Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEIGHBORHOOD HEALTHCARE

NPI: 1437335148 · TEMECULA, CA 92590 · Federally Qualified Health Center (FQHC) · NPI assigned 01/11/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PATEL, RAKESH controls 17+ related entities in our dataset. Read more

$15.81M
Total Medicaid Paid
164,704
Total Claims
126,513
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPATEL, RAKESH (CEO)
NPI Enumeration Date01/11/2008

Related Entities

Other providers sharing the same authorized official: PATEL, RAKESH

ProviderCityStateTotal Paid
NEIGHBORHOOD HEALTHCARE HEMET CA $160.42M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $124.93M
NEIGHBORHOOD HEALTHCARE EL CAJON CA $46.58M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $38.37M
NEIGHBORHOOD HEALTHCARE LAKESIDE CA $33.19M
NEIGHBORHOOD HEALTHCARE POWAY CA $20.72M
NEIGHBORHOOD HEALTHCARE MENIFEE CA $5.81M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $4.58M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $3.48M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $3.39M
NEIGHBORHOOD HEALTHCARE RIVERSIDE CA $3.36M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $2.04M
NEIGHBORHOOD HEALTHCARE RIVERSIDE CA $1.75M
NEIGHBORHOOD HEALTHCARE RIVERSIDE CA $447K
R PATEL DENTAL GROUP INC CUDAHY CA $95K
RAKESH PATEL M.D. P. A. LA PORTE TX $24K
NEIGHBORHOOD HEALTHCARE- PACE RIVERSIDE RIVERSIDE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57,325 $7.40M
2019 53,339 $5.00M
2020 48,416 $3.28M
2021 1,429 $27K
2022 1,656 $41K
2023 1,707 $42K
2024 832 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 118,918 88,343 $15.32M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,719 17,649 $172K
00003 Internal/system code - not a standard HCPCS code 820 305 $153K
97810 5,098 2,962 $127K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,414 852 $9K
J3490 Unclassified drugs 106 89 $7K
98940 743 461 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,642 3,315 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,241 3,001 $4K
G0467 Federally 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 72 63 $3K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 112 112 $2K
90832 Psychotherapy, 30 minutes with patient 2,022 1,296 $1K
81025 317 313 $571.20
81002 470 407 $1.72
80053 Comprehensive metabolic panel 405 391 $0.00
86580 45 44 $0.00
84443 Thyroid stimulating hormone (TSH) 250 247 $0.00
Z6406 1,018 875 $0.00
83036 Hemoglobin; glycosylated (A1C) 314 311 $0.00
36415 Collection of venous blood by venipuncture 193 174 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 387 364 $0.00
85018 41 41 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 118 118 $0.00
Z6204 176 170 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 75 75 $0.00
Z6402 192 192 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 84 81 $0.00
90834 Psychotherapy, 45 minutes with patient 473 355 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 116 116 $0.00
90686 14 14 $0.00
0500F 56 56 $0.00
87086 Culture, bacterial; quantitative colony count, urine 15 15 $0.00
90723 12 12 $0.00
99205 Prolong outpt/office vis 18 18 $0.00
82043 29 29 $0.00
Z6200 151 150 $0.00
97811 276 205 $0.00
11721 30 30 $0.00
Z6414 12 12 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 300 299 $0.00
Z6304 68 68 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 181 180 $0.00
Z6300 77 77 $0.00
90785 345 247 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 379 377 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 302 302 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $0.00
Z6400 588 437 $0.00
80061 Lipid panel 288 285 $0.00
11720 115 115 $0.00
90791 Psychiatric diagnostic evaluation 455 452 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 260 259 $0.00
TELHT 12 12 $0.00
82570 39 39 $0.00
90670 12 12 $0.00
99201 12 12 $0.00
92552 12 12 $0.00
99173 12 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $0.00