Clinic
West County Health Centers, INC.
West County Health Centers, INC. was paid $18.55M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoWEST COUNTY HEALTH CENTERS, INC.
GUERNEVILLE, CA 95446
GUERNEVILLE, CA 95446
33aNPI1356344758assigned 05/31/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$18.55M
24GClaims231,566
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#191 of 826
Median peer was paid$4.05M
This provider vs. median4.6×
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 | 19,588 | $1.37M | |
| 2019 | 15,458 | $917K | |
| 2020 | 25,570 | $1.69M | |
| 2021 | 49,292 | $3.48M | |
| 2022 | 41,549 | $3.23M | |
| 2023 | 35,048 | $2.97M | |
| 2024incomplete | 45,061 | $4.89M |
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 | 81% | 86,611 | 60,678 | $15.02M |
| 00003 | Internal/system code - not a standard HCPCS code | 12% | 9,697 | 6,857 | $2.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 55,122 | 38,425 | $387K |
| G9012 | Other specified case management service not elsewhere classified | 1.9% | 1,544 | 1,042 | $359K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 18,011 | 6,389 | $267K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 8,251 | 2,955 | $92K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,716 | 597 | $42K |
| 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% | 9,571 | 6,854 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16,838 | 9,044 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 91 | 90 | $26K |
| 97811 | <1% | 1,678 | 883 | $23K | |
| 97810 | <1% | 1,709 | 903 | $12K |
25 more codes
| A4267 | Contraceptive supply, condom, male, each | <1% | 1,713 | $12K |
| S5199 | Personal care item, nos, each | <1% | 1,713 | $12K |
| 99403 | <1% | 260 | $11K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 738 | $9K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,305 | $8K |
| H0049 | Alcohol and/or drug screening | <1% | 113 | $3K |
| 99000 | <1% | 743 | $3K | |
| J3490 | Unclassified drugs | <1% | 114 | $2K |
| 81025 | <1% | 453 | $1K | |
| 99402 | <1% | 32 | $1K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 44 | $553.32 |
| 99348 | <1% | 15 | $514.50 | |
| G9920 | Screening performed and negative | <1% | 50 | $290.00 |
| 99283 | Emergency room visit (moderate) | <1% | 2,062 | $274.17 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 22 | $174.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 38 | $147.92 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 376 | $114.40 |
| 90658 | <1% | 14 | $54.40 | |
| 92552 | <1% | 71 | $33.66 | |
| 90715 | <1% | 14 | $9.00 | |
| 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 | 0% | 177 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 41 | $0.00 |
| 99173 | 0% | 13 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 7,562 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 3,044 | $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 officialMINNIFIELD, VIKKI (BILLING MANAGER)