North East Medical Services
North East Medical Services was paid $59.12M by Medicaid between Jan 2018 and Dec 2024, across 133 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.
33Billing provider infoNORTH EAST MEDICAL SERVICES
SAN FRANCISCO, CA 94134
SAN FRANCISCO, CA 94134
33aNPI1326279852assigned 07/31/2009
33bProvider typeCase Manager/Care Coordinator
28Total paid$59.12M
24GClaims864,507
24DCodes billed133
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#31 of 435
Median peer was paid$2.89M
This provider vs. median20×
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 CHAN, EDDIE controls 20+ related entities in our dataset. Read more
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 | 55,900 | $8.05M | |
| 2019 | 73,566 | $7.19M | |
| 2020 | 118,144 | $7.91M | |
| 2021 | 130,080 | $8.91M | |
| 2022 | 118,923 | $7.74M | |
| 2023 | 138,969 | $10.02M | |
| 2024incomplete | 228,925 | $9.29M |
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 | 79% | 320,615 | 278,541 | $46.89M |
| 00003 | Internal/system code - not a standard HCPCS code | 17% | 49,927 | 42,747 | $9.84M |
| 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 | 2.0% | 13,730 | 11,695 | $1.16M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 9,194 | 8,701 | $183K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,707 | 1,083 | $172K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,552 | 1,013 | $125K |
| 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% | 97,049 | 87,347 | $116K |
| 0001A | <1% | 1,196 | 1,176 | $71K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 535 | 324 | $63K |
| 0002A | <1% | 905 | 904 | $61K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 5,765 | 5,464 | $56K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 75,572 | 67,022 | $50K |
121 more codes
| 0064A | <1% | 530 | $35K | |
| 0011A | <1% | 522 | $32K | |
| 0054A | <1% | 483 | $32K | |
| 0012A | <1% | 438 | $29K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13,558 | $29K |
| 0031A | <1% | 336 | $23K | |
| 0004A | <1% | 320 | $21K | |
| 0124A | <1% | 839 | $19K | |
| 0134A | <1% | 410 | $9K | |
| G9920 | Screening performed and negative | <1% | 4,715 | $9K |
| 0071A | <1% | 136 | $9K | |
| 0072A | <1% | 132 | $9K | |
| 0074A | <1% | 129 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,960 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29,892 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 172 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,904 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,975 | $3K |
| 90480 | <1% | 815 | $3K | |
| V2020 | Frames, purchases | <1% | 9,918 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,814 | $3K |
| 90688 | <1% | 5,968 | $3K | |
| 90750 | <1% | 926 | $3K | |
| 92551 | <1% | 12,542 | $2K | |
| 91320 | <1% | 256 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,599 | $2K |
| 0083A | <1% | 31 | $2K | |
| 0094A | <1% | 33 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,748 | $2K |
| 0154A | <1% | 24 | $2K | |
| 90651 | <1% | 1,644 | $2K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 9,586 | $2K |
| 0082A | <1% | 22 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 406 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,457 | $908.60 |
| 99188 | <1% | 3,492 | $680.50 | |
| 91322 | <1% | 129 | $568.76 | |
| H0049 | Alcohol and/or drug screening | <1% | 2,186 | $531.34 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 824 | $453.56 |
| 90715 | <1% | 488 | $437.83 | |
| 99173 | <1% | 10,973 | $434.92 | |
| 98940 | <1% | 3,289 | $401.88 | |
| 90686 | <1% | 7,898 | $333.01 | |
| 90662 | <1% | 941 | $307.97 | |
| 90620 | <1% | 703 | $294.16 | |
| 90658 | <1% | 1,619 | $288.28 | |
| D0120 | Dental checkup, returning patient | <1% | 24 | $234.00 |
| D1310 | <1% | 44 | $210.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 564 | $195.77 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 53 | $154.00 |
