Clinic
Kedren Community Care Clinic - a
Kedren Community Care Clinic - a was paid $11.55M by Medicaid between Jan 2018 and Dec 2024, across 130 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoKEDREN COMMUNITY CARE CLINIC - A
LOS ANGELES, CA 90011
LOS ANGELES, CA 90011
33aNPI1417378597assigned 12/17/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.55M
24GClaims268,053
24DCodes billed130
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#271 of 826
Median peer was paid$4.05M
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2018 | 7,405 | $1.11M | |
| 2019 | 8,844 | $1.11M | |
| 2020 | 33,305 | $2.25M | |
| 2021 | 36,200 | $2.39M | |
| 2022 | 31,206 | $1.27M | |
| 2023 | 64,473 | $1.78M | |
| 2024incomplete | 86,620 | $1.65M |
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 | 95% | 65,056 | 48,914 | $10.94M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 2.8% | 2,971 | 1,723 | $326K |
| 0001A | <1% | 694 | 641 | $37K | |
| 0002A | <1% | 577 | 561 | $33K | |
| 0003A | <1% | 401 | 401 | $26K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 4,129 | 3,708 | $26K |
| 0011A | <1% | 997 | 957 | $24K | |
| 0012A | <1% | 647 | 609 | $18K | |
| 0013A | <1% | 282 | 280 | $18K | |
| 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% | 36,386 | 21,332 | $17K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,776 | 2,494 | $13K |
| 99201 | <1% | 4,943 | 4,262 | $10K |
118 more codes
| G9012 | Other specified case management service not elsewhere classified | <1% | 2,653 | $8K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 5,465 | $7K |
| 0064A | <1% | 110 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,304 | $6K |
| G0467 | Community health center visit, returning patient | <1% | 310 | $4K |
| 90673 | <1% | 302 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,004 | $4K |
| 11721 | <1% | 646 | $3K | |
| 99000 | <1% | 4,210 | $2K | |
| 90715 | <1% | 227 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,717 | $2K |
| 90750 | <1% | 67 | $2K | |
| 0054A | <1% | 44 | $1K | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 283 | $1K |
| 0031A | <1% | 20 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 410 | $913.80 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 674 | $737.05 |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 387 | $587.51 |
| 11730 | <1% | 123 | $567.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,245 | $525.26 |
| 99406 | <1% | 2,468 | $397.94 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 132 | $345.22 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 12 | $343.82 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,937 | $321.27 |
| 97802 | <1% | 1,593 | $264.66 | |
| 90656 | <1% | 42 | $245.07 | |
| 90837 | Psychotherapy session, about an hour | <1% | 151 | $244.27 |
| 93000 | <1% | 31 | $239.66 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 768 | $191.84 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 40 | $160.05 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,215 | $140.29 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,505 | $138.92 |
| 90686 | <1% | 106 | $137.46 | |
| 97803 | <1% | 359 | $130.55 | |
| 82274 | <1% | 909 | $122.18 | |
| 96127 | <1% | 4,485 | $113.39 | |
| 11732 | <1% | 41 | $113.20 | |
| 90658 | <1% | 240 | $106.80 | |
| 86580 | <1% | 149 | $99.06 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 212 | $98.35 |
| 11056 | <1% | 36 | $96.20 | |
| G0246 | Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education | <1% | 2,502 | $96.10 |
| 96156 | <1% | 907 | $84.30 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 340 | $76.25 |
| 99401 | <1% | 7,158 | $73.77 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 19 | $70.14 |
| 11001 | <1% | 304 | $69.30 | |
| 82962 | <1% | 5,806 | $59.74 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24 | $54.28 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 225 | $50.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 224 | $37.50 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | $37.02 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 96 | $36.51 |
| 90651 | <1% | 40 | $36.03 | |
| 87625 | <1% | 224 | $29.20 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 4,760 | $16.87 |
| 81000 | <1% | 365 | $16.73 | |
| 88174 | <1% | 228 | $16.46 | |
| 88141 | <1% | 224 | $9.48 | |
| 90661 | <1% | 20 | $9.00 | |
| 81025 | <1% | 53 | $8.40 | |
| 85018 | <1% | 629 | $5.80 | |
| H0043 | Supported housing, per diem | <1% | 55 | $0.17 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 6,902 | $0.04 |
| S9449 | Weight management classes, non-physician provider, per session | <1% | 7,236 | $0.04 |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 1,063 | $0.03 |
| 3008F | 0% | 17,370 | $0.00 | |
| 3074F | 0% | 2,310 | $0.00 | |
| 3080F | 0% | 471 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 697 | $0.00 |
| 99496 | 0% | 398 | $0.00 | |
| 3014F | 0% | 669 | $0.00 | |
| 1111F | 0% | 645 | $0.00 | |
| 3075F | 0% | 1,071 | $0.00 | |
| 1034F | 0% | 2,386 | $0.00 | |
| 3017F | 0% | 1,584 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 50 | $0.00 |
| 3044F | 0% | 391 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,136 | $0.00 |
| 1036F | 0% | 2,017 | $0.00 | |
| 3079F | 0% | 1,657 | $0.00 | |
| 91301 | 0% | 47 | $0.00 | |
| 3048F | 0% | 72 | $0.00 | |
| 00018 | 0% | 47 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 25 | $0.00 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 19 | $0.00 |
| 99495 | 0% | 215 | $0.00 | |
| 4010F | 0% | 236 | $0.00 | |
| 1123F | 0% | 20 | $0.00 | |
| 3061F | 0% | 61 | $0.00 | |
| G0475 | Hiv antigen/antibody, combination assay, screening | 0% | 56 | $0.00 |
| 3049F | 0% | 42 | $0.00 | |
| 29540 | 0% | 36 | $0.00 | |
| 81001 | 0% | 18 | $0.00 | |
| 99442 | 0% | 1,523 | $0.00 | |
| 3725F | 0% | 5,259 | $0.00 | |
| H2016 | Community support for mental illness or disability, billed per day | 0% | 308 | $0.00 |
| 4004F | 0% | 2,430 | $0.00 | |
| 3046F | 0% | 444 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 79 | $0.00 |
| 11000 | 0% | 1,087 | $0.00 | |
| 3077F | 0% | 1,365 | $0.00 | |
| 3078F | 0% | 2,428 | $0.00 | |
| 83037 | 0% | 1,401 | $0.00 | |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 0% | 137 | $0.00 |
| 91320 | 0% | 48 | $0.00 | |
| 90806 | 0% | 22 | $0.00 | |
| 4013F | 0% | 264 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 25 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 142 | $0.00 |
| 3050F | 0% | 218 | $0.00 | |
| 1160F | 0% | 63 | $0.00 | |
| 3045F | 0% | 15 | $0.00 | |
| H2014 | Skills training and development, per 15 minutes | 0% | 20 | $0.00 |
| 1159F | 0% | 65 | $0.00 | |
| 96136 | 0% | 12 | $0.00 | |
| 3051F | 0% | 18 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 15 | $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 officialWARNER, JASON (CHIEF INFORMATION OFFICER)