Alameda Health System
Alameda Health System was paid $57.80M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoALAMEDA HEALTH SYSTEM
OAKLAND, CA 94602
OAKLAND, CA 94602
33aNPI1548551997assigned 04/20/2011
33bProvider typeCase Manager/Care Coordinator
28Total paid$57.80M
24GClaims678,503
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#33 of 435
Median peer was paid$2.89M
This provider vs. median20×
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 MIRANDA, KIM controls 12+ 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 | 46,016 | $5.92M | |
| 2019 | 36,175 | $3.58M | |
| 2020 | 72,039 | $5.48M | |
| 2021 | 78,525 | $5.68M | |
| 2022 | 107,887 | $8.88M | |
| 2023 | 168,745 | $13.91M | |
| 2024incomplete | 169,116 | $14.35M |
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 | 86% | 360,222 | 336,893 | $49.68M |
| 00003 | Internal/system code - not a standard HCPCS code | 12% | 31,280 | 29,116 | $6.95M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.0% | 15,435 | 13,588 | $588K |
| 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% | 75,460 | 72,927 | $278K |
| 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% | 84,736 | 81,437 | $196K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 7,245 | 7,124 | $52K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32,502 | 31,055 | $42K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 246 | 242 | $8K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,416 | 1,338 | $4K |
| 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% | 1,233 | 1,228 | $844.30 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,172 | 931 | $702.00 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 1,495 | 1,492 | $549.12 |
88 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,065 | $504.77 |
| 90686 | <1% | 3,343 | $67.03 | |
| 91322 | <1% | 14 | $43.80 | |
| 92551 | 0% | 4,247 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 990 | $0.00 |
| Z1034 | 0% | 6,673 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 8,139 | $0.00 |
| 51798 | 0% | 530 | $0.00 | |
| 90723 | 0% | 1,965 | $0.00 | |
| 90697 | 0% | 1,018 | $0.00 | |
| 90680 | 0% | 762 | $0.00 | |
| 90474 | 0% | 85 | $0.00 | |
| 90677 | 0% | 938 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 285 | $0.00 |
| 90647 | 0% | 1,739 | $0.00 | |
| 88720 | 0% | 654 | $0.00 | |
| 31231 | 0% | 374 | $0.00 | |
| 99443 | 0% | 138 | $0.00 | |
| 20610 | 0% | 175 | $0.00 | |
| 52000 | 0% | 88 | $0.00 | |
| 51705 | 0% | 12 | $0.00 | |
| 99243 | 0% | 78 | $0.00 | |
| Z1032 | 0% | 264 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 24 | $0.00 |
| 99383 | 0% | 12 | $0.00 | |
| Z1038 | 0% | 76 | $0.00 | |
| Z6410 | 0% | 249 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 196 | $0.00 |
| 20553 | 0% | 125 | $0.00 | |
| Z6406 | 0% | 13 | $0.00 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 208 | $0.00 |
| Z6204 | 0% | 25 | $0.00 | |
| 99241 | 0% | 42 | $0.00 | |
| 82962 | 0% | 217 | $0.00 | |
| Z6402 | 0% | 86 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 70 | $0.00 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 114 | $0.00 |
| 90716 | 0% | 53 | $0.00 | |
| 90651 | 0% | 68 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 89 | $0.00 |
| 86580 | 0% | 24 | $0.00 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 0% | 558 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 9,410 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 5,911 | $0.00 |
| 99173 | 0% | 4,623 | $0.00 | |
| Z6200 | 0% | 86 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 209 | $0.00 |
| 90633 | 0% | 902 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,566 | $0.00 |
| 90473 | 0% | 72 | $0.00 | |
| 90670 | 0% | 1,106 | $0.00 | |
| 81002 | 0% | 250 | $0.00 | |
| Z6300 | 0% | 86 | $0.00 | |
| Z6400 | 0% | 56 | $0.00 | |
| Z6414 | 0% | 36 | $0.00 | |
| 99442 | 0% | 238 | $0.00 | |
| 11721 | 0% | 472 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 178 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 254 | $0.00 |
| 31575 | 0% | 320 | $0.00 | |
| 81025 | 0% | 982 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 308 | $0.00 |
| 90681 | 0% | 634 | $0.00 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 14 | $0.00 |
| 90380 | 0% | 30 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 238 | $0.00 |
| 90750 | 0% | 258 | $0.00 | |
| 90715 | 0% | 108 | $0.00 | |
| 20611 | 0% | 12 | $0.00 | |
| 92552 | 0% | 53 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 132 | $0.00 |
| 99188 | 0% | 33 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 60 | $0.00 |
| 51702 | 0% | 14 | $0.00 | |
| Z6412 | 0% | 89 | $0.00 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 0% | 17 | $0.00 |
| 90707 | 0% | 40 | $0.00 | |
| 0004A | 0% | 63 | $0.00 | |
| 92134 | 0% | 97 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 102 | $0.00 |
| 90700 | 0% | 12 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 68 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $0.00 |
| 90710 | 0% | 24 | $0.00 | |
| Z6304 | 0% | 13 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 20 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 13 | $0.00 |
| 92083 | 0% | 12 | $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 officialMIRANDA, KIM (CFO)
| Provider | Location | Paid |
|---|---|---|
| Alameda Health System | Oakland, CA | $64.53M |
| Dignity Health | Red Bluff, CA | $28.47M |
| Dignity Health | Cottonwood, CA | $8.28M |
| Dignity Health | Red Bluff, CA | $4.59M |
| Dignity Health | Mount Shasta, CA | $2.82M |
| Dignity Health | Redding, CA | $1.58M |
| Dignity Health | Redding, CA | $1.34M |
| Dignity Health | Mount Shasta, CA | $1.28M |
| Dignity Health | Weed, CA | $981K |
| Alameda Health System | Hayward, CA | $392K |
| Dignity Health | Redding, CA | $273K |
| Dignity Health | Red Bluff, CA | $134K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.