El Dorado County Community Health Center
El Dorado County Community Health Center was paid $26.36M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
33Billing provider infoEL DORADO COUNTY COMMUNITY HEALTH CENTER
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
33aNPI1316050107assigned 08/16/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$26.36M
24GClaims378,979
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#80 of 435
Median peer was paid$2.89M
This provider vs. median9.1×
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.
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 | 42,606 | $2.77M | |
| 2019 | 54,079 | $2.80M | |
| 2020 | 66,230 | $3.30M | |
| 2021 | 46,768 | $2.24M | |
| 2022 | 40,002 | $2.08M | |
| 2023 | 64,045 | $4.86M | |
| 2024incomplete | 65,249 | $8.30M |
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 | 67% | 109,193 | 89,004 | $17.62M |
| 00003 | Internal/system code - not a standard HCPCS code | 11% | 12,380 | 10,925 | $2.98M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.1% | 98,738 | 88,433 | $2.41M |
| 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 | 4.3% | 29,146 | 27,130 | $1.14M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 15,877 | 9,185 | $672K |
| 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 | 2.4% | 18,368 | 14,911 | $621K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 6,973 | 4,159 | $441K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 925 | 663 | $93K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 2,981 | 1,639 | $85K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 441 | 401 | $49K |
| 80305 | <1% | 3,695 | 2,842 | $42K | |
| 90686 | <1% | 2,921 | 2,916 | $38K |
36 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 691 | $37K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 449 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 485 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 720 | $19K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 134 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 296 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 91 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 53 | $5K |
| V2020 | Frames, purchases | <1% | 331 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 88 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 50 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 370 | $3K |
| 85018 | <1% | 1,459 | $3K | |
| 92015 | Determination of refractive state | <1% | 431 | $3K |
| G9920 | Screening performed and negative | <1% | 81 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 100 | $2K |
| 81002 | <1% | 531 | $877.97 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | $829.02 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 16 | $579.60 |
| 87449 | <1% | 26 | $217.32 | |
| 90662 | <1% | 136 | $150.96 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $92.48 |
| 82948 | <1% | 31 | $84.29 | |
| COD18 | 0% | 65,079 | $0.00 | |
| 92551 | 0% | 886 | $0.00 | |
| 99441 | 0% | 38 | $0.00 | |
| 87430 | 0% | 191 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 374 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 194 | $0.00 |
| 99443 | 0% | 15 | $0.00 | |
| 99442 | 0% | 903 | $0.00 | |
| 99173 | 0% | 2,982 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 12 | $0.00 |
| 90649 | 0% | 25 | $0.00 | |
| 83295 | 0% | 17 | $0.00 | |
| 90734 | 0% | 19 | $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 officialSTEIN, JUDY (CFO)
| Provider | Location | Paid |
|---|---|---|
| El Dorado County Community Health Center | Cameron Park, CA | $22.48M |
| El Dorado County Community Health Center | Cameron Park, CA | $6.61M |
| El Dorado County Community Health Center | Placerville, CA | $2.74M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.