Altamed Health Services Corp
Altamed Health Services Corp was paid $2.03M by Medicaid between Jan 2018 and Feb 2020, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
LOS ANGELES, CA 90027
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 | 6,685 | $1.08M | |
| 2019 | 28,712 | $901K | |
| 2020 | 1,028 | $53K |
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 | 100% | 14,641 | 11,406 | $2.03M |
| 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% | 5,074 | 3,597 | $3K |
| 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% | 717 | 518 | $700.13 |
| 90686 | <1% | 521 | 382 | $465.20 | |
| 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% | 206 | 159 | $424.19 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 101 | 97 | $106.95 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 196 | 175 | $76.05 |
| 90715 | <1% | 19 | 14 | $72.30 | |
| 81002 | <1% | 168 | 103 | $6.39 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 439 | 392 | $0.00 |
| 1158F | 0% | 598 | 586 | $0.00 | |
| 3078F | 0% | 1,804 | 1,659 | $0.00 |
25 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 65 | $0.00 |
| 3077F | 0% | 155 | $0.00 | |
| 0502F | 0% | 251 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $0.00 |
| 81025 | 0% | 30 | $0.00 | |
| 1160F | 0% | 955 | $0.00 | |
| 3045F | 0% | 41 | $0.00 | |
| 1126F | 0% | 1,465 | $0.00 | |
| 3079F | 0% | 445 | $0.00 | |
| 1125F | 0% | 154 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 646 | $0.00 |
| 3074F | 0% | 1,755 | $0.00 | |
| 99000 | 0% | 918 | $0.00 | |
| 3075F | 0% | 240 | $0.00 | |
| 0501F | 0% | 164 | $0.00 | |
| 3351F | 0% | 1,937 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 607 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 575 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,288 | $0.00 |
| 36416 | 0% | 131 | $0.00 | |
| 3044F | 0% | 42 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 13 | $0.00 |
| 92250 | 0% | 14 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 25 | $0.00 |
| 3080F | 0% | 12 | $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 |
|---|---|---|
| Altamed Health Services Corp. | Los Angeles, CA | $305.80M |
| Altamed Health Services Corp | West Covina, CA | $83.90M |
| Altamed Health Services Corp | Pico Rivera, CA | $70.97M |
| Altamed Health Services Corp | El Monte, CA | $56.32M |
| Altamed Health Services Corp | Huntington Beach, CA | $53.30M |
| Altamed Health Services Corp | Los Angeles, CA | $50.84M |
| Altamed Health Services Corp | Santa Ana, CA | $43.62M |
| Altamed Health Services Corp | Santa Ana, CA | $40.31M |
| Altamed Health Services Corp | E. Los Angeles, CA | $33.24M |
| Altamed Health Services Corp | Garden Grove, CA | $30.84M |
| Altamed Health Services Corp | Los Angeles, CA | $23.94M |
| Altamed Health Services Corp | Orange, CA | $19.54M |
| Altamed Health Services Corp | Pico Rivera, CA | $14.32M |
| Altamed Health Services Corp | Anaheim, CA | $7.95M |
| Robert L. Young, JR. , DDS | Charlotte, NC | $7.89M |
| Altamed Health Services Corp | Los Angeles, CA | $3.75M |
| Altamed Health Services Corp | Anaheim, CA | $3.62M |
| Altamed Health Services Corp | Anaheim, CA | $3.60M |
| Robert L Young 2 DDS PA | Mint Hill, NC | $2.39M |
| Altamed Health Services Corporation | Los Angeles, CA | $1.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.