Clinic
South Bay Family Healthcare Center
South Bay Family Healthcare Center was paid $3.68M by Medicaid between Jan 2018 and Oct 2021, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoSOUTH BAY FAMILY HEALTHCARE CENTER
REDONDO BEACH, CA 90278
REDONDO BEACH, CA 90278
33aNPI1548301229assigned 02/08/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.68M
24GClaims62,789
24DCodes billed43
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#423 of 826
Median peer was paid$4.05M
This provider vs. median0.9×
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 | 10,012 | $936K | |
| 2019 | 13,213 | $880K | |
| 2020 | 19,620 | $966K | |
| 2021 | 19,944 | $895K |
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 | 91% | 36,245 | 30,684 | $3.33M |
| 00003 | Internal/system code - not a standard HCPCS code | 5.2% | 1,247 | 1,138 | $191K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.2% | 1,527 | 720 | $82K |
| 0011A | <1% | 833 | 449 | $35K | |
| 0012A | <1% | 801 | 432 | $34K | |
| 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% | 7,865 | 7,050 | $6K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 18 | 12 | $454.60 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,258 | 2,120 | $310.16 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 177 | 174 | $299.50 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 679 | 634 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 764 | 755 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 304 | 304 | $0.00 |
31 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 374 | $0.00 |
| 99173 | 0% | 723 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 43 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 16 | $0.00 |
| 90715 | 0% | 37 | $0.00 | |
| 90734 | 0% | 157 | $0.00 | |
| 90669 | 0% | 73 | $0.00 | |
| 99382 | 0% | 16 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12 | $0.00 |
| 90707 | 0% | 45 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 27 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 15 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 134 | $0.00 |
| 3077F | 0% | 13 | $0.00 | |
| 90658 | 0% | 90 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 3,612 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,492 | $0.00 |
| 85018 | 0% | 1,331 | $0.00 | |
| 92551 | 0% | 958 | $0.00 | |
| 90620 | 0% | 160 | $0.00 | |
| 90657 | 0% | 18 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 90688 | 0% | 333 | $0.00 | |
| 90651 | 0% | 177 | $0.00 | |
| 90716 | 0% | 108 | $0.00 | |
| 90686 | 0% | 34 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 12 | $0.00 |
| 99383 | 0% | 12 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 12 | $0.00 |
| 99384 | 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 officialHAMILITON-LEE, JANN (PRESIDENT-CEO)
| Provider | Location | Paid |
|---|---|---|
| South Bay Family Healthcare Center | Gardena, CA | $2.38M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.