North East Medical Services
North East Medical Services was paid $38.88M by Medicaid between Jan 2018 and Dec 2024, across 163 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoNORTH EAST MEDICAL SERVICES
SAN JOSE, CA 95131
SAN JOSE, CA 95131
33aNPI1548697444assigned 10/09/2013
33bProvider typeCase Manager/Care Coordinator
28Total paid$38.88M
24GClaims606,075
24DCodes billed163
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#53 of 435
Median peer was paid$2.89M
This provider vs. median13×
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 CHAN, EDDIE controls 20+ 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 | 35,064 | $1.75M | |
| 2019 | 75,614 | $4.50M | |
| 2020 | 77,515 | $5.25M | |
| 2021 | 96,361 | $6.36M | |
| 2022 | 59,493 | $5.15M | |
| 2023 | 93,745 | $8.08M | |
| 2024incomplete | 168,283 | $7.79M |
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 | 84% | 169,149 | 142,824 | $32.49M |
| 00003 | Internal/system code - not a standard HCPCS code | 12% | 17,690 | 13,119 | $4.66M |
| G9012 | Other specified case management service not elsewhere classified | 1.2% | 6,424 | 5,344 | $469K |
| 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% | 129,994 | 92,196 | $174K |
| 97810 | <1% | 21,903 | 8,398 | $147K | |
| 97811 | <1% | 19,606 | 8,083 | $121K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 2,601 | 1,963 | $80K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,089 | 825 | $78K |
| 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% | 23,407 | 17,455 | $48K |
| 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% | 1,794 | 1,566 | $44K |
| 0011A | <1% | 979 | 820 | $43K | |
| 0002A | <1% | 555 | 554 | $37K |
151 more codes
| 0001A | <1% | 528 | $35K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 3,984 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,822 | $28K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 497 | $27K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,593 | $26K |
| 0012A | <1% | 416 | $25K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,375 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,832 | $22K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 883 | $20K |
| 0031A | <1% | 292 | $19K | |
| 92551 | <1% | 7,020 | $19K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 2,054 | $17K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,569 | $17K |
| 0064A | <1% | 262 | $17K | |
| 90688 | <1% | 5,130 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,307 | $12K |
| 0124A | <1% | 177 | $11K | |
| 0134A | <1% | 187 | $11K | |
| 90739 | <1% | 147 | $8K | |
| 0054A | <1% | 110 | $7K | |
| 99490 | Ccm add 20min | <1% | 516 | $7K |
| 0004A | <1% | 104 | $7K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 866 | $7K |
| G9920 | Screening performed and negative | <1% | 1,920 | $6K |
| 90756 | <1% | 613 | $5K | |
| 90670 | <1% | 513 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17,482 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 259 | $4K |
| 77080 | <1% | 375 | $4K | |
| 0071A | <1% | 43 | $3K | |
| 76641 | <1% | 113 | $3K | |
| 90662 | <1% | 1,284 | $3K | |
| 0072A | <1% | 40 | $3K | |
| 90651 | <1% | 991 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,389 | $2K |
| 90750 | <1% | 219 | $2K | |
| 72110 | <1% | 189 | $2K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 955 | $2K |
| 90746 | <1% | 49 | $2K | |
| 90620 | <1% | 204 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,170 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 208 | $1K |
| 73562 | <1% | 187 | $1K | |
| 90715 | <1% | 245 | $1K | |
| 76770 | <1% | 56 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 157 | $930.80 |
| 90732 | <1% | 52 | $873.00 | |
| 0034A | <1% | 12 | $804.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 215 | $707.51 |
| 77065 | Tomosynthesis, mammo | <1% | 16 | $627.34 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 37 | $623.71 |
| 76830 | Ultrasound, transvaginal | <1% | 35 | $586.26 |
| G0008 | Administration of influenza virus vaccine | <1% | 1,435 | $578.05 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 35 | $570.65 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 1,646 | $530.93 |
| 99384 | <1% | 43 | $507.64 | |
| 93000 | <1% | 219 | $480.89 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 37 | $460.70 |
| 90480 | <1% | 234 | $449.25 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 172 | $410.26 |
| 76642 | <1% | 13 | $383.88 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 143 | $347.70 |
| 99442 | <1% | 186 | $301.71 | |
| 91322 | <1% | 18 | $298.11 | |
| 90658 | <1% | 823 | $284.43 | |
| 90734 | <1% | 366 | $212.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 48 | $208.80 |
