Clinic
Castle Family Health Centers INC.
Castle Family Health Centers INC. was paid $12.06M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoCASTLE FAMILY HEALTH CENTERS INC.
ATWATER, CA 95301
ATWATER, CA 95301
33aNPI1497778443assigned 07/25/2006
33bProvider typeRural Health Clinic/Center
28Total paid$12.06M
24GClaims205,580
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#47 of 215
Median peer was paid$3.62M
This provider vs. median3.3×
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 | 27,790 | $2.25M | |
| 2019 | 24,252 | $1.67M | |
| 2020 | 26,361 | $1.64M | |
| 2021 | 28,147 | $1.68M | |
| 2022 | 23,402 | $1.40M | |
| 2023 | 43,096 | $1.74M | |
| 2024incomplete | 32,532 | $1.69M |
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 | 80% | 61,646 | 50,511 | $9.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 39,371 | 35,183 | $682K |
| 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 | 3.6% | 15,156 | 13,699 | $439K |
| 59425 | 1.5% | 1,902 | 1,145 | $176K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 2,256 | 2,148 | $141K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,797 | 2,500 | $112K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,235 | 2,806 | $89K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,664 | 6,282 | $89K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,110 | 1,102 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,534 | 1,506 | $77K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,135 | 1,120 | $73K |
| 92551 | <1% | 4,452 | 4,400 | $59K |
68 more codes
| 90651 | <1% | 831 | $53K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,539 | $51K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,257 | $42K |
| 90686 | <1% | 2,530 | $39K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 282 | $24K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 527 | $21K |
| 90750 | <1% | 140 | $19K | |
| 99173 | <1% | 4,446 | $16K | |
| 90715 | <1% | 525 | $15K | |
| 90670 | <1% | 546 | $12K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 225 | $12K |
| 81003 | <1% | 9,748 | $12K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 173 | $11K |
| 90734 | <1% | 332 | $10K | |
| 85018 | <1% | 7,184 | $10K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 312 | $6K |
| 90648 | <1% | 350 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,442 | $5K |
| 90620 | <1% | 108 | $4K | |
| 90633 | <1% | 190 | $3K | |
| 90682 | <1% | 223 | $3K | |
| 81025 | <1% | 1,102 | $3K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 510 | $3K |
| 98940 | <1% | 198 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 311 | $3K |
| G9920 | Screening performed and negative | <1% | 145 | $2K |
| 90723 | <1% | 131 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 25 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 157 | $1K |
| J3490 | Unclassified drugs | <1% | 13 | $1K |
| 90656 | <1% | 77 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 189 | $943.48 |
| 82962 | <1% | 442 | $837.59 | |
| 90680 | <1% | 55 | $684.00 | |
| 90619 | <1% | 30 | $495.00 | |
| 90700 | <1% | 12 | $216.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 28 | $124.29 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | $76.92 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13 | $75.53 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 12 | $68.20 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 73 | $42.26 |
| 73130 | <1% | 15 | $30.44 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 112 | $27.51 |
| 80061 | Lipid panel | <1% | 105 | $21.69 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 103 | $15.90 |
| 80053 | Comprehensive metabolic panel | <1% | 133 | $15.36 |
| 84439 | <1% | 82 | $8.07 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 150 | $6.89 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 16 | $1.43 |
| 3078F | 0% | 4,144 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 125 | $0.00 |
| 3077F | 0% | 531 | $0.00 | |
| 3051F | 0% | 47 | $0.00 | |
| 3046F | 0% | 28 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 13 | $0.00 |
| 90662 | 0% | 13 | $0.00 | |
| 2001F | 0% | 3,517 | $0.00 | |
| 3074F | 0% | 4,351 | $0.00 | |
| 3080F | 0% | 345 | $0.00 | |
| 3008F | 0% | 3,513 | $0.00 | |
| Z1034 | 0% | 1,459 | $0.00 | |
| 1036F | 0% | 4,929 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 56 | $0.00 |
| 3075F | 0% | 717 | $0.00 | |
| 3079F | 0% | 1,198 | $0.00 | |
| 3044F | 0% | 123 | $0.00 | |
| 1034F | 0% | 39 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 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.
From NPPES
Who's on the registration
Authorized officialLUJANO, EDWARD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Castle Family Health Centers INC. | Atwater, CA | $78.67M |
| Castle Family Health Centers INC. | Winton, CA | $16.82M |
| Castle Family Health Centers INC | Atwater, CA | $146K |
| Castle Family Health Centers INC | Atwater, CA | $98K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.