Z1034 | 0% | 866 | 701 | $0.00 |
64 more codes
| 99000 | 0% | 1,604 | $0.00 | |
| 97802 | 0% | 812 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 4,170 | $0.00 |
| 90656 | 0% | 551 | $0.00 | |
| 92250 | 0% | 14 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 71 | $0.00 |
| 90698 | 0% | 39 | $0.00 | |
| 99441 | 0% | 67 | $0.00 | |
| 85018 | 0% | 16 | $0.00 | |
| 90480 | 0% | 30 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 78 | $0.00 |
| 90651 | 0% | 72 | $0.00 | |
| 90723 | 0% | 26 | $0.00 | |
| 99406 | 0% | 14 | $0.00 | |
| Z1032 | 0% | 26 | $0.00 | |
| 90677 | 0% | 15 | $0.00 | |
| 99243 | 0% | 13 | $0.00 | |
| Z6410 | 0% | 15 | $0.00 | |
| 90657 | 0% | 12 | $0.00 | |
| 96127 | 0% | 41 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 92551 | 0% | 18 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 16,256 | $0.00 |
| 92015 | Determination of refractive state | 0% | 1,326 | $0.00 |
| 99442 | 0% | 327 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 751 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 153 | $0.00 |
| 81002 | 0% | 1,594 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 1,587 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 449 | $0.00 |
| G9920 | Screening performed and negative | 0% | 317 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 145 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 226 | $0.00 |
| 90715 | 0% | 47 | $0.00 | |
| 90461 | 0% | 75 | $0.00 | |
| 90670 | 0% | 94 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 1,445 | $0.00 |
| 97803 | 0% | 1,867 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,002 | $0.00 |
| 99188 | 0% | 107 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 778 | $0.00 |
| 92133 | 0% | 98 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 653 | $0.00 |
| 81025 | 0% | 246 | $0.00 | |
| 82948 | 0% | 196 | $0.00 | |
| 90658 | 0% | 180 | $0.00 | |
| 90710 | 0% | 42 | $0.00 | |
| 90633 | 0% | 182 | $0.00 | |
| 59425 | 0% | 188 | $0.00 | |
| 90648 | 0% | 33 | $0.00 | |
| 90734 | 0% | 48 | $0.00 | |
| 90649 | 0% | 83 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 158 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| Z6202 | 0% | 39 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 65 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 49 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 28 | $0.00 |
| Z6302 | 0% | 36 | $0.00 | |
| Z6400 | 0% | 39 | $0.00 | |
| Z6500 | 0% | 39 | $0.00 | |
| 99201 | 0% | 15 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 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 officialPHILLIPS, ROBERT (CEO)
Parent organizationTHE WEST OAKLAND HEALTH COUNCIL
| Provider | Location | Paid |
|---|---|---|
| TMH Physician Associates PLLC | Houston, TX | $3.77M |
| The West Oakland Health Council | Oakland, CA | $550K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.