Clinic
Camino Health Center
Camino Health Center was paid $29.69M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoCAMINO HEALTH CENTER
SAN JUAN CAPISTRANO, CA 92675
SAN JUAN CAPISTRANO, CA 92675
33aNPI1366560393assigned 03/27/2007
33bProvider typeCommunity Health Clinic/Center
28Total paid$29.69M
24GClaims332,095
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#10 of 288
Median peer was paid$2.15M
This provider vs. median14×
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 | 27,431 | $5.13M | |
| 2019 | 23,594 | $3.83M | |
| 2020 | 27,682 | $3.20M | |
| 2021 | 29,576 | $3.59M | |
| 2022 | 33,057 | $3.89M | |
| 2023 | 72,573 | $4.58M | |
| 2024incomplete | 118,182 | $5.46M |
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 | 63% | 97,890 | 84,581 | $18.83M |
| 00003 | Internal/system code - not a standard HCPCS code | 29% | 35,252 | 33,398 | $8.73M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 45,541 | 32,770 | $406K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 39,306 | 33,981 | $394K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,353 | 2,133 | $213K |
| 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% | 7,831 | 6,605 | $112K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 11,215 | 11,158 | $110K |
| 96156 | <1% | 3,177 | 3,169 | $94K | |
| G9920 | Screening performed and negative | <1% | 5,831 | 5,802 | $86K |
| 98960 | <1% | 4,212 | 4,125 | $83K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,323 | 1,049 | $75K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 104 | 104 | $63K |
76 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,473 | $60K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 546 | $47K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,678 | $44K |
| 99386 | <1% | 322 | $28K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,926 | $26K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 519 | $24K |
| 99385 | <1% | 276 | $20K | |
| 93000 | <1% | 846 | $18K | |
| G0467 | Community health center visit, returning patient | <1% | 1,327 | $17K |
| 92552 | <1% | 1,161 | $16K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 220 | $15K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 422 | $14K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,144 | $14K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 8,977 | $14K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,005 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 290 | $12K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 741 | $11K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 406 | $10K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 2,855 | $9K |
| 96150 | <1% | 329 | $7K | |
| 96127 | <1% | 10,177 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 444 | $7K |
| 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% | 452 | $6K |
| 99406 | <1% | 569 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,196 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 497 | $4K |
| 81003 | <1% | 4,596 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 172 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 38 | $3K |
| 90686 | <1% | 139 | $3K | |
| 97802 | <1% | 266 | $2K | |
| 90688 | <1% | 238 | $2K | |
| 90715 | <1% | 103 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 339 | $2K |
| 92551 | <1% | 157 | $2K | |
| 0013A | <1% | 23 | $2K | |
| 99384 | <1% | 38 | $1K | |
| 90480 | <1% | 40 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 42 | $1K |
| 0012A | <1% | 17 | $1K | |
| 90656 | <1% | 82 | $975.84 | |
| 99383 | <1% | 20 | $942.07 | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 28 | $941.92 |
| 85018 | <1% | 831 | $853.92 | |
| 90633 | <1% | 85 | $729.00 | |
| 99173 | <1% | 817 | $560.38 | |
| 90649 | <1% | 61 | $549.00 | |
| 81025 | <1% | 409 | $534.80 | |
| 82465 | <1% | 97 | $393.61 | |
| 90658 | <1% | 30 | $370.44 | |
| 90734 | <1% | 36 | $324.00 | |
| 90670 | <1% | 28 | $252.00 | |
| 87110 | <1% | 13 | $237.77 | |
| 82947 | <1% | 123 | $230.15 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 133 | $206.55 |
| 87430 | <1% | 13 | $106.34 | |
| 90651 | <1% | 13 | $99.00 | |
| 87070 | <1% | 44 | $94.52 | |
| 81000 | <1% | 30 | $66.01 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 128 | $40.42 |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 55 | $0.01 |
| 3700F | <1% | 8,523 | $0.01 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 1,454 | $0.01 |
| 1036F | 0% | 7,236 | $0.00 | |
| 1000F | 0% | 7,741 | $0.00 | |
| 1034F | 0% | 415 | $0.00 | |
| 3008F | 0% | 111 | $0.00 | |
| Z1034 | 0% | 454 | $0.00 | |
| Z1032 | 0% | 115 | $0.00 | |
| 2028F | 0% | 307 | $0.00 | |
| Z6500 | 0% | 187 | $0.00 | |
| 0502F | 0% | 514 | $0.00 | |
| Z6400 | 0% | 1,633 | $0.00 | |
| 99071 | 0% | 206 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 57 | $0.00 |
| 1003F | 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 officialELKINS, JEREMY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Camino Health Center | Lake Forest, CA | $11.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.