Clinic
Neighborhood Healthcare
Neighborhood Healthcare was paid $124.93M by Medicaid between Jan 2018 and Dec 2024, across 194 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoNEIGHBORHOOD HEALTHCARE
ESCONDIDO, CA 92025
ESCONDIDO, CA 92025
33aNPI1598703647assigned 06/02/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$124.93M
24GClaims1,972,114
24DCodes billed194
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#14 of 826
Median peer was paid$4.05M
This provider vs. median31×
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 PATEL, RAKESH controls 17+ 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 | 159,382 | $4.40M | |
| 2019 | 200,049 | $6.15M | |
| 2020 | 252,426 | $22.75M | |
| 2021 | 274,397 | $23.32M | |
| 2022 | 225,582 | $18.56M | |
| 2023 | 420,086 | $24.87M | |
| 2024incomplete | 440,192 | $24.88M |
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 | 76% | 490,108 | 399,682 | $95.33M |
| 00003 | Internal/system code - not a standard HCPCS code | 13% | 60,845 | 41,405 | $16.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 512,021 | 408,366 | $3.25M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.2% | 108,474 | 64,822 | $2.79M |
| 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 | 1.3% | 113,338 | 91,771 | $1.57M |
| G9012 | Other specified case management service not elsewhere classified | <1% | 8,436 | 5,721 | $1.16M |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 71,483 | 30,132 | $838K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 93,752 | 76,967 | $543K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 19,172 | 11,911 | $541K |
| 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% | 27,686 | 22,954 | $537K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 7,443 | 6,601 | $441K |
| 98940 | <1% | 35,056 | 15,434 | $337K |
182 more codes
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 6,343 | $238K |
| 99442 | <1% | 8,820 | $161K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,106 | $118K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 11,333 | $95K |
| 11721 | <1% | 9,209 | $94K | |
| 97810 | <1% | 7,501 | $79K | |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | <1% | 431 | $69K |
| 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% | 8,027 | $62K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,983 | $60K |
| 11720 | <1% | 3,770 | $38K | |
| 11056 | <1% | 2,439 | $35K | |
| 99441 | <1% | 7,161 | $33K | |
| 90785 | <1% | 3,993 | $31K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 562 | $29K |
| 0012A | <1% | 886 | $26K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,159 | $23K |
| 0011A | <1% | 1,312 | $22K | |
| 0001A | <1% | 817 | $21K | |
| 0002A | <1% | 465 | $20K | |
| 81002 | <1% | 19,620 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 645 | $14K |
| 99443 | <1% | 413 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,447 | $12K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 5,694 | $12K |
| 11981 | <1% | 129 | $11K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 4,944 | $11K |
| 90715 | <1% | 1,302 | $11K | |
| 0502F | <1% | 11,169 | $10K | |
| 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 | <1% | 472 | $7K |
| L3260 | Surgical boot/shoe, each | <1% | 411 | $7K |
| 90686 | <1% | 13,911 | $7K | |
| 99070 | <1% | 2,880 | $7K | |
| 11976 | <1% | 156 | $7K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 19,082 | $6K |
