North East Medical Services
North East Medical Services was paid $7K by Medicaid between Feb 2023 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
SAN FRANCISCO, CA 94112
Next to other Case Manager/Care Coordinator providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 141 | $3K | |
| 2024incomplete | 328 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 70% | 365 | 348 | $5K |
| 97810 | 26% | 63 | 40 | $2K | |
| H0049 | Alcohol and/or drug screening | 2.5% | 12 | 12 | $188.54 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 29 | 28 | $103.32 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| North East Medical Services | San Francisco, CA | $142.96M |
| North East Medical Services | San Francisco, CA | $59.12M |
| North East Medical Services | Daly City, CA | $47.54M |
| North East Medical Services | San Jose, CA | $38.88M |
| North East Medical Services | San Francisco, CA | $16.05M |
| North East Medical Services | San Francisco, CA | $10.35M |
| North East Medical Services | San Francisco, CA | $8.89M |
| North East Medical Services | San Francisco, CA | $8.50M |
| North East Medical Services | San Jose, CA | $2.39M |
| North East Medical Services | Daly City, CA | $546K |
| North East Medical Services | San Francisco, CA | $233K |
| North East Medical Services | San Francisco, CA | $131K |
| North East Medical Services | San Francisco, CA | $64K |
| North East Medical Services | San Francisco, CA | $40K |
| North East Medical Services | San Francisco, CA | $40K |
| North East Medical Services | Daly City, CA | $35K |
| North East Medical Services | Daly City, CA | $15K |
| North East Medical Services | San Francisco, CA | $2K |
| North East Medical Services | San Francisco, CA | $2K |
| North East Medical Services | San Francisco, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.