Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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NEIGHBORHOOD HEALTHCARE

NPI: 1598703647 · ESCONDIDO, CA 92025 · Federally Qualified Health Center (FQHC) · NPI assigned 06/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PATEL, RAKESH controls 17+ related entities in our dataset. Read more

$124.93M
Total Medicaid Paid
1,972,114
Total Claims
1,557,915
Beneficiaries
194
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, RAKESH (CEO)
NPI Enumeration Date06/02/2006

Related Entities

Other providers sharing the same authorized official: PATEL, RAKESH

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 440,192 $24.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 490,108 399,682 $95.33M
00003 Internal/system code - not a standard HCPCS code 60,845 41,405 $16.09M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 512,021 408,366 $3.25M
90832 Psychotherapy, 30 minutes with patient 108,474 64,822 $2.79M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 113,338 91,771 $1.57M
G9012 Other specified case management service not elsewhere classified 8,436 5,721 $1.16M
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 71,483 30,132 $838K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 93,752 76,967 $543K
90834 Psychotherapy, 45 minutes with patient 19,172 11,911 $541K
G0467 Federally 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 27,686 22,954 $537K
90791 Psychiatric diagnostic evaluation 7,443 6,601 $441K
98940 35,056 15,434 $337K
G9008 Coordinated care fee, physician coordinated care oversight services 6,343 3,785 $238K
99442 8,820 7,488 $161K
90792 Psychiatric diagnostic evaluation with medical services 1,106 1,101 $118K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 11,333 9,278 $95K
11721 9,209 7,926 $94K
97810 7,501 3,978 $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 431 339 $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 8,027 7,937 $62K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,983 3,530 $60K
11720 3,770 3,380 $38K
11056 2,439 2,144 $35K
99441 7,161 6,307 $33K
90785 3,993 2,904 $31K
99215 Prolong outpt/office vis 562 514 $29K
0012A 886 882 $26K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,159 1,831 $23K
0011A 1,312 1,312 $22K
0001A 817 785 $21K
0002A 465 424 $20K
81002 19,620 15,574 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 645 570 $14K
99443 413 356 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,447 10,239 $12K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 5,694 5,527 $12K
11981 129 120 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,944 4,871 $11K
90715 1,302 1,295 $11K
0502F 11,169 8,137 $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 472 395 $7K
L3260 Surgical boot/shoe, each 411 402 $7K
90686 13,911 13,818 $7K
99070 2,880 2,822 $7K
11976 156 107 $7K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 19,082 18,960 $6K
90677 1,094 1,093 $5K
81025 4,608 4,572 $5K
99401 5,854 4,597 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16,745 13,493 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,928 12,399 $4K
90750 188 188 $4K
90651 1,649 1,649 $4K
99205 Prolong outpt/office vis 15 14 $3K
92552 17,192 17,172 $3K
94760 9,025 8,163 $3K
G9920 Screening performed and negative 389 370 $3K
20550 99 75 $3K
0031A 107 107 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,872 5,923 $3K
90739 269 268 $3K
58300 35 30 $2K
3074F 18,064 17,293 $2K
90656 1,568 1,567 $2K
0013A 27 25 $2K
H1003 Prenatal care, at-risk enhanced service; education 1,589 1,281 $2K
0003A 24 24 $2K
85018 23,011 22,943 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,676 6,041 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 682 545 $1K
17110 17 12 $1K
