Neighborhood Healthcare
Neighborhood Healthcare was paid $38.37M by Medicaid between Jan 2018 and Dec 2024, across 151 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 52% of everything it billed.
ESCONDIDO, CA 92025
Next to other Federally Qualified Health Center (FQHC) 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 | |
|---|---|---|---|
| 2018 | 106,642 | $5.31M | |
| 2019 | 121,000 | $4.07M | |
| 2020 | 137,402 | $3.61M | |
| 2021 | 146,146 | $6.43M | |
| 2022 | 172,797 | $6.37M | |
| 2023 | 225,785 | $6.41M | |
| 2024incomplete | 229,971 | $6.18M |
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 | 52% | 120,115 | 85,895 | $19.77M |
| 00003 | Internal/system code - not a standard HCPCS code | 48% | 88,558 | 55,989 | $18.46M |
| 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% | 1,439 | 1,289 | $32K |
| 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% | 376,458 | 337,439 | $28K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,372 | 1,171 | $20K |
| 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% | 408 | 279 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53,185 | 48,370 | $9K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 62,304 | 34,138 | $7K |
| 0502F | <1% | 7,605 | 5,173 | $5K | |
| 93000 | <1% | 207 | 206 | $5K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 9,292 | 4,607 | $4K |
| 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 | <1% | 70,640 | 65,466 | $3K |
139 more codes
| 99442 | <1% | 13,234 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,082 | $3K |
| 98940 | <1% | 3,345 | $3K | |
| 99401 | <1% | 6,210 | $1K | |
| 92552 | <1% | 17,262 | $1K | |
| 81002 | <1% | 10,742 | $1K | |
| 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 | <1% | 428 | $1K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 21 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,813 | $671.27 |
| 3044F | <1% | 4,688 | $648.57 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 13,722 | $552.03 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,635 | $469.66 |
| 94760 | <1% | 4,883 | $370.02 | |
| 3074F | <1% | 21,041 | $343.99 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 6,261 | $335.80 |
| 11721 | <1% | 1,962 | $333.73 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 42,570 | $280.79 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 2,797 | $263.49 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 383 | $239.76 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 849 | $205.47 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 377 | $101.87 |
| 99441 | <1% | 7,789 | $71.62 | |
| 0500F | <1% | 39 | $68.90 | |
| 90686 | <1% | 12,834 | $63.00 | |
| 59430 | <1% | 27 | $60.48 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 423 | $59.30 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,004 | $43.41 |
| 11720 | <1% | 105 | $39.26 | |
| 3078F | <1% | 23,542 | $37.13 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,003 | $37.02 |
| 99070 | <1% | 9,218 | $36.00 | |
| 92250 | <1% | 477 | $27.81 | |
| 99443 | <1% | 1,113 | $27.70 | |
| 97810 | <1% | 6,523 | $20.00 | |
| 81025 | <1% | 2,721 | $13.94 | |
| 85018 | <1% | 22,391 | $12.32 | |
| 90715 | <1% | 1,363 | $9.00 | |
| 90674 | <1% | 59 | $9.00 | |
| 97803 | <1% | 954 | $8.41 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,788 | $4.42 |
| 99173 | <1% | 18,755 | $2.28 | |
| 3051F | 0% | 1,109 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 6,043 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,673 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 842 | $0.00 |
| 3077F | 0% | 2,592 | $0.00 | |
| 11719 | 0% | 82 | $0.00 | |
| 1159F | 0% | 379 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 3,054 | $0.00 |
| 91300 | 0% | 15 | $0.00 | |
