Clinic
Mountain Health & Community Services, INC.
Mountain Health & Community Services, INC. was paid $534K by Medicaid between Jan 2018 and Mar 2020, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 51% of everything it billed.
33Billing provider infoMOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
SAN DIEGO, CA 92115
SAN DIEGO, CA 92115
33aNPI1487011847assigned 01/15/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$534K
24GClaims6,164
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#571 of 826
Median peer was paid$4.05M
This provider vs. median0.1×
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.
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 | 3,571 | $310K | |
| 2019 | 2,008 | $166K | |
| 2020 | 585 | $58K |
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 | 51% | 4,487 | 3,115 | $271K |
| 00003 | Internal/system code - not a standard HCPCS code | 49% | 1,637 | 1,059 | $263K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 19 | 12 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 21 | 21 | $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 officialSHAPLIN, JUDITH (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mountain Health & Community Services, INC | Santee, CA | $2.23M |
| Mountain Health & Community Services, INC. | Alpine, CA | $1.48M |
| Mountain Health & Community Services, INC. | Escondido, CA | $449K |
| Mountain Health & Community Services, INC. | Campo, CA | $246K |
| Mountain Health & Community Services, INC. | San Diego, CA | $97K |
| Mountain Health & Community Services, INC. | Campo, CA | $84K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.