JWCH Institute, INC.
JWCH Institute, INC. was paid $16.20M by Medicaid between Jan 2018 and Dec 2024, across 131 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 infoJWCH INSTITUTE, INC.
NORWALK, CA 90650
NORWALK, CA 90650
33aNPI1386708634assigned 12/21/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$16.20M
24GClaims324,728
24DCodes billed131
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#111 of 435
Median peer was paid$2.89M
This provider vs. median5.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BALLESTEROS, ALVARO controls 17+ 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 | 14,165 | $1.86M | |
| 2019 | 30,664 | $1.91M | |
| 2020 | 47,007 | $2.11M | |
| 2021 | 69,244 | $3.41M | |
| 2022 | 57,813 | $2.42M | |
| 2023 | 55,679 | $2.31M | |
| 2024incomplete | 50,156 | $2.17M |
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% | 100,594 | 77,723 | $12.46M |
| 00003 | Internal/system code - not a standard HCPCS code | 21% | 18,258 | 15,086 | $3.46M |
| G9012 | Other specified case management service not elsewhere classified | <1% | 5,095 | 2,445 | $80K |
| 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% | 39,766 | 34,789 | $51K |
| 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% | 537 | 488 | $33K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 3,336 | 2,224 | $22K |
| 98940 | <1% | 7,575 | 5,295 | $21K | |
| 0012A | <1% | 770 | 484 | $21K | |
| 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% | 7,973 | 7,625 | $13K |
| 0064A | <1% | 191 | 120 | $7K | |
| 0001A | <1% | 168 | 101 | $7K | |
| 0011A | <1% | 607 | 517 | $6K |
119 more codes
| 0002A | <1% | 92 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,310 | $4K |
| 0013A | <1% | 93 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 10,607 | $2K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 12 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 48 | $1K |
| 0071A | <1% | 24 | $1K | |
| 0003A | <1% | 23 | $810.00 | |
| 0004A | <1% | 24 | $787.00 | |
| 0031A | <1% | 27 | $737.00 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 42 | $735.54 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 893 | $607.95 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 124 | $460.92 |
| 81025 | <1% | 1,238 | $441.00 | |
| 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% | 18 | $136.90 |
| 0072A | <1% | 14 | $55.00 | |
| 3074F | <1% | 3,605 | $40.00 | |
| 3078F | <1% | 3,559 | $40.00 | |
| 81002 | <1% | 4,520 | $39.13 | |
| 90651 | <1% | 438 | $18.00 | |
| 90658 | <1% | 1,818 | $17.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,764 | $4.46 |
| 99000 | <1% | 171 | $3.63 | |
| 88142 | <1% | 61 | $3.60 | |
| 1125F | <1% | 875 | $1.50 | |
| 92551 | 0% | 1,331 | $0.00 | |
| 3075F | 0% | 549 | $0.00 | |
| 90647 | 0% | 196 | $0.00 | |
| 1126F | 0% | 1,722 | $0.00 | |
| 3079F | 0% | 810 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,362 | $0.00 |
| Z6410 | 0% | 88 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 789 | $0.00 |
| 85018 | 0% | 1,737 | $0.00 | |
| D9995 | 0% | 317 | $0.00 | |
| Z1034 | 0% | 1,017 | $0.00 | |
| 90677 | 0% | 32 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 249 | $0.00 |
| 90620 | 0% | 106 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 264 | $0.00 |
| 1170F | 0% | 375 | $0.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 16 | $0.00 |
| 90723 | 0% | 173 | $0.00 | |
| 3044F | 0% | 89 | $0.00 | |
| Z6402 | 0% | 115 | $0.00 | |
| 90686 | 0% | 695 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 184 | $0.00 |
| D1310 | 0% | 147 | $0.00 | |