| 90677 | <1% | 1,094 | $5K | |
| 81025 | <1% | 4,608 | $5K | |
| 99401 | <1% | 5,854 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16,745 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14,928 | $4K |
| 90750 | <1% | 188 | $4K | |
| 90651 | <1% | 1,649 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 15 | $3K |
| 92552 | <1% | 17,192 | $3K | |
| 94760 | <1% | 9,025 | $3K | |
| G9920 | Screening performed and negative | <1% | 389 | $3K |
| 20550 | <1% | 99 | $3K | |
| 0031A | <1% | 107 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 6,872 | $3K |
| 90739 | <1% | 269 | $3K | |
| 58300 | <1% | 35 | $2K | |
| 3074F | <1% | 18,064 | $2K | |
| 90656 | <1% | 1,568 | $2K | |
| 0013A | <1% | 27 | $2K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,589 | $2K |
| 0003A | <1% | 24 | $2K | |
| 85018 | <1% | 23,011 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 7,676 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 682 | $1K |
| 17110 | <1% | 17 | $1K | |
| 0500F | <1% | 1,065 | $1K | |
| 87480 | <1% | 229 | $1K | |
| 11055 | <1% | 312 | $994.33 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 112 | $937.10 |
| 58301 | <1% | 41 | $856.91 | |
| J3490 | Unclassified drugs | <1% | 13 | $841.55 |
| 0071A | <1% | 12 | $804.00 | |
| 3051F | <1% | 1,894 | $788.47 | |
| 0064A | <1% | 14 | $750.00 | |
| 99381 | <1% | 1,058 | $727.01 | |
| 90662 | <1% | 209 | $717.58 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 859 | $701.69 |
| H0049 | Alcohol and/or drug screening | <1% | 1,850 | $600.00 |
| 11750 | <1% | 83 | $591.15 | |
| 90837 | Psychotherapy session, about an hour | <1% | 123 | $584.05 |
| 87110 | <1% | 229 | $570.00 | |
| 59430 | <1% | 547 | $541.44 | |
| 97802 | <1% | 352 | $503.27 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 784 | $468.00 |
| 3075F | <1% | 4,270 | $390.58 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 29 | $361.92 |
| 3044F | <1% | 2,993 | $344.22 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 28 | $313.80 |
| 3077F | <1% | 1,326 | $310.62 | |
| 90461 | <1% | 80 | $300.00 | |
| 97803 | <1% | 1,385 | $260.31 | |
| 57454 | <1% | 16 | $254.46 | |
| 99000 | <1% | 285 | $224.98 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,846 | $222.41 |
| 93000 | <1% | 25 | $219.40 | |
| 99173 | <1% | 17,840 | $210.42 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 797 | $168.50 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,156 | $126.63 |
| 86580 | <1% | 183 | $114.50 | |
| 99385 | <1% | 183 | $112.96 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 2,004 | $88.14 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 288 | $85.81 |
| 90633 | <1% | 893 | $67.54 | |
| 0503F | <1% | 94 | $65.17 | |
| 90714 | <1% | 82 | $55.20 | |
| 90680 | <1% | 813 | $54.00 | |
| 3078F | <1% | 21,416 | $41.51 | |
| 3052F | <1% | 637 | $39.51 | |
| 99334 | <1% | 232 | $38.61 | |
| 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% | 14 | $34.86 |
| 81000 | <1% | 19 | $30.32 | |
| 82962 | <1% | 294 | $27.80 | |
| 90697 | <1% | 1,041 | $27.00 | |
| 99201 | <1% | 16 | $22.67 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 534 | $17.00 |
| 11719 | <1% | 772 | $15.40 | |
| 88720 | <1% | 1,292 | $12.57 | |
| 99406 | <1% | 15 | $10.31 | |
| 90700 | <1% | 77 | $9.00 | |
| 90696 | <1% | 280 | $9.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 135 | $8.54 |
