Clinic
West County Health Centers, INC.
West County Health Centers, INC. was paid $3.88M by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 74% of everything it billed.
33Billing provider infoWEST COUNTY HEALTH CENTERS, INC.
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
33aNPI1538334065assigned 04/25/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.88M
24GClaims31,287
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#416 of 826
Median peer was paid$4.05M
This provider vs. median1.0×
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 | 4,055 | $331K | |
| 2019 | 5,681 | $771K | |
| 2020 | 2,708 | $350K | |
| 2021 | 4,401 | $539K | |
| 2022 | 5,307 | $671K | |
| 2023 | 7,661 | $1.03M | |
| 2024incomplete | 1,474 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 74% | 16,360 | 12,795 | $2.85M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 26% | 7,423 | 5,715 | $994K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 459 | 293 | $15K |
| 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% | 5,565 | 4,031 | $13K |
| H0049 | Alcohol and/or drug screening | <1% | 61 | 60 | $1K |
| 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% | 889 | 676 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 146 | 86 | $447.18 |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 384 | 327 | $82.16 |
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 officialSZECSEY, MARY (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| West County Health Centers, INC. | Sebastopol, CA | $12.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.