Clinic
West County Health Centers, INC.
West County Health Centers, INC. was paid $7.55M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoWEST COUNTY HEALTH CENTERS, INC.
OCCIDENTAL, CA 95464
OCCIDENTAL, CA 95464
33aNPI1598768962assigned 05/31/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.55M
24GClaims120,840
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#341 of 826
Median peer was paid$4.05M
This provider vs. median1.9×
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 | 17,665 | $1.16M | |
| 2019 | 14,025 | $893K | |
| 2020 | 19,281 | $1.15M | |
| 2021 | 19,690 | $1.19M | |
| 2022 | 17,446 | $976K | |
| 2023 | 17,955 | $1.16M | |
| 2024incomplete | 14,778 | $1.02M |
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 | 87% | 44,814 | 35,890 | $6.53M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 34,394 | 23,103 | $517K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 539 | 528 | $162K |
| J3490 | Unclassified drugs | 1.5% | 3,520 | 1,736 | $110K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15,514 | 8,882 | $74K |
| 99403 | <1% | 877 | 748 | $39K | |
| 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% | 3,662 | 2,763 | $37K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 3,322 | 3,251 | $23K |
| S5199 | Personal care item, nos, each | <1% | 3,310 | 3,241 | $23K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,838 | 1,434 | $8K |
| 99000 | <1% | 1,832 | 1,780 | $7K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 459 | 459 | $6K |
14 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 251 | $4K |
| 90658 | <1% | 147 | $2K | |
| 81025 | <1% | 796 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 404 | $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% | 243 | $1K |
| H0049 | Alcohol and/or drug screening | <1% | 50 | $1K |
| 92552 | <1% | 370 | $269.28 | |
| 99283 | Emergency room visit (moderate) | <1% | 818 | $94.18 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 23 | $43.85 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 2,489 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 19 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 21 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 95 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 33 | $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 officialWALLACE, TARI (BILLING DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| West County Health Centers, INC. | Guerneville, CA | $1.45M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.