| G0008 | Administration of influenza virus vaccine | <1% | 142 | $7.00 |
| 90674 | <1% | 182 | $1.33 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 13 | $0.36 |
| Z6200 | 0% | 1,455 | $0.00 | |
| 90670 | 0% | 1,500 | $0.00 | |
| 1159F | 0% | 2,245 | $0.00 | |
| 90710 | 0% | 716 | $0.00 | |
| Z6400 | 0% | 7,636 | $0.00 | |
| 90685 | 0% | 70 | $0.00 | |
| 82948 | 0% | 227 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 176 | $0.00 |
| 85014 | 0% | 628 | $0.00 | |
| 96160 | 0% | 857 | $0.00 | |
| 90734 | 0% | 165 | $0.00 | |
| 2028F | 0% | 1,745 | $0.00 | |
| 3046F | 0% | 441 | $0.00 | |
| Z6414 | 0% | 1,092 | $0.00 | |
| 90648 | 0% | 114 | $0.00 | |
| 99188 | 0% | 13 | $0.00 | |
| 90713 | 0% | 13 | $0.00 | |
| Z6304 | 0% | 37 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 109 | $0.00 |
| TELHT | 0% | 13 | $0.00 | |
| 3725F | 0% | 43 | $0.00 | |
| 1160F | 0% | 25 | $0.00 | |
| 90658 | 0% | 124 | $0.00 | |
| 69210 | 0% | 49 | $0.00 | |
| 91320 | 0% | 13 | $0.00 | |
| 80305 | 0% | 64 | $0.00 | |
| 90756 | 0% | 90 | $0.00 | |
| 4004F | 0% | 34 | $0.00 | |
| 4145F | 0% | 13 | $0.00 | |
| 90707 | 0% | 16 | $0.00 | |
| 92551 | 0% | 600 | $0.00 | |
| 90744 | 0% | 162 | $0.00 | |
| 3080F | 0% | 259 | $0.00 | |
| Z6406 | 0% | 9,921 | $0.00 | |
| 3079F | 0% | 4,737 | $0.00 | |
| 90698 | 0% | 351 | $0.00 | |
| 90619 | 0% | 330 | $0.00 | |
| Z6204 | 0% | 2,114 | $0.00 | |
| Z6402 | 0% | 2,312 | $0.00 | |
| 1126F | 0% | 641 | $0.00 | |
| 90620 | 0% | 25 | $0.00 | |
| 1036F | 0% | 2,231 | $0.00 | |
| 99386 | 0% | 66 | $0.00 | |
| 90688 | 0% | 87 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 144 | $0.00 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 294 | $0.00 |
| 90632 | 0% | 67 | $0.00 | |
| 3008F | 0% | 1,099 | $0.00 | |
| 88142 | 0% | 254 | $0.00 | |
| 92250 | 0% | 123 | $0.00 | |
| 87510 | 0% | 229 | $0.00 | |
| 1125F | 0% | 319 | $0.00 | |
| 90716 | 0% | 44 | $0.00 | |
| 1170F | 0% | 71 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 66 | $0.00 |
| Z1034 | 0% | 63 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 13 | $0.00 |
| Z1038 | 0% | 40 | $0.00 | |
| 91319 | 0% | 19 | $0.00 | |
| 91301 | 0% | 12 | $0.00 | |
| 11730 | 0% | 12 | $0.00 | |
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 14 | $0.00 |
| 90647 | 0% | 12 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 14 | $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 officialPATEL, RAKESH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Neighborhood Healthcare | Hemet, CA | $160.42M |
| Neighborhood Healthcare | El Cajon, CA | $46.58M |
| Neighborhood Healthcare | Escondido, CA | $38.37M |
| Neighborhood Healthcare | Lakeside, CA | $33.19M |
| Neighborhood Healthcare | Poway, CA | $20.72M |
| Neighborhood Healthcare | Temecula, CA | $15.81M |
| Neighborhood Healthcare | Menifee, CA | $5.81M |
| Neighborhood Healthcare | Escondido, CA | $4.58M |
| Neighborhood Healthcare | Escondido, CA | $3.48M |
| Neighborhood Healthcare | Escondido, CA | $3.39M |
| Neighborhood Healthcare | Riverside, CA | $3.36M |
| Neighborhood Healthcare | Escondido, CA | $2.04M |
| Neighborhood Healthcare | Riverside, CA | $1.75M |
| Neighborhood Healthcare | Riverside, CA | $447K |
| R Patel Dental Group INC | Cudahy, CA | $95K |
| Rakesh Patel M.D. P. A. | La Porte, TX | $24K |
| Neighborhood Healthcare- Pace Riverside | Riverside, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.