0500F 1,065 1,061 $1K
87480 229 228 $1K
11055 312 236 $994.33
90847 Family psychotherapy with the patient present, 50 minutes 112 86 $937.10
58301 41 27 $856.91
J3490 Unclassified drugs 13 13 $841.55
0071A 12 12 $804.00
3051F 1,894 1,797 $788.47
0064A 14 13 $750.00
99381 1,058 1,000 $727.01
90662 209 203 $717.58
96110 Developmental screening, with scoring and documentation, per standardized instrument 859 848 $701.69
H0049 Alcohol and/or drug screening 1,850 1,755 $600.00
11750 83 65 $591.15
90837 Psychotherapy, 53 minutes with patient 123 72 $584.05
87110 229 228 $570.00
59430 547 524 $541.44
97802 352 352 $503.27
90460 Immunization administration through 18 years of age via any route, first or only component 784 780 $468.00
3075F 4,270 4,120 $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 29 29 $361.92
3044F 2,993 2,874 $344.22
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 28 28 $313.80
3077F 1,326 1,229 $310.62
90461 80 79 $300.00
97803 1,385 1,370 $260.31
57454 16 12 $254.46
99000 285 284 $224.98
90472 Immunization administration, each additional vaccine (list separately) 2,846 2,762 $222.41
93000 25 25 $219.40
99173 17,840 17,816 $210.42
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 797 789 $168.50
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,156 1,152 $126.63
86580 183 169 $114.50
99385 183 129 $112.96
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 2,004 1,865 $88.14
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 288 216 $85.81
90633 893 893 $67.54
0503F 94 94 $65.17
90714 82 82 $55.20
90680 813 813 $54.00
3078F 21,416 20,255 $41.51
3052F 637 621 $39.51
99334 232 232 $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 14 13 $34.86
81000 19 18 $30.32
82962 294 291 $27.80
90697 1,041 1,041 $27.00
99201 16 12 $22.67
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 534 507 $17.00
11719 772 570 $15.40
88720 1,292 819 $12.57
99406 15 15 $10.31
90700 77 77 $9.00
90696 280 280 $9.00
83036 Hemoglobin; glycosylated (A1C) 135 135 $8.54
G0008 Administration of influenza virus vaccine 142 142 $7.00
90674 182 180 $1.33
A4267 Contraceptive supply, condom, male, each 13 13 $0.36
Z6200 1,455 1,448 $0.00
90670 1,500 1,497 $0.00
1159F 2,245 1,905 $0.00
90710 716 716 $0.00
Z6400 7,636 6,144 $0.00
90685 70 70 $0.00
82948 227 211 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 176 155 $0.00
85014 628 628 $0.00
96160 857 850 $0.00
90734 165 165 $0.00
2028F 1,745 1,740 $0.00
3046F 441 423 $0.00
Z6414 1,092 1,039 $0.00
90648 114 114 $0.00
99188 13 13 $0.00
90713 13 13 $0.00
Z6304 37 37 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 109 108 $0.00
TELHT 13 13 $0.00
3725F 43 30 $0.00
1160F 25 25 $0.00
90658 124 124 $0.00
69210 49 39 $0.00
91320 13 13 $0.00
80305 64 62 $0.00
90756 90 90 $0.00
4004F 34 34 $0.00
4145F 13 13 $0.00
90707 16 16 $0.00
92551 600 600 $0.00
90744 162 162 $0.00
3080F 259 236 $0.00
Z6406 9,921 8,191 $0.00
3079F 4,737 4,493 $0.00
90698 351 350 $0.00
90619 330 330 $0.00
Z6204 2,114 2,082 $0.00
Z6402 2,312 2,308 $0.00
1126F 641 575 $0.00
90620 25 25 $0.00
1036F 2,231 1,938 $0.00
99386 66 48 $0.00
90688 87 87 $0.00
H2000 Comprehensive multidisciplinary evaluation 144 133 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 294 253 $0.00
90632 67 67 $0.00
3008F 1,099 1,043 $0.00
88142 254 254 $0.00
92250 123 123 $0.00
87510 229 228 $0.00
1125F 319 288 $0.00
90716 44 44 $0.00
1170F 71 69 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 66 61 $0.00
Z1034 63 59 $0.00
D1206 Topical application of fluoride varnish 13 13 $0.00
Z1038 40 40 $0.00
91319 19 19 $0.00
91301 12 12 $0.00
11730 12 12 $0.00
A7015 Aerosol mask, used with dme nebulizer 14 13 $0.00
90647 12 12 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 13 $0.00