Altura Centers for Health
Altura Centers for Health was paid $36.34M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoALTURA CENTERS FOR HEALTH
TULARE, CA 93274
TULARE, CA 93274
33aNPI1568827210assigned 12/23/2015
33bProvider typeCase Manager/Care Coordinator
28Total paid$36.34M
24GClaims822,500
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#58 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.
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 | 40,320 | $2.72M | |
| 2019 | 111,000 | $3.93M | |
| 2020 | 141,378 | $5.32M | |
| 2021 | 161,550 | $6.18M | |
| 2022 | 122,987 | $5.04M | |
| 2023 | 121,072 | $6.67M | |
| 2024incomplete | 124,193 | $6.48M |
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 | 78% | 225,342 | 185,318 | $28.42M |
| 00003 | Internal/system code - not a standard HCPCS code | 19% | 40,832 | 32,461 | $6.99M |
| 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% | 14,852 | 10,878 | $192K |
| 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% | 169,583 | 114,519 | $133K |
| G9920 | Screening performed and negative | <1% | 8,640 | 6,910 | $119K |
| 98940 | <1% | 8,942 | 5,191 | $90K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 6,415 | 4,368 | $55K |
| 81002 | <1% | 6,900 | 4,944 | $46K | |
| 81025 | <1% | 1,929 | 1,744 | $35K | |
| 59425 | <1% | 1,320 | 915 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50,774 | 33,527 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 16,158 | 11,815 | $25K |
90 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 11,397 | $24K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 32,687 | $22K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,545 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12,676 | $9K |
| 87428 | <1% | 2,285 | $9K | |
| 85018 | <1% | 37,251 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 432 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 7,632 | $6K |
| 90686 | <1% | 15,921 | $6K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 159 | $6K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 450 | $5K |
| 92551 | <1% | 22,703 | $4K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,073 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,969 | $4K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 414 | $4K |
| 99173 | <1% | 17,958 | $3K | |
| 90670 | <1% | 9,838 | $2K | |
| 99381 | <1% | 764 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 178 | $2K |
| 99243 | <1% | 38 | $1K | |
| 90647 | <1% | 6,702 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 31 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 23 | $1K |
| 90680 | <1% | 7,612 | $1K | |
| 90697 | <1% | 2,289 | $944.55 | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 12 | $935.16 |
| 90715 | <1% | 815 | $929.02 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 4,759 | $894.90 |
| 90688 | <1% | 1,034 | $820.86 | |
| 90723 | <1% | 6,701 | $797.27 | |
| 83655 | <1% | 4,649 | $687.65 | |
| 90633 | <1% | 5,148 | $598.47 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,374 | $557.17 |
| 90381 | <1% | 71 | $553.92 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,184 | $535.07 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $532.80 |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 13 | $517.44 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,614 | $378.64 |
| 99174 | <1% | 6,791 | $367.07 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 13 | $353.22 |
| 99188 | <1% | 1,929 | $275.85 | |
| 86580 | <1% | 1,354 | $267.05 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,003 | $256.16 |
| 90619 | <1% | 477 | $211.64 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 728 | $201.48 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 615 | $167.07 |
| 90651 | <1% | 2,515 | $127.97 | |
| 88720 | <1% | 460 | $112.14 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,474 | $100.01 |
| 90474 | <1% | 25 | $72.00 | |
| 90671 | <1% | 287 | $63.90 | |
| 82947 | <1% | 126 | $63.63 | |
| 87420 | <1% | 901 | $48.32 | |
| 92227 | <1% | 69 | $43.83 | |
| 90716 | <1% | 782 | $40.91 | |
| 90707 | <1% | 359 | $36.45 | |
| 90685 | <1% | 122 | $36.00 | |
| 93000 | <1% | 30 | $28.41 | |
| J1750 | Injection, iron dextran, 50 mg | <1% | 121 | $21.78 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 816 | $18.56 |
| 90710 | <1% | 579 | $17.92 | |
| 90734 | <1% | 1,075 | $17.92 | |
| 90662 | <1% | 150 | $13.76 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 202 | $13.40 |
| 90696 | <1% | 497 | $4.46 | |
| 90700 | <1% | 597 | $4.46 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 472 | $1.28 |
| G0008 | Administration of influenza virus vaccine | 0% | 198 | $0.00 |
| 3074F | 0% | 2,993 | $0.00 | |
| 3079F | 0% | 979 | $0.00 | |
| 3080F | 0% | 249 | $0.00 | |
| 3075F | 0% | 490 | $0.00 | |
| Z1034 | 0% | 1,524 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 133 | $0.00 |
| 90620 | 0% | 220 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 30 | $0.00 |
| Z1032 | 0% | 84 | $0.00 | |
| 90656 | 0% | 234 | $0.00 | |
| 99000 | 0% | 35 | $0.00 | |
| Z6410 | 0% | 63 | $0.00 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 21 | $0.00 |
| 3078F | 0% | 2,962 | $0.00 | |
| 3077F | 0% | 630 | $0.00 | |
| Z6400 | 0% | 396 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 426 | $0.00 |
| 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 | 0% | 73 | $0.00 |
| 90653 | 0% | 29 | $0.00 | |
| 17110 | 0% | 34 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 12 | $0.00 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 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 officialSOTO PEREZ, GRACIELA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Altura Centers for Health | Tulare, CA | $37.27M |
| Altura Centers for Health | Tulare, CA | $8.58M |
| Altura Centers for Health | Tulare, CA | $7.69M |
| Altura Centers for Health | Woodville, CA | $6.59M |
| Altura Centers for Health | Tulare, CA | $1.19M |
| Altura Centers for Health | Tulare, CA | $731K |
| Altura Centers for Health | Tulare, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.