Reproductive Health Care Center

Reproductive Health Care Center was paid $5.47M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoREPRODUCTIVE HEALTH CARE CENTER
FULLERTON, CA 92833

33aNPI1508977414assigned 08/31/2006

33bProvider typeClinic/Center

28Total paid$5.47M

24GClaims145,332

24DCodes billed82

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in California

Rank by total paid#80 of 504

Median peer was paid$102K

This provider vs. median54×

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	13,200	$632K
2019	15,633	$726K
2020	16,788	$902K
2021	17,609	$945K
2022	18,179	$921K
2023	24,754	$841K
2024incomplete	39,169	$503K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	22,475	19,831	$1.69M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	14%	9,567	8,918	$745K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	6.7%	10,415	9,777	$369K
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	6.5%	2,970	2,834	$355K
96156		5.8%	3,338	3,315	$318K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.8%	4,935	4,647	$206K
92551		2.9%	6,150	6,044	$158K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	2.4%	4,216	4,177	$134K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	2.2%	7,611	7,081	$118K
96127		2.0%	10,207	9,498	$112K
99000		1.8%	8,307	7,733	$98K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.6%	736	713	$88K

70 more codes

G8431	Screening for depression is documented as being positive and a follow-up plan is documented	1.4%	2,729	$79K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.4%	1,236	$76K
99203	Doctor's office visit, new patient (routine)	1.1%	400	$59K
99215	Doctor's office visit, returning patient (complex)	<1%	465	$53K
99406		<1%	1,926	$52K
G9920	Screening performed and negative	<1%	2,126	$52K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	2,581	$49K
H1001	Prenatal care, at-risk enhanced service; antepartum management	<1%	538	$49K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	424	$49K
Z1034		<1%	876	$48K
99401		<1%	1,451	$48K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	892	$47K
97802		<1%	2,116	$44K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	452	$31K
90686		<1%	1,752	$27K
99497		<1%	313	$26K
99496		<1%	143	$25K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	492	$23K
90715		<1%	759	$22K
82962		<1%	1,744	$21K
81000		<1%	4,774	$19K
96151		<1%	848	$19K
99173		<1%	567	$19K
90651		<1%	457	$17K
90682		<1%	256	$14K
85018		<1%	4,558	$11K
99070		<1%	381	$11K
93000		<1%	248	$10K
99385		<1%	66	$10K
G0444	Annual depression screening, 5 to 15 minutes	<1%	241	$9K
82948		<1%	377	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	61	$6K
90656		<1%	361	$5K
88150		<1%	180	$5K
92081		<1%	66	$4K
99205	Prolong outpt/office vis	<1%	29	$4K
90732		<1%	25	$3K
83655		<1%	323	$3K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	167	$2K
90670		<1%	100	$2K
Z1032		<1%	12	$2K
90734		<1%	157	$2K
99188		<1%	248	$2K
90671		<1%	56	$2K
90685		<1%	171	$2K
99386		<1%	26	$2K
87110		<1%	82	$1K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	14	$1K
81025		<1%	359	$1K
90620		<1%	97	$1K
99384		<1%	14	$1K
81002		<1%	35	$739.26
87070		<1%	98	$733.14
86580		<1%	27	$660.31
96150		<1%	28	$651.28
90756		<1%	16	$497.92
A4267	Contraceptive supply, condom, male, each	<1%	42	$465.78
90633		<1%	51	$441.00
90472	Immunization administration, each additional vaccine (list separately)	<1%	67	$299.30
90658		<1%	17	$153.00
90698		<1%	15	$135.00
90680		<1%	14	$126.00
90697		<1%	13	$90.00
81005		<1%	26	$48.62
3078F		0%	3,334	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	2,179	$0.00
3008F		0%	5,583	$0.00
3079F		0%	438	$0.00
3074F		0%	3,261	$0.00
3075F		0%	425	$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 officialALAMARES, LUZ (BILLING COORDINATOR)