Clinic
Antelope Valley Community Clinic
Antelope Valley Community Clinic was paid $3.65M by Medicaid between Jan 2018 and Apr 2019, across 58 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoANTELOPE VALLEY COMMUNITY CLINIC
PALMDALE, CA 93550
PALMDALE, CA 93550
33aNPI1346563673assigned 03/01/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.65M
24GClaims43,566
24DCodes billed58
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#425 of 826
Median peer was paid$4.05M
This provider vs. median0.9×
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 | 37,644 | $3.08M | |
| 2019 | 5,922 | $568K |
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 | 77% | 25,537 | 21,157 | $2.81M |
| 00003 | Internal/system code - not a standard HCPCS code | 22% | 5,717 | 3,125 | $797K |
| 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% | 1,133 | 1,064 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 265 | 264 | $7K |
| 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% | 41 | 40 | $5K |
| 92551 | <1% | 661 | 657 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 161 | 160 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | 30 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 39 | 39 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 578 | 506 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 368 | 327 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 787 | 687 | $1K |
46 more codes
| 90670 | <1% | 116 | $927.00 | |
| 90647 | <1% | 70 | $621.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 915 | $489.00 |
| 90686 | <1% | 214 | $405.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 56 | $353.60 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 91 | $275.00 |
| 90633 | <1% | 56 | $216.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 203 | $178.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 76 | $169.50 |
| 83655 | <1% | 35 | $132.44 | |
| 85018 | <1% | 527 | $120.15 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 677 | $119.40 |
| 90723 | <1% | 13 | $117.00 | |
| 90734 | <1% | 12 | $108.00 | |
| 90649 | <1% | 12 | $108.00 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 55 | $90.20 |
| D0274 | Bitewings - four radiographic images | <1% | 155 | $79.20 |
| D1110 | Prophylaxis - adult | <1% | 14 | $51.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 32 | $44.00 |
| D0270 | <1% | 19 | $11.50 | |
| 3015F | 0% | 15 | $0.00 | |
| D9993 | 0% | 14 | $0.00 | |
| 99173 | 0% | 347 | $0.00 | |
| 99401 | 0% | 177 | $0.00 | |
| 3078F | 0% | 122 | $0.00 | |
| 90710 | 0% | 17 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 117 | $0.00 |
| 3725F | 0% | 42 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| D9430 | 0% | 13 | $0.00 | |
| 3008F | 0% | 1,612 | $0.00 | |
| D0603 | 0% | 563 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 117 | $0.00 |
| 3074F | 0% | 151 | $0.00 | |
| D1330 | 0% | 668 | $0.00 | |
| 97802 | 0% | 178 | $0.00 | |
| 90657 | 0% | 19 | $0.00 | |
| 99172 | 0% | 49 | $0.00 | |
| 1036F | 0% | 171 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 176 | $0.00 |
| 1126F | 0% | 170 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 14 | $0.00 |
| 1125F | 0% | 49 | $0.00 | |
| 85032 | 0% | 50 | $0.00 | |
| D1310 | 0% | 13 | $0.00 | |
| D5899 | 0% | 25 | $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 officialCOOK, JAMES (CEO)
Parent organizationANTELOPE VALLEY COMMUNITY CLINIC
| Provider | Location | Paid |
|---|---|---|
| Antelope Valley Community Clinic | Lancaster, CA | $4.53M |
| Antelope Valley Community Clinic | Palmdale, CA | $1.64M |
| Lancaster Adult Day Health Care | Lancaster, CA | $1.35M |
| City of Royal Oak | Royal Oak, MI | $979K |
| Antelope Valley Community Clinic | Lancaster, CA | $524K |
| Family Medical Center PC | Richmond, VA | $336K |
| Arkansas River Valley Dentistry | Clarksville, AR | $122K |
| Antelope Valley Community Clinic | Lancaster, CA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.