JWCH Institute, INC.
JWCH Institute, INC. was paid $2.24M by Medicaid between Jan 2018 and Jan 2024, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoJWCH INSTITUTE, INC.
BELLFLOWER, CA 90706
BELLFLOWER, CA 90706
33aNPI1538342704assigned 12/11/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$2.24M
24GClaims34,404
24DCodes billed48
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#227 of 435
Median peer was paid$2.89M
This provider vs. median0.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BALLESTEROS, ALVARO controls 17+ related entities in our dataset. Read more
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 | 8,408 | $920K | |
| 2019 | 12,473 | $808K | |
| 2020 | 12,934 | $493K | |
| 2021 | 66 | $1K | |
| 2022 | 420 | $13K | |
| 2024incomplete | 103 | $1K |
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 | 98% | 19,900 | 15,493 | $2.19M |
| 00003 | Internal/system code - not a standard HCPCS code | 1.3% | 225 | 225 | $29K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 420 | 223 | $13K |
| 98940 | <1% | 157 | 117 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | 12 | $0.10 |
| 92015 | Determination of refractive state | 0% | 370 | 367 | $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% | 158 | 156 | $0.00 |
| 90655 | 0% | 27 | 27 | $0.00 | |
| 81002 | 0% | 121 | 106 | $0.00 | |
| 99173 | 0% | 203 | 203 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 454 | 441 | $0.00 |
| 90633 | 0% | 42 | 42 | $0.00 |
36 more codes
| D0190 | 0% | 227 | $0.00 | |
| 1159F | 0% | 2,414 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 433 | $0.00 |
| 1160F | 0% | 2,417 | $0.00 | |
| 90658 | 0% | 148 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 579 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 74 | $0.00 |
| 90670 | 0% | 96 | $0.00 | |
| 90461 | 0% | 13 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 35 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 15 | $0.00 |
| PROP5 | 0% | 28 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| VSY5 | 0% | 58 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 12 | $0.00 |
| 3725F | 0% | 36 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 12 | $0.00 |
| 92002 | 0% | 262 | $0.00 | |
| 85018 | 0% | 143 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 3,704 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 177 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 184 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 458 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 261 | $0.00 |
| 90723 | 0% | 28 | $0.00 | |
| 99241 | 0% | 149 | $0.00 | |
| 90686 | 0% | 58 | $0.00 | |
| 99000 | 0% | 17 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 115 | $0.00 |
| 1126F | 0% | 30 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 18 | $0.00 |
| 99429 | 0% | 20 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 23 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 16 | $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 officialBALLESTEROS, ALVARO (CHIEF EXECUTIVE OFFICER)
Parent organizationJWCH INSTITUTE, INC.
| Provider | Location | Paid |
|---|---|---|
| JWCH Institute, INC. | Los Angeles, CA | $119.49M |
| JWCH Institute INC | Los Angeles, CA | $28.06M |
| JWCH Institute, INC. | Norwalk, CA | $16.20M |
| JWCH Institute, INC | Downey, CA | $12.94M |
| JWCH Institute, INC. | Bell Gardens, CA | $6.40M |
| JWCH Institute, INC. | Lynwood, CA | $5.07M |
| JWCH Institute, INC | Hacienda Heights, CA | $3.85M |
| JWCH Institute, INC. | Lancaster, CA | $1.12M |
| JWCH Institute, INC. | Los Angeles, CA | $218K |
| JWCH Institute, INC. | Lancaster, CA | $100K |
| JWCH Institute, INC. | Bell Gardens, CA | $67K |
| JWCH Institute, INC. | Palmdale, CA | $56K |
| JWCH Institute INC | Lynwood, CA | $52K |
| JWCH Institute, INC. | Bell Gardens, CA | $40K |
| JWCH Institute, INC. | Lancaster, CA | $11K |
| JWCH Institute, INC | Pasadena, CA | $10K |
| JWCH Institute, INC. | Bellflower, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.