Clinic
Tri-State Community Healthcare Center
Tri-State Community Healthcare Center was paid $30.38M by Medicaid between Sep 2019 and Dec 2024, across 116 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoTRI-STATE COMMUNITY HEALTHCARE CENTER
ADELANTO, CA 92301
ADELANTO, CA 92301
33aNPI1508379017assigned 11/07/2017
33bProvider typePrimary Care Clinic/Center
28Total paid$30.38M
24GClaims865,277
24DCodes billed116
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#8 of 422
Median peer was paid$25K
This provider vs. median1,237×
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 | |
|---|---|---|---|
| 2019 | 15,160 | $162K | |
| 2020 | 96,371 | $2.65M | |
| 2021 | 144,102 | $4.32M | |
| 2022 | 195,316 | $5.09M | |
| 2023 | 221,352 | $7.07M | |
| 2024incomplete | 192,976 | $11.10M |
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 | 88% | 164,708 | 112,079 | $26.88M |
| 00003 | Internal/system code - not a standard HCPCS code | 9.1% | 11,611 | 9,252 | $2.77M |
| 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% | 86,074 | 63,418 | $241K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 85,286 | 53,984 | $164K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 18,595 | 14,765 | $74K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 6,134 | 5,602 | $46K |
| 96156 | <1% | 3,049 | 2,540 | $37K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,435 | 2,038 | $23K |
| 99385 | <1% | 2,681 | 2,474 | $22K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 6,044 | 5,707 | $18K |
| 97802 | <1% | 8,021 | 7,616 | $16K | |
| 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% | 3,787 | 3,443 | $14K |
104 more codes
| 92551 | <1% | 4,029 | $13K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 5,677 | $11K |
| 97803 | <1% | 6,055 | $5K | |
| 99447 | <1% | 8,772 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 892 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 377 | $5K |
| 99443 | <1% | 1,616 | $5K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 709 | $4K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 32,105 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,374 | $3K |
| 99000 | <1% | 6,253 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,226 | $3K |
| 99386 | <1% | 882 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 21 | $2K |
| 99401 | <1% | 20,597 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,141 | $911.21 |
| 86580 | <1% | 440 | $868.70 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 272 | $705.64 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 175 | $591.50 |
| 99383 | <1% | 124 | $542.80 | |
| 85018 | <1% | 1,494 | $489.48 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 36 | $451.95 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 288 | $390.69 |
| 99304 | <1% | 12 | $374.20 | |
| G9920 | Screening performed and negative | <1% | 407 | $373.23 |
| 90686 | <1% | 92 | $311.71 | |
| 3079F | <1% | 8,949 | $292.43 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 16,070 | $276.16 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,253 | $217.60 |
| 3008F | <1% | 48,440 | $175.43 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 264 | $170.18 |
| 82948 | <1% | 672 | $152.76 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 538 | $146.97 |
| 99406 | <1% | 472 | $142.86 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 178 | $114.72 |
| 1126F | <1% | 25,073 | $104.00 | |
| 92060 | <1% | 14 | $100.32 | |
| 1159F | <1% | 47,087 | $85.00 | |
| 1160F | <1% | 46,146 | $85.00 | |
| 81000 | <1% | 111 | $81.60 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 131 | $74.04 |
| 3725F | <1% | 8,453 | $64.00 | |
| 1036F | <1% | 24,071 | $56.00 | |
| 1000F | <1% | 38,950 | $56.00 | |
| 3074F | <1% | 20,470 | $55.07 | |
| H0049 | Alcohol and/or drug screening | <1% | 8,390 | $51.27 |
| 81025 | <1% | 33 | $49.86 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 174 | $49.58 |
| 1034F | <1% | 3,825 | $47.31 | |
| 3077F | <1% | 5,834 | $45.00 | |
| 99173 | <1% | 4,787 | $36.58 | |
| 3078F | <1% | 17,574 | $30.01 | |
| 3075F | <1% | 3,949 | $30.00 | |
| 90670 | <1% | 12 | $26.73 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 638 | $23.76 |
| 90710 | <1% | 37 | $17.82 | |
| 94760 | <1% | 27 | $13.19 | |
| 3080F | <1% | 3,732 | $10.00 | |
| 4004F | <1% | 1,337 | $8.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,187 | $5.00 |
| 3353F | 0% | 512 | $0.00 | |
| 1125F | 0% | 6,135 | $0.00 | |
| 96161 | 0% | 829 | $0.00 | |
| 2010F | 0% | 1,911 | $0.00 | |
| 2023F | 0% | 913 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 51 | $0.00 |
| 90651 | 0% | 14 | $0.00 | |
| 3351F | 0% | 723 | $0.00 | |
| 92002 | 0% | 125 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 25 | $0.00 |
| 4010F | 0% | 1,298 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 296 | $0.00 |
| 1111F | 0% | 124 | $0.00 | |
| 88150 | 0% | 26 | $0.00 | |
| 91301 | 0% | 55 | $0.00 | |
| 3354F | 0% | 26 | $0.00 | |
| 36416 | 0% | 191 | $0.00 | |
| 0011A | 0% | 16 | $0.00 | |
| 1157F | 0% | 28 | $0.00 | |
| 99402 | 0% | 147 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 51 | $0.00 |
| 1170F | 0% | 53 | $0.00 | |
| 3044F | 0% | 45 | $0.00 | |
| 0012A | 0% | 32 | $0.00 | |
| 0001F | 0% | 13 | $0.00 | |
| 99407 | 0% | 12 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 8,707 | $0.00 |
| 1158F | 0% | 1,684 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,835 | $0.00 |
| 99448 | 0% | 2,851 | $0.00 | |
| 0521F | 0% | 1,848 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 112 | $0.00 |
| 2022F | 0% | 734 | $0.00 | |
| 96160 | 0% | 623 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 167 | $0.00 |
| 99449 | 0% | 163 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 41 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 73 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 29 | $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% | 12 | $0.00 |
| 91300 | 0% | 38 | $0.00 | |
| 99201 | 0% | 274 | $0.00 | |
| 99397 | 0% | 34 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 32 | $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 officialMINEROS, CRYSTALE (CREDENTIALING MANAGER)
Parent organizationTRI-STATE COMMUNITY HEALTHCARE CENTER
| Provider | Location | Paid |
|---|---|---|
| Tri-State Community Healthcare Center | Hemet, CA | $0.00 |
| Tri-State Community Healthcare Center | Los Angeles, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.