| 99406 | <1% | 54 | $200.25 | |
| 90686 | <1% | 1,897 | $156.15 | |
| 90716 | <1% | 21 | $122.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 93 | $63.63 |
| 90698 | <1% | 332 | $60.00 | |
| 90677 | <1% | 39 | $54.80 | |
| 91320 | <1% | 57 | $46.97 | |
| V2020 | Frames, purchases | <1% | 4,425 | $42.62 |
| 90474 | <1% | 47 | $40.10 | |
| 98940 | <1% | 45 | $39.92 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $22.90 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 215 | $22.45 |
| 90633 | <1% | 240 | $19.84 | |
| 99173 | <1% | 5,946 | $7.24 | |
| 83037 | <1% | 125 | $5.48 | |
| 90689 | <1% | 657 | $2.00 | |
| 82962 | <1% | 17 | $1.80 | |
| D1206 | Topical application of fluoride varnish | 0% | 45 | $0.00 |
| D0603 | 0% | 24 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,997 | $0.00 |
| 3074F | 0% | 17,889 | $0.00 | |
| 3079F | 0% | 4,703 | $0.00 | |
| 3008F | 0% | 17,050 | $0.00 | |
| 3075F | 0% | 5,270 | $0.00 | |
| 3044F | 0% | 112 | $0.00 | |
| 2023F | 0% | 178 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 512 | $0.00 |
| 3351F | 0% | 1,435 | $0.00 | |
| 1125F | 0% | 570 | $0.00 | |
| 1126F | 0% | 2,998 | $0.00 | |
| 3080F | 0% | 175 | $0.00 | |
| 90744 | 0% | 99 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 13 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 48 | $0.00 |
| 90619 | 0% | 250 | $0.00 | |
| 90680 | 0% | 84 | $0.00 | |
| 90656 | 0% | 187 | $0.00 | |
| 99383 | 0% | 28 | $0.00 | |
| 91301 | 0% | 110 | $0.00 | |
| D1330 | 0% | 57 | $0.00 | |
| 90674 | 0% | 59 | $0.00 | |
| D9995 | 0% | 199 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 16 | $0.00 |
| G0202 | Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed | 0% | 27 | $0.00 |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 514 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 37 | $0.00 |
| 1170F | 0% | 174 | $0.00 | |
| D1310 | 0% | 88 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 315 | $0.00 |
| 1101F | 0% | 88 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 54 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 43 | $0.00 |
| 1000F | 0% | 23 | $0.00 | |
| 1111F | 0% | 62 | $0.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 4,102 | $0.00 |
| 3078F | 0% | 22,336 | $0.00 | |
| 3077F | 0% | 4,188 | $0.00 | |
| 1160F | 0% | 8,991 | $0.00 | |
| 90687 | 0% | 1,081 | $0.00 | |
| 1159F | 0% | 11,780 | $0.00 | |
| 90736 | 0% | 54 | $0.00 | |
| 92341 | 0% | 302 | $0.00 | |
| 1003F | 0% | 97 | $0.00 | |
| 1090F | 0% | 95 | $0.00 | |
| 2014F | 0% | 78 | $0.00 | |
| 90672 | 0% | 21 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 305 | $0.00 |
| 3288F | 0% | 177 | $0.00 | |
| 1494F | 0% | 79 | $0.00 | |
| D9430 | 0% | 536 | $0.00 | |
| Z6300 | 0% | 14 | $0.00 | |
| 99188 | 0% | 251 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 30 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 35 | $0.00 |
| Z6308 | 0% | 12 | $0.00 | |
| 90710 | 0% | 17 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 99 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 45 | $0.00 |
| 99397 | 0% | 14 | $0.00 | |
| 1158F | 0% | 144 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 42 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 30 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 42 | $0.00 |
| D0270 | 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 officialCHAN, EDDIE (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| North East Medical Services | San Francisco, CA | $142.96M |
| North East Medical Services | San Francisco, CA | $59.12M |
| North East Medical Services | Daly City, CA | $47.54M |
| North East Medical Services | San Francisco, CA | $16.05M |
| North East Medical Services | San Francisco, CA | $10.35M |
| North East Medical Services | San Francisco, CA | $8.89M |
| North East Medical Services | San Francisco, CA | $8.50M |
| North East Medical Services | San Jose, CA | $2.39M |
| North East Medical Services | Daly City, CA | $546K |
| North East Medical Services | San Francisco, CA | $233K |
| North East Medical Services | San Francisco, CA | $131K |
| North East Medical Services | San Francisco, CA | $64K |
| North East Medical Services | San Francisco, CA | $40K |
| North East Medical Services | San Francisco, CA | $40K |
| North East Medical Services | Daly City, CA | $35K |
| North East Medical Services | Daly City, CA | $15K |
| North East Medical Services | San Francisco, CA | $7K |
| North East Medical Services | San Francisco, CA | $2K |
| North East Medical Services | San Francisco, CA | $2K |
| North East Medical Services | San Francisco, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.