JWCH Institute INC
JWCH Institute INC was paid $28.06M by Medicaid between Jan 2018 and Dec 2024, across 128 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoJWCH INSTITUTE INC
LOS ANGELES, CA 90013
LOS ANGELES, CA 90013
33aNPI1407808058assigned 05/16/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$28.06M
24GClaims439,012
24DCodes billed128
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#75 of 435
Median peer was paid$2.89M
This provider vs. median9.7×
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 | 31,021 | $4.68M | |
| 2019 | 50,561 | $4.12M | |
| 2020 | 79,329 | $4.14M | |
| 2021 | 82,233 | $4.49M | |
| 2022 | 66,181 | $3.19M | |
| 2023 | 66,304 | $3.79M | |
| 2024incomplete | 63,383 | $3.64M |
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 | 81% | 139,795 | 98,753 | $22.79M |
| 00003 | Internal/system code - not a standard HCPCS code | 16% | 23,055 | 16,744 | $4.53M |
| 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% | 5,083 | 4,003 | $257K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 13,588 | 7,490 | $95K |
| 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% | 44,223 | 38,942 | $79K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,198 | 1,016 | $45K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,868 | 1,787 | $36K |
| 98940 | <1% | 5,709 | 3,974 | $33K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 2,932 | 2,339 | $30K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 13,382 | 7,932 | $30K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 389 | 342 | $24K |
| 0012A | <1% | 818 | 498 | $23K |
116 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 11,380 | $22K |
| 0011A | <1% | 735 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18,237 | $11K |
| 0064A | <1% | 280 | $7K | |
| 0031A | <1% | 252 | $7K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 39 | $5K |
| 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% | 65 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,206 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,671 | $4K |
| 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% | 292 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 112 | $1K |
| 0013A | <1% | 24 | $720.00 | |
| 82948 | <1% | 8,546 | $492.41 | |
| 0034A | <1% | 17 | $347.00 | |
| 0134A | <1% | 82 | $335.00 | |
| 90658 | <1% | 1,454 | $230.00 | |
| 0004A | <1% | 15 | $214.00 | |
| 1160F | <1% | 42,592 | $203.31 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,982 | $138.77 |
| 86580 | <1% | 2,078 | $119.87 | |
| 1126F | <1% | 1,518 | $103.69 | |
| 3074F | <1% | 6,287 | $82.36 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 63 | $56.25 |
| 3008F | <1% | 284 | $50.60 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,687 | $31.59 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,943 | $2.19 |
| 81002 | <1% | 974 | $2.15 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 328 | $0.33 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 92 | $0.02 |
| 1159F | 0% | 42,644 | $0.00 | |
| 90715 | 0% | 160 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 58 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,121 | $0.00 |
| 3078F | 0% | 6,396 | $0.00 | |
| 3725F | 0% | 416 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 58 | $0.00 |
| 92015 | Determination of refractive state | 0% | 1,071 | $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% | 1,741 | $0.00 |
| 92083 | 0% | 15 | $0.00 | |
| 3046F | 0% | 369 | $0.00 | |
| 99201 | 0% | 119 | $0.00 | |
| 2028F | 0% | 210 | $0.00 | |
| 3077F | 0% | 2,347 | $0.00 | |
| 0124A | 0% | 18 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 588 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 579 | $0.00 |
| D9430 | 0% | 144 | $0.00 | |
| 3051F | 0% | 105 | $0.00 | |
| 11721 | 0% | 53 | $0.00 | |
| 82274 | 0% | 306 | $0.00 | |
| VSY5 | 0% | 1,447 | $0.00 | |
| 92225 | 0% | 96 | $0.00 | |
| 2026F | 0% | 29 | $0.00 | |
| 99442 | 0% | 45 | $0.00 | |
| D9110 | 0% | 12 | $0.00 | |
| 2022F | 0% | 141 | $0.00 | |
| 86318 | 0% | 418 | $0.00 | |
| D0190 | 0% | 30 | $0.00 | |
| 81025 | 0% | 24 | $0.00 | |
| D4341 | 0% | 60 | $0.00 | |
| 92134 | 0% | 13 | $0.00 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 0% | 17 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 14 | $0.00 |
| G0466 | Community health center visit, new patient | 0% | 75 | $0.00 |
| D4910 | 0% | 13 | $0.00 | |
| H0043 | Supported housing, per diem | 0% | 29 | $0.00 |
| 82947 | 0% | 14 | $0.00 | |
| PROP5 | 0% | 21 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 25 | $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% | 603 | $0.00 |
| 99000 | 0% | 484 | $0.00 | |
| 1036F | 0% | 121 | $0.00 | |
| 1170F | 0% | 470 | $0.00 | |
| 3075F | 0% | 2,670 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 47 | $0.00 |
| 99429 | 0% | 2,023 | $0.00 | |
| 3080F | 0% | 1,095 | $0.00 | |
| 3044F | 0% | 514 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 314 | $0.00 |
| 3079F | 0% | 3,844 | $0.00 | |
| 4010F | 0% | 258 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 44 | $0.00 |
| 99406 | 0% | 52 | $0.00 | |
| T1016 | Case management, each 15 minutes | 0% | 115 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 24 | $0.00 |
| 1125F | 0% | 445 | $0.00 | |
| 92250 | 0% | 337 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 290 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 90 | $0.00 |
| D1330 | 0% | 97 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 79 | $0.00 |
| 91301 | 0% | 347 | $0.00 | |
| 90656 | 0% | 44 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 81 | $0.00 |
| 90651 | 0% | 12 | $0.00 | |
| D5899 | 0% | 22 | $0.00 | |
| 1034F | 0% | 133 | $0.00 | |
| 92226 | 0% | 60 | $0.00 | |
| D1310 | 0% | 14 | $0.00 | |
| 3052F | 0% | 13 | $0.00 | |
| 85018 | 0% | 40 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 47 | $0.00 |
| 1000F | 0% | 131 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 84 | $0.00 |
| D0603 | 0% | 24 | $0.00 | |
| 99443 | 0% | 158 | $0.00 | |
| OOE | 0% | 30 | $0.00 | |
| 90732 | 0% | 32 | $0.00 | |
| 82270 | 0% | 44 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 85027 | 0% | 25 | $0.00 | |
| 91303 | 0% | 55 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 92499 | 0% | 224 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 21 | $0.00 |
| 99205 | Prolong outpt/office vis | 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 officialBALLESTEROS, ALVARO (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| JWCH Institute, INC. | Los Angeles, CA | $119.49M |
| JWCH Institute, INC. | Norwalk, CA | $16.20M |
| 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.