| 91301 | 0% | 512 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 3080F | 0% | 33 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 56 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 117 | $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% | 91 | $0.00 |
| D1330 | 0% | 147 | $0.00 | |
| 86580 | 0% | 126 | $0.00 | |
| 90632 | 0% | 28 | $0.00 | |
| 90716 | 0% | 161 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 54 | $0.00 |
| 90743 | 0% | 14 | $0.00 | |
| 93000 | 0% | 38 | $0.00 | |
| 2033F | 0% | 34 | $0.00 | |
| 99429 | 0% | 17 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 12 | $0.00 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 15 | $0.00 |
| 1000F | 0% | 40 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 15 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 13 | $0.00 |
| 1034F | 0% | 39 | $0.00 | |
| 3052F | 0% | 18 | $0.00 | |
| 90670 | 0% | 393 | $0.00 | |
| 99173 | 0% | 4,145 | $0.00 | |
| 0502F | 0% | 332 | $0.00 | |
| 1159F | 0% | 32,934 | $0.00 | |
| 82948 | 0% | 4,466 | $0.00 | |
| 1160F | 0% | 32,532 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,355 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 2,542 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 695 | $0.00 |
| 90633 | 0% | 446 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 323 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 802 | $0.00 |
| 90715 | 0% | 1,059 | $0.00 | |
| 90746 | 0% | 269 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 492 | $0.00 |
| 90713 | 0% | 139 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 556 | $0.00 |
| 3725F | 0% | 418 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 449 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 582 | $0.00 |
| Z6400 | 0% | 404 | $0.00 | |
| PROP5 | 0% | 74 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 203 | $0.00 |
| 3046F | 0% | 36 | $0.00 | |
| 90707 | 0% | 55 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 101 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 15 | $0.00 |
| 90461 | 0% | 237 | $0.00 | |
| Z6300 | 0% | 116 | $0.00 | |
| 90710 | 0% | 150 | $0.00 | |
| Z6200 | 0% | 117 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 145 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 63 | $0.00 |
| 3077F | 0% | 142 | $0.00 | |
| 90700 | 0% | 149 | $0.00 | |
| 2028F | 0% | 55 | $0.00 | |
| 90648 | 0% | 47 | $0.00 | |
| Z6500 | 0% | 24 | $0.00 | |
| 3051F | 0% | 13 | $0.00 | |
| 1158F | 0% | 156 | $0.00 | |
| 90734 | 0% | 56 | $0.00 | |
| D0190 | 0% | 42 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 31 | $0.00 |
| 99201 | 0% | 22 | $0.00 | |
| 86318 | 0% | 62 | $0.00 | |
| 86328 | 0% | 13 | $0.00 | |
| 0521 | 0% | 15 | $0.00 | |
| 90649 | 0% | 17 | $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 officialBALLESTEROS, ALVARO (CHIEF EXECUTIVE OFFICER)
Parent organizationJWCH INSTITUTE, INC.
| Provider | Location | Paid |
|---|---|---|
| JWCH Institute, INC. | Los Angeles, CA | $119.49M |
| JWCH Institute INC | Los Angeles, CA | $28.06M |
| JWCH Institute, INC | Downey, CA | $12.94M |
| JWCH Institute, INC. | Bell Gardens, CA | $6.40M |
| JWCH Institute, INC. | Lynwood, CA | $5.07M |
| JWCH Institute, INC | Hacienda Heights, CA | $3.85M |
| JWCH Institute, INC. | Bellflower, CA | $2.24M |
| JWCH Institute, INC. | Lancaster, CA | $1.12M |
| JWCH Institute, INC. | Los Angeles, CA | $218K |
| JWCH Institute, INC. | Lancaster, CA | $100K |
| JWCH Institute, INC. | Bell Gardens, CA | $67K |
| JWCH Institute, INC. | Palmdale, CA | $56K |
| JWCH Institute INC | Lynwood, CA | $52K |
| JWCH Institute, INC. | Bell Gardens, CA | $40K |
| JWCH Institute, INC. | Lancaster, CA | $11K |
| JWCH Institute, INC | Pasadena, CA | $10K |
| JWCH Institute, INC. | Bellflower, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.