Clinic
North County Health Project, INC.
North County Health Project, INC. was paid $16.48M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoNORTH COUNTY HEALTH PROJECT, INC.
ENCINITAS, CA 92024
ENCINITAS, CA 92024
33aNPI1447267349assigned 08/02/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$16.48M
24GClaims216,300
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#209 of 826
Median peer was paid$4.05M
This provider vs. median4.1×
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.
Entity ProliferationAuthorized official PETERSEN, CHERYL controls 11+ related entities in our dataset. Read more
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 | 15,790 | $2.71M | |
| 2019 | 17,157 | $1.79M | |
| 2020 | 22,633 | $1.79M | |
| 2021 | 28,490 | $2.09M | |
| 2022 | 37,955 | $2.44M | |
| 2023 | 42,558 | $2.82M | |
| 2024incomplete | 51,717 | $2.84M |
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 | 97% | 86,784 | 69,950 | $16.06M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 13,873 | 5,911 | $179K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,441 | 1,005 | $58K |
| 00003 | Internal/system code - not a standard HCPCS code | <1% | 211 | 190 | $47K |
| 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% | 17,736 | 16,532 | $45K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 7,699 | 4,478 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,673 | 7,026 | $17K |
| 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% | 6,743 | 6,459 | $11K |
| G9920 | Screening performed and negative | <1% | 758 | 717 | $7K |
| 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% | 449 | 420 | $4K |
| 91320 | <1% | 117 | 116 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,253 | 2,222 | $1K |
72 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 594 | $1K |
| 90480 | <1% | 129 | $880.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 429 | $812.87 |
| 90750 | <1% | 179 | $687.28 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 856 | $673.02 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 899 | $520.89 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 200 | $514.50 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,020 | $504.28 |
| G0467 | Community health center visit, returning patient | <1% | 20 | $416.38 |
| 81025 | <1% | 262 | $382.90 | |
| 92551 | <1% | 1,735 | $372.86 | |
| 98940 | <1% | 171 | $315.86 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,528 | $279.50 |
| 96156 | <1% | 1,455 | $251.80 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 98 | $231.13 |
| 99401 | <1% | 1,851 | $228.84 | |
| 90686 | <1% | 1,195 | $182.72 | |
| 99177 | <1% | 871 | $178.80 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 116 | $153.86 |
| 90688 | <1% | 128 | $132.58 | |
| 92552 | <1% | 493 | $116.83 | |
| 85018 | <1% | 3,185 | $98.76 | |
| 90746 | <1% | 122 | $74.84 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 231 | $69.38 |
| 99173 | <1% | 1,969 | $64.48 | |
| 97811 | <1% | 627 | $59.80 | |
| 97810 | <1% | 638 | $59.80 | |
| 97803 | <1% | 1,780 | $52.22 | |
| 90656 | <1% | 207 | $50.53 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,288 | $17.66 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 287 | $17.08 |
| 81002 | <1% | 165 | $9.89 | |
| 97026 | <1% | 611 | $9.74 | |
| 82962 | <1% | 32 | $3.98 | |
| 3078F | 0% | 9,032 | $0.00 | |
| 1160F | 0% | 4,319 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 13 | $0.00 |
| 1159F | 0% | 4,319 | $0.00 | |
| 3077F | 0% | 756 | $0.00 | |
| 96160 | 0% | 503 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 211 | $0.00 |
| 90621 | 0% | 54 | $0.00 | |
| 90670 | 0% | 184 | $0.00 | |
| 90734 | 0% | 79 | $0.00 | |
| 90715 | 0% | 29 | $0.00 | |
| 90633 | 0% | 71 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 31 | $0.00 |
| 99188 | 0% | 13 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 28 | $0.00 |
| 99000 | 0% | 3,299 | $0.00 | |
| 3079F | 0% | 2,121 | $0.00 | |
| 3080F | 0% | 197 | $0.00 | |
| 1126F | 0% | 4,408 | $0.00 | |
| 3074F | 0% | 9,484 | $0.00 | |
| 1125F | 0% | 1,579 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 380 | $0.00 |
| 3075F | 0% | 1,049 | $0.00 | |
| 3044F | 0% | 64 | $0.00 | |
| 96151 | 0% | 429 | $0.00 | |
| 90677 | 0% | 64 | $0.00 | |
| 90651 | 0% | 162 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 40 | $0.00 |
| 90697 | 0% | 65 | $0.00 | |
| 90739 | 0% | 25 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90619 | 0% | 65 | $0.00 | |
| 96150 | 0% | 26 | $0.00 | |
| 36416 | 0% | 16 | $0.00 | |
| 97802 | 0% | 26 | $0.00 | |
| 90680 | 0% | 15 | $0.00 | |
| 90744 | 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.
From NPPES
Who's on the registration
Authorized officialPETERSEN, CHERYL (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| North County Health Project, INC. | San Marcos, CA | $125.68M |
| North County Health Project, INC. | Oceanside, CA | $57.50M |
| North County Health Project, INC. | Oceanside, CA | $29.48M |
| North County Health Project, INC | Perris, CA | $15.77M |
| North County Health Project, INC. | Ramona, CA | $15.60M |
| North County Health Project, INC. | Oceanside, CA | $11.36M |
| North County Health Project, INC. | Carlsbad, CA | $6.73M |
| North County Health Project, INC. | Oceanside, CA | $1.59M |
| North County Health Project, INC. | Oceanside, CA | $366K |
| North County Health Project, INC. | San Marcos, CA | $180K |
| North County Health Project, INC. | San Marcos, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.