| 82962 | <1% | 698 | $118.07 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $87.28 |
| 90714 | <1% | 28 | $87.27 | |
| 92341 | <1% | 308 | $78.24 | |
| 93000 | <1% | 85 | $72.11 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 96 | $22.90 |
| 92015 | Determination of refractive state | <1% | 526 | $19.70 |
| 86580 | 0% | 397 | $0.00 | |
| 3008F | 0% | 18,943 | $0.00 | |
| 3074F | 0% | 14,797 | $0.00 | |
| 3075F | 0% | 4,735 | $0.00 | |
| 3079F | 0% | 3,768 | $0.00 | |
| 90619 | 0% | 354 | $0.00 | |
| 90677 | 0% | 141 | $0.00 | |
| 3351F | 0% | 1,572 | $0.00 | |
| 1126F | 0% | 677 | $0.00 | |
| 90656 | 0% | 1,308 | $0.00 | |
| 1125F | 0% | 217 | $0.00 | |
| 90680 | 0% | 672 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 1,719 | $0.00 |
| 90647 | 0% | 619 | $0.00 | |
| 90723 | 0% | 482 | $0.00 | |
| 9213 | 0% | 46 | $0.00 | |
| 90744 | 0% | 622 | $0.00 | |
| 93040 | 0% | 89 | $0.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 384 | $0.00 |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 951 | $0.00 |
| Z6406 | 0% | 182 | $0.00 | |
| 97814 | 0% | 167 | $0.00 | |
| 90732 | 0% | 41 | $0.00 | |
| 90696 | 0% | 122 | $0.00 | |
| 90716 | 0% | 24 | $0.00 | |
| 90697 | 0% | 209 | $0.00 | |
| D9995 | 0% | 686 | $0.00 | |
| 90674 | 0% | 174 | $0.00 | |
| 1000F | 0% | 34 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 223 | $0.00 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 265 | $0.00 |
| 3080F | 0% | 15 | $0.00 | |
| 90739 | 0% | 30 | $0.00 | |
| 90474 | 0% | 44 | $0.00 | |
| D1330 | 0% | 43 | $0.00 | |
| 2023F | 0% | 45 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 29 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 14 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| Z6410 | 0% | 13 | $0.00 | |
| 90670 | 0% | 1,425 | $0.00 | |
| 90633 | 0% | 580 | $0.00 | |
| 3078F | 0% | 17,125 | $0.00 | |
| 90734 | 0% | 469 | $0.00 | |
| 97810 | 0% | 11,507 | $0.00 | |
| 97811 | 0% | 11,506 | $0.00 | |
| 3077F | 0% | 1,172 | $0.00 | |
| 1159F | 0% | 14,276 | $0.00 | |
| V2025 | Deluxe frame | 0% | 76 | $0.00 |
| D9430 | 0% | 918 | $0.00 | |
| 90671 | 0% | 78 | $0.00 | |
| 91313 | 0% | 221 | $0.00 | |
| 91312 | 0% | 402 | $0.00 | |
| 1160F | 0% | 8,137 | $0.00 | |
| Z6414 | 0% | 75 | $0.00 | |
| 90473 | 0% | 264 | $0.00 | |
| 90710 | 0% | 120 | $0.00 | |
| 90623 | 0% | 13 | $0.00 | |
| 90707 | 0% | 15 | $0.00 | |
| 83037 | 0% | 52 | $0.00 | |
| 97813 | 0% | 167 | $0.00 | |
| 90700 | 0% | 27 | $0.00 | |
| Z6400 | 0% | 33 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 14 | $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 officialCHAN, EDDIE (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| North East Medical Services | San Francisco, CA | $142.96M |
| North East Medical Services | Daly City, CA | $47.54M |
| North East Medical Services | San Jose, CA | $38.88M |
| North East Medical Services | San Francisco, CA | $16.05M |
| North East Medical Services | San Francisco, CA | $10.35M |
| North East Medical Services | San Francisco, CA | $8.89M |
| North East Medical Services | San Francisco, CA | $8.50M |
| North East Medical Services | San Jose, CA | $2.39M |
| North East Medical Services | Daly City, CA | $546K |
| North East Medical Services | San Francisco, CA | $233K |
| North East Medical Services | San Francisco, CA | $131K |
| North East Medical Services | San Francisco, CA | $64K |
| North East Medical Services | San Francisco, CA | $40K |
| North East Medical Services | San Francisco, CA | $40K |
| North East Medical Services | Daly City, CA | $35K |
| North East Medical Services | Daly City, CA | $15K |
| North East Medical Services | San Francisco, CA | $7K |
| North East Medical Services | San Francisco, CA | $2K |
| North East Medical Services | San Francisco, CA | $2K |
| North East Medical Services | San Francisco, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.