Family Healthcare Network
Family Healthcare Network was paid $31.34M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
VISALIA, CA 93291
Next to other Case Manager/Care Coordinator providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 48,829 | $4.09M | |
| 2019 | 40,241 | $3.45M | |
| 2020 | 52,142 | $3.57M | |
| 2021 | 86,661 | $4.20M | |
| 2022 | 134,912 | $3.88M | |
| 2023 | 181,602 | $5.97M | |
| 2024incomplete | 167,280 | $6.18M |
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 | 75% | 186,229 | 176,937 | $23.59M |
| 00003 | Internal/system code - not a standard HCPCS code | 18% | 34,507 | 30,193 | $5.73M |
| 98940 | 4.1% | 12,871 | 8,406 | $1.29M | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 5,211 | 3,347 | $311K |
| 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% | 201,552 | 130,527 | $207K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56,430 | 37,439 | $64K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 219 | 199 | $43K |
| 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% | 1,115 | 1,028 | $27K |
| 0001A | <1% | 358 | 297 | $22K | |
| 0002A | <1% | 232 | 182 | $14K | |
| 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% | 552 | 402 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 715 | 578 | $6K |
52 more codes
| 98942 | <1% | 40 | $6K | |
| 99243 | <1% | 236 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,401 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 54,699 | $3K |
| 0011A | <1% | 50 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 252 | $3K |
| 99242 | <1% | 397 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 19,922 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 67 | $1K |
| 0012A | <1% | 24 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 105 | $955.04 |
| 81025 | <1% | 9,574 | $894.87 | |
| G9920 | Screening performed and negative | <1% | 377 | $667.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $469.82 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 27,942 | $312.36 |
| 81002 | <1% | 12,893 | $255.31 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,584 | $235.79 |
| J3490 | Unclassified drugs | <1% | 14 | $220.05 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 18 | $212.52 |
| 99201 | <1% | 27 | $208.11 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 323 | $192.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 167 | $168.52 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 71,050 | $167.54 |
| H1000 | Prenatal care, at-risk assessment | <1% | 12 | $126.31 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 34 | $126.15 |
| 99173 | <1% | 1,205 | $112.72 | |
| 11721 | <1% | 906 | $92.34 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 368 | $51.00 |
| 85018 | <1% | 288 | $47.41 | |
| 90686 | <1% | 890 | $9.00 | |
| 90688 | <1% | 37 | $9.00 | |
| 94760 | <1% | 432 | $5.53 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 277 | $2.00 |
| 99406 | <1% | 871 | $0.14 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 129 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 35 | $0.00 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 0% | 145 | $0.00 |
| 90715 | 0% | 86 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 17 | $0.00 |
| 86703 | 0% | 59 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 289 | $0.00 |
| 90732 | 0% | 14 | $0.00 | |
| 92551 | 0% | 29 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 55 | $0.00 |
| 3079F | 0% | 24 | $0.00 | |
| 20550 | 0% | 44 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 45 | $0.00 |
| 97032 | 0% | 46 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 29 | $0.00 |
| 90651 | 0% | 42 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 50 | $0.00 |
| 82962 | 0% | 43 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Family Healthcare Network | Fresno, CA | $218.30M |
| Family Healthcare Network | Visalia, CA | $93.48M |
| Family Healthcare Network | Hanford, CA | $76.43M |
| Family Healthcare Network | Porterville, CA | $57.66M |
| Family Healthcare Network | Visalia, CA | $53.29M |
| Family Healthcare Network | Woodlake, CA | $48.73M |
| Family Healthcare Network | Porterville, CA | $34.76M |
| Family Healthcare Network | Visalia, CA | $31.00M |
| Family Healthcare Network | Goshen, CA | $25.21M |
| Family Healthcare Network | Orosi, CA | $24.94M |
| Family Healthcare Network | Tulare, CA | $20.48M |
| Family Healthcare Network | Tulare, CA | $20.28M |
| Family Healthcare Network | Porterville, CA | $11.20M |
| Family Healthcare Network | Terra Bella, CA | $8.28M |
| Family Healthcare Network | Traver, CA | $7.25M |
| Family Healthcare Network | Fresno, CA | $6.91M |
| Family Healthcare Network | Farmersville, CA | $6.66M |
| Family Healthcare Network | Strathmore, CA | $5.90M |
| Family Healthcare Network | Ivanhoe, CA | $4.50M |
| Family Healthcare Network | Springville, CA | $2.61M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.