Clinic
West County Health Centers, INC.
West County Health Centers, INC. was paid $1.45M by Medicaid between Jan 2018 and May 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoWEST COUNTY HEALTH CENTERS, INC.
GUERNEVILLE, CA 95446
GUERNEVILLE, CA 95446
33aNPI1598786352assigned 07/21/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.45M
24GClaims13,520
24DCodes billed7
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#525 of 826
Median peer was paid$4.05M
This provider vs. median0.4×
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 | 6,035 | $889K | |
| 2019 | 1,562 | $68K | |
| 2020 | 1,681 | $103K | |
| 2021 | 1,013 | $59K | |
| 2022 | 1,196 | $107K | |
| 2023 | 1,971 | $219K | |
| 2024incomplete | 62 | $1K |
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 | 85% | 8,754 | 6,737 | $1.23M |
| G9012 | Other specified case management service not elsewhere classified | 13% | 771 | 514 | $182K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 2,665 | 1,786 | $16K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,010 | 618 | $12K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 201 | 98 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 59 | 24 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 60 | 49 | $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 MANAGER)
| Provider | Location | Paid |
|---|---|---|
| West County Health Centers, INC. | Occidental, CA | $7.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.