Clinic
San Judas Community Health Center, INC
San Judas Community Health Center, INC was paid $15.72M by Medicaid between Jun 2020 and Dec 2024, across 86 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoSAN JUDAS COMMUNITY HEALTH CENTER, INC
LOS ANGELES, CA 90010
LOS ANGELES, CA 90010
33aNPI1396235883assigned 05/10/2018
33bProvider typeClinic/Center
28Total paid$15.72M
24GClaims294,487
24DCodes billed86
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#47 of 504
Median peer was paid$102K
This provider vs. median155×
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 | |
|---|---|---|---|
| 2020 | 39,348 | $1.68M | |
| 2021 | 58,459 | $3.82M | |
| 2022 | 55,972 | $2.67M | |
| 2023 | 72,141 | $3.64M | |
| 2024incomplete | 68,567 | $3.91M |
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 | 93% | 83,452 | 70,627 | $14.60M |
| 00003 | Internal/system code - not a standard HCPCS code | 6.9% | 5,191 | 5,184 | $1.08M |
| 0002A | <1% | 374 | 273 | $19K | |
| 0001A | <1% | 330 | 275 | $17K | |
| 0011A | <1% | 24 | 18 | $876.25 | |
| Z1034 | <1% | 10,211 | 7,265 | $713.04 | |
| G9920 | Screening performed and negative | <1% | 626 | 604 | $435.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 748 | 739 | $119.80 |
| 81000 | 0% | 11,165 | 11,055 | $0.00 | |
| 90651 | 0% | 1,783 | 1,776 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 1,598 | 1,597 | $0.00 |
| 90686 | 0% | 5,660 | 5,612 | $0.00 |
74 more codes
| 92551 | 0% | 12,158 | $0.00 | |
| 99000 | 0% | 11,924 | $0.00 | |
| Z6406 | 0% | 1,456 | $0.00 | |
| 96161 | 0% | 98 | $0.00 | |
| 90698 | 0% | 1,412 | $0.00 | |
| 96156 | 0% | 2,140 | $0.00 | |
| 90716 | 0% | 1,647 | $0.00 | |
| 85018 | 0% | 16,557 | $0.00 | |
| Z1032 | 0% | 1,473 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 6,011 | $0.00 |
| 90680 | 0% | 1,060 | $0.00 | |
| 90744 | 0% | 1,502 | $0.00 | |
| Z6204 | 0% | 1,509 | $0.00 | |
| D0602 | 0% | 508 | $0.00 | |
| D0601 | 0% | 1,033 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 974 | $0.00 |
| Z6410 | 0% | 406 | $0.00 | |
| 96150 | 0% | 920 | $0.00 | |
| 96127 | 0% | 5,940 | $0.00 | |
| Z1038 | 0% | 385 | $0.00 | |
| 90620 | 0% | 1,089 | $0.00 | |
| 90677 | 0% | 511 | $0.00 | |
| 99383 | 0% | 96 | $0.00 | |
| Z6404 | 0% | 380 | $0.00 | |
| D0603 | 0% | 83 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 14 | $0.00 |
| 99381 | 0% | 540 | $0.00 | |
| 86580 | 0% | 242 | $0.00 | |
| 90696 | 0% | 406 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 126 | $0.00 |
| 99384 | 0% | 29 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 23 | $0.00 |
| 91301 | 0% | 13 | $0.00 | |
| 96151 | 0% | 14 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 3,268 | $0.00 |
| 90715 | 0% | 786 | $0.00 | |
| 90681 | 0% | 107 | $0.00 | |
| 90670 | 0% | 1,771 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,458 | $0.00 |
| 90700 | 0% | 717 | $0.00 | |
| S0197 | Prenatal vitamins, 30-day supply | 0% | 1,402 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 4,329 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 41,626 | $0.00 |
| 90734 | 0% | 1,282 | $0.00 | |
| 99173 | 0% | 12,855 | $0.00 | |
| Z6304 | 0% | 684 | $0.00 | |
| 83655 | 0% | 833 | $0.00 | |
| Z6400 | 0% | 2,250 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,672 | $0.00 |
| Z6500 | 0% | 1,004 | $0.00 | |
| Z6208 | 0% | 220 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 214 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 4,621 | $0.00 |
| 81025 | 0% | 1,370 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,085 | $0.00 |
| 90633 | 0% | 1,495 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 5,682 | $0.00 |
| D9430 | 0% | 4,480 | $0.00 | |
| 90707 | 0% | 1,386 | $0.00 | |
| 90713 | 0% | 330 | $0.00 | |
| Z6414 | 0% | 224 | $0.00 | |
| 90661 | 0% | 396 | $0.00 | |
| 0502F | 0% | 1,176 | $0.00 | |
| 90648 | 0% | 448 | $0.00 | |
| 90714 | 0% | 140 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 296 | $0.00 |
| Z6308 | 0% | 12 | $0.00 | |
| Z6202 | 0% | 363 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 231 | $0.00 |
| D0190 | 0% | 20 | $0.00 | |
| 99382 | 0% | 25 | $0.00 | |
| Z6302 | 0% | 29 | $0.00 | |
| 96160 | 0% | 27 | $0.00 | |
| 90672 | 0% | 332 | $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 officialROSTAMI, NEJAT (CEO)
| Provider | Location | Paid |
|---|---|---|
| San Judas Community Health Center, INC. | Los Angeles, CA | $15.75M |
| Nejat Rostami Medical Group INC | Los Angeles, CA | $3.31M |
| San Judas Medical Group West | Los Angeles, CA | $2.83M |
| N. Rostami Medical Group, INC. | Los Angeles, CA | $1.32M |
| San Judas Medical Group Ipa | Los Angeles, CA | $343K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.