West Side Community Health Services, INC.
West Side Community Health Services, INC. was paid $23.81M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
SAINT PAUL, MN 55106
Next to other Federally Qualified Health Center (FQHC) providers in Minnesota
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 | |
|---|---|---|---|
| 2018 | 75,969 | $3.36M | |
| 2019 | 87,691 | $3.94M | |
| 2020 | 37,614 | $2.90M | |
| 2021 | 48,492 | $4.72M | |
| 2022 | 41,666 | $4.00M | |
| 2023 | 21,597 | $2.70M | |
| 2024incomplete | 23,845 | $2.18M |
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 | 48% | 64,000 | 48,632 | $11.43M |
| 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 | 19% | 23,953 | 19,557 | $4.60M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 6,810 | 6,198 | $1.31M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 6,839 | 6,086 | $1.20M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 6,755 | 6,037 | $848K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 3,558 | 3,179 | $648K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 3,991 | 3,000 | $615K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 1,977 | 1,830 | $405K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 1.5% | 2,738 | 1,090 | $368K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 1,787 | 1,550 | $341K |
| 99460 | 1.1% | 1,137 | 1,027 | $261K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 1,445 | 1,168 | $255K |
97 more codes
| G0467 | Community health center visit, returning patient | <1% | 2,795 | $176K |
| 99462 | <1% | 711 | $175K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 689 | $169K |
| 98940 | <1% | 1,005 | $128K | |
| X5622 | <1% | 909 | $125K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 694 | $110K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 11,734 | $109K |
| 90837 | Psychotherapy session, about an hour | <1% | 496 | $98K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 421 | $63K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 419 | $57K |
| 59025 | Fetal non-stress test | <1% | 2,144 | $53K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 156 | $43K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 887 | $43K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 194 | $34K |
| 99188 | <1% | 3,067 | $31K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 164 | $28K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 153 | $27K |
| 93000 | <1% | 186 | $23K | |
| 99223 | Prolong inpt eval add15 m | <1% | 43 | $8K |
| 91305 | <1% | 27 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $3K |
| 99177 | <1% | 479 | $3K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 2,859 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 911 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31,205 | $2K |
| 91306 | <1% | 206 | $1K | |
| 91307 | <1% | 208 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,632 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 20,961 | $1K |
| 11981 | <1% | 28 | $877.26 | |
| 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 | <1% | 29 | $846.92 |
| 90670 | <1% | 5,565 | $764.70 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15,441 | $632.30 |
| 90686 | <1% | 10,491 | $280.33 | |
| 0011A | <1% | 257 | $247.68 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,554 | $178.29 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,533 | $128.34 |
| 85027 | <1% | 2,435 | $112.55 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,141 | $100.83 |
| 36416 | <1% | 4,125 | $99.99 | |
| 81000 | <1% | 2,005 | $45.61 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,331 | $45.37 |
| 85018 | <1% | 3,380 | $36.25 | |
| 81025 | <1% | 2,142 | $35.12 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 408 | $26.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 56 | $25.17 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 4,311 | $23.16 |
| 87210 | <1% | 1,586 | $17.82 | |
| 87081 | <1% | 1,434 | $15.02 | |
| 96127 | <1% | 5,882 | $14.77 | |
| 82950 | <1% | 282 | $11.36 | |
| 92551 | <1% | 7,878 | $8.35 | |
| 99173 | <1% | 7,026 | $1.83 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 594 | $0.49 |
| 90680 | 0% | 1,947 | $0.00 | |
| 90696 | 0% | 490 | $0.00 | |
| 90677 | 0% | 246 | $0.00 | |
| 90620 | 0% | 156 | $0.00 | |
| 90651 | 0% | 1,776 | $0.00 | |
| 90723 | 0% | 3,987 | $0.00 | |
| 90656 | 0% | 860 | $0.00 | |
| 96111 | 0% | 1,211 | $0.00 | |
| 91301 | 0% | 1,384 | $0.00 | |
| 90688 | 0% | 155 | $0.00 | |
| 90716 | 0% | 33 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 167 | $0.00 |
| 80047 | 0% | 48 | $0.00 | |
| 83825 | 0% | 60 | $0.00 | |
| 0064A | 0% | 206 | $0.00 | |
| 90480 | 0% | 76 | $0.00 | |
| 82043 | 0% | 22 | $0.00 | |
| 0012A | 0% | 43 | $0.00 | |
| 90734 | 0% | 1,160 | $0.00 | |
| 90700 | 0% | 960 | $0.00 | |
| 90633 | 0% | 3,009 | $0.00 | |
| 90715 | 0% | 1,919 | $0.00 | |
| 90648 | 0% | 5,691 | $0.00 | |
| 90710 | 0% | 1,874 | $0.00 | |
| 90746 | 0% | 73 | $0.00 | |
| 82947 | 0% | 149 | $0.00 | |
| 90473 | 0% | 1,779 | $0.00 | |
| 90803 | 0% | 2,275 | $0.00 | |
| 90685 | 0% | 892 | $0.00 | |
| 91300 | 0% | 40 | $0.00 | |
| 91321 | 0% | 85 | $0.00 | |
| 90713 | 0% | 17 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 109 | $0.00 |
| 81002 | 0% | 119 | $0.00 | |
| 0071A | 0% | 154 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 240 | $0.00 |
| 90707 | 0% | 33 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 60 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 15 | $0.00 |
| 80061 | Lipid panel | 0% | 16 | $0.00 |
| 91311 | 0% | 13 | $0.00 | |
| 90838 | 0% | 38 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| West Side Community Health Services, INC | Saint Paul, MN | $17.31M |
| West Side Community Health Services, INC. | St Paul, MN | $7.04M |
| West Side Community Health Services, INC. | Saint Paul, MN | $4.48M |
| West Side Community Health Services, INC | Saint Paul, MN | $4.46M |
| West Side Community Health Services, INC. | Saint Paul, MN | $1.70M |
| West Side Community Health Services, INC. | Saint Paul, MN | $1.18M |
| West Side Community Health Services, INC | Saint Paul, MN | $1.10M |
| West Side Community Health Services, INC. | Saint Paul, MN | $884K |
| West Side Community Health Services, INC. | St Paul, MN | $842K |
| West Side Community Health Services, INC. | Saint Paul, MN | $633K |
| West Side Community Health Services, INC. | Saint Paul, MN | $584K |
| West Side Community Health Services, INC. | Saint Paul, MN | $473K |
| West Side Community Health Services, INC. | Saint Paul, MN | $311K |
| West Side Community Health Services, INC. | Saint Paul, MN | $261K |
| West Side Community Health Services, INC. | Saint Paul, MN | $57K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.