Clinic
Community Health Alliance of Pasadena
Community Health Alliance of Pasadena was paid $4.51M by Medicaid between Oct 2019 and Oct 2023, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH ALLIANCE OF PASADENA
PASADENA, CA 91103
PASADENA, CA 91103
33aNPI1366856098assigned 06/20/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.51M
24GClaims48,739
24DCodes billed33
24AFirst – last monthOct 2019 – Oct 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#405 of 826
Median peer was paid$4.05M
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2019 | 2,841 | $280K | |
| 2020 | 8,611 | $704K | |
| 2021 | 14,330 | $1.16M | |
| 2022 | 10,301 | $907K | |
| 2023 | 12,656 | $1.46M |
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 | 78% | 23,444 | 20,674 | $3.53M |
| 00003 | Internal/system code - not a standard HCPCS code | 22% | 4,609 | 3,946 | $977K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 10,756 | 9,469 | $0.00 |
| 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 | 0% | 3,200 | 3,143 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 263 | 262 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 23 | 12 | $0.00 |
| D1330 | 0% | 59 | 42 | $0.00 | |
| 99381 | 0% | 12 | 12 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 90 | 73 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 62 | 62 | $0.00 |
| 92551 | 0% | 12 | 12 | $0.00 | |
| 90686 | 0% | 12 | 12 | $0.00 |
21 more codes
| 99383 | 0% | 24 | $0.00 | |
| D1310 | 0% | 46 | $0.00 | |
| TB032 | 0% | 36 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 515 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 931 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 1,327 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,088 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 657 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 71 | $0.00 |
| 92015 | Determination of refractive state | 0% | 936 | $0.00 |
| 90461 | 0% | 86 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 179 | $0.00 |
| 92552 | 0% | 42 | $0.00 | |
| 99173 | 0% | 103 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 24 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 52 | $0.00 |
| 90670 | 0% | 12 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 30 | $0.00 |
| D9993 | 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 officialMARTINEZ, MARGARET (CHIEF EXECUTIVE OFFICER)
Parent organizationCOMMUNITY HEALTH ALLIANCE OF PASADENA
| Provider | Location | Paid |
|---|---|---|
| Community Health Alliance of Pasadena | Pasadena, CA | $13.83M |
| Community Health Alliance of Pasadena | El Monte, CA | $8.57M |
| Community Health Alliance of Pasadena | Monrovia, CA | $3.44M |
| Community Health Alliance of Pasadena | South El Monte, CA | $2.56M |
| Community Health Alliance of Pasadena | Pasadena, CA | $941K |
| Community Health Alliance of Pasadena | El Monte, CA | $27K |
| Community Health Alliance of Pasadena | South El Monte, CA | $15K |
| Vintage Family Medicine and Pediatrics | Lewisville, TX | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.