| 90461 | 0% | 2,069 | $0.00 | |
| 3046F | 0% | 1,000 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 107 | $0.00 |
| 90785 | 0% | 2,341 | $0.00 | |
| 97813 | 0% | 211 | $0.00 | |
| 96160 | 0% | 914 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 445 | $0.00 |
| 90633 | 0% | 820 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 455 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 296 | $0.00 |
| 85014 | 0% | 278 | $0.00 | |
| 82948 | 0% | 2,974 | $0.00 | |
| 90734 | 0% | 156 | $0.00 | |
| 90750 | 0% | 553 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90662 | 0% | 16 | $0.00 | |
| 1160F | 0% | 373 | $0.00 | |
| 99334 | 0% | 132 | $0.00 | |
| 4145F | 0% | 199 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 864 | $0.00 |
| 90670 | 0% | 466 | $0.00 | |
| 95251 | 0% | 333 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,102 | $0.00 |
| 99188 | 0% | 230 | $0.00 | |
| 90756 | 0% | 221 | $0.00 | |
| 0521F | 0% | 87 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 119 | $0.00 |
| 90710 | 0% | 60 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 401 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 29 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 125 | $0.00 |
| 3725F | 0% | 161 | $0.00 | |
| 90655 | 0% | 64 | $0.00 | |
| 90685 | 0% | 31 | $0.00 | |
| 90700 | 0% | 25 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 42 | $0.00 |
| 11056 | 0% | 14 | $0.00 | |
| 3015F | 0% | 38 | $0.00 | |
| 99382 | 0% | 45 | $0.00 | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 0% | 22 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 13 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 27 | $0.00 |
| 2028F | 0% | 42 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 15 | $0.00 |
| 3075F | 0% | 4,359 | $0.00 | |
| 99385 | 0% | 95 | $0.00 | |
| 3079F | 0% | 7,716 | $0.00 | |
| 90651 | 0% | 1,377 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,582 | $0.00 |
| 90647 | 0% | 80 | $0.00 | |
| 3052F | 0% | 201 | $0.00 | |
| 92551 | 0% | 270 | $0.00 | |
| 82962 | 0% | 1,177 | $0.00 | |
| 98943 | 0% | 769 | $0.00 | |
| 90656 | 0% | 1,188 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 106 | $0.00 |
| 90723 | 0% | 110 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 2,255 | $0.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 187 | $0.00 |
| 86580 | 0% | 629 | $0.00 | |
| 90677 | 0% | 447 | $0.00 | |
| 1036F | 0% | 693 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 118 | $0.00 |
| 3008F | 0% | 1,100 | $0.00 | |
| 97802 | 0% | 280 | $0.00 | |
| 90716 | 0% | 29 | $0.00 | |
| 1126F | 0% | 153 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 463 | $0.00 |
| 90632 | 0% | 66 | $0.00 | |
| 3080F | 0% | 175 | $0.00 | |
| 99383 | 0% | 109 | $0.00 | |
| 3017F | 0% | 12 | $0.00 | |
| 90688 | 0% | 235 | $0.00 | |
| 90619 | 0% | 250 | $0.00 | |
| 90680 | 0% | 63 | $0.00 | |
| 0503F | 0% | 41 | $0.00 | |
| 90697 | 0% | 123 | $0.00 | |
| 1125F | 0% | 162 | $0.00 | |
| 90739 | 0% | 31 | $0.00 | |
| 3014F | 0% | 51 | $0.00 | |
| 99384 | 0% | 44 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 28 | $0.00 |
| 90696 | 0% | 54 | $0.00 | |
| 90620 | 0% | 56 | $0.00 | |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | 0% | 51 | $0.00 |
| 1034F | 0% | 15 | $0.00 | |
| 2000F | 0% | 20 | $0.00 | |
| 99386 | 0% | 28 | $0.00 | |
| 99000 | 0% | 13 | $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 |
|---|---|---|
| Neighborhood Healthcare | Hemet, CA | $160.42M |
| Neighborhood Healthcare | Escondido, CA | $124.93M |
| Neighborhood Healthcare | El Cajon, CA | $46.58M |
| Neighborhood Healthcare | Lakeside, CA | $33.19M |
| Neighborhood Healthcare | Poway, CA | $20.72M |
| Neighborhood Healthcare | Temecula, CA | $15.81M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.