JWCH Institute, INC.
JWCH Institute, INC. was paid $119.49M by Medicaid between Jan 2018 and Dec 2024, across 270 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 infoJWCH INSTITUTE, INC.
LOS ANGELES, CA 90029
LOS ANGELES, CA 90029
33aNPI1598829350assigned 12/19/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$119.49M
24GClaims2,200,577
24DCodes billed270
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#9 of 435
Median peer was paid$2.89M
This provider vs. median41×
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 BALLESTEROS, ALVARO 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 | 8,653 | $1.64M | |
| 2019 | 112,498 | $8.52M | |
| 2020 | 226,899 | $14.12M | |
| 2021 | 410,058 | $23.03M | |
| 2022 | 405,512 | $19.25M | |
| 2023 | 578,369 | $27.73M | |
| 2024incomplete | 458,588 | $25.20M |
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% | 470,671 | 363,239 | $101.21M |
| 00003 | Internal/system code - not a standard HCPCS code | 13% | 56,865 | 49,242 | $15.94M |
| 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% | 4,700 | 4,103 | $496K |
| 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% | 208,313 | 179,744 | $482K |
| 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% | 77,202 | 69,369 | $218K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 13,121 | 7,094 | $192K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 10,944 | 6,860 | $137K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 69,969 | 60,625 | $86K |
| 0012A | <1% | 3,318 | 2,337 | $78K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 10,753 | 8,976 | $68K |
| 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% | 13,535 | 13,304 | $46K |
| 0011A | <1% | 3,034 | 2,523 | $40K |
258 more codes
| 0002A | <1% | 921 | $38K | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 364 | $38K |
| 0001A | <1% | 986 | $37K | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 13,936 | $29K |
| 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% | 2,742 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 11,868 | $22K |
| 0064A | <1% | 725 | $22K | |
| 98940 | <1% | 22,388 | $18K | |
| 0013A | <1% | 423 | $17K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 523 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 7,394 | $14K |
| 11721 | <1% | 2,882 | $13K | |
| 59425 | <1% | 1,682 | $13K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 7,557 | $12K |
| 3074F | <1% | 92,108 | $12K | |
| 3078F | <1% | 85,144 | $12K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,429 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 3,830 | $10K |
| 92551 | <1% | 20,010 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 8,613 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,756 | $9K |
| 0071A | <1% | 245 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,288 | $8K |
| 0003A | <1% | 139 | $5K | |
| 90686 | <1% | 9,239 | $5K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 347 | $5K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 3,280 | $5K |
| 99383 | <1% | 2,767 | $5K | |
| 90715 | <1% | 4,956 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 35,779 | $4K |
| 0004A | <1% | 125 | $4K | |
| 90658 | <1% | 4,200 | $3K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 247 | $3K |
| 93000 | <1% | 1,491 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 18,281 | $3K |
| 82948 | <1% | 19,821 | $3K | |
| 3079F | <1% | 34,575 | $3K | |
| T2051 | Supports brokerage, self-directed, waiver; per diem | <1% | 28 | $3K |
| 11056 | <1% | 622 | $2K | |
| G0466 | Community health center visit, new patient | <1% | 28 | $2K |
| G9920 | Screening performed and negative | <1% | 2,287 | $2K |
| 88142 | <1% | 4,426 | $2K | |
| 83655 | <1% | 5,099 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 908 | $2K |
| 99384 | <1% | 1,928 | $2K | |
| 3075F | <1% | 20,111 | $2K | |
| 90633 | <1% | 5,279 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,707 | $1K |
| 90651 | <1% | 4,315 | $1K | |
| 90647 | <1% | 6,208 | $1K | |
| 85018 | <1% | 16,690 | $1K | |
| 99173 | <1% | 30,034 | $1K | |
| 3044F | <1% | 7,440 | $1K | |
| J3490 | Unclassified drugs | <1% | 114 | $1K |
| 0072A | <1% | 105 | $1K | |
| H0043 | Supported housing, per diem | <1% | 2,472 | $980.12 |
| 81025 | <1% | 4,875 | $972.27 | |
| 99000 | <1% | 4,164 | $968.42 | |
| 90670 | <1% | 6,605 | $901.36 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 958 | $740.08 |
| 99205 | Prolong outpt/office vis | <1% | 563 | $736.83 |
| 3077F | <1% | 9,352 | $713.81 | |
| 81002 | <1% | 17,180 | $704.19 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,597 | $604.16 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 60 | $502.45 |
| 90746 | <1% | 246 | $500.64 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,539 | $476.52 |
| 90723 | <1% | 7,311 | $474.75 | |
| 90710 | <1% | 2,246 | $471.00 | |
| 99201 | <1% | 836 | $464.23 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15,989 | $394.40 |
| 82274 | <1% | 2,548 | $392.00 | |
| 86318 | <1% | 148 | $391.02 | |
| 99401 | <1% | 673 | $381.15 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 199 | $321.68 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 16,421 | $318.79 |
| 96156 | <1% | 387 | $302.86 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 671 | $293.48 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 4,946 | $280.00 |
| 90700 | <1% | 2,202 | $270.00 | |
| 99381 | <1% | 2,623 | $269.28 | |
| 1159F | <1% | 133,814 | $260.23 | |
| 90677 | <1% | 1,124 | $234.01 | |
| 90716 | <1% | 2,167 | $223.03 | |
| 90685 | <1% | 146 | $216.00 | |
| 3080F | <1% | 5,200 | $200.67 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 2,542 | $192.00 |
| 90681 | <1% | 3,234 | $128.70 | |
| 59430 | <1% | 14 | $120.96 | |
| 97802 | <1% | 174 | $117.81 | |
| H2016 | Community support for mental illness or disability, billed per day | <1% | 548 | $100.00 |
| 90461 | <1% | 9,312 | $73.57 | |
| 86580 | <1% | 1,404 | $66.49 | |
| 90688 | <1% | 38 | $63.00 | |
| 90707 | <1% | 2,036 | $54.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,080 | $52.44 |
| 97803 | <1% | 98 | $50.46 | |
| 99382 | <1% | 1,599 | $46.66 | |
| 92250 | <1% | 105 | $42.13 | |
| 86328 | <1% | 106 | $40.00 | |
| 82947 | <1% | 788 | $31.32 | |
| 99366 | <1% | 166 | $30.54 | |
| 99402 | <1% | 159 | $25.58 | |
| 4010F | <1% | 3,068 | $25.03 | |
| 90620 | <1% | 1,204 | $18.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 59 | $16.82 |
| 87210 | <1% | 51 | $14.24 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 26,984 | $13.99 |
| 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% | 36,949 | $13.17 |
| 90696 | <1% | 1,221 | $9.00 | |
| 90734 | <1% | 1,486 | $9.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 3,768 | $0.26 |
| 3061F | <1% | 2,210 | $0.20 | |
| 2022F | <1% | 1,767 | $0.19 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,697 | $0.09 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 436 | $0.02 |
| 3046F | <1% | 2,004 | $0.01 | |
| 3051F | <1% | 1,470 | $0.01 | |
| 92134 | <1% | 128 | $0.01 | |
| 1126F | 0% | 74,228 | $0.00 | |
| 2033F | 0% | 1,968 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 2,462 | $0.00 |
| SMGS0 | 0% | 418 | $0.00 | |
| 1111F | 0% | 996 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 2,345 | $0.00 |
| Z6406 | 0% | 958 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,093 | $0.00 |
| D0171 | 0% | 217 | $0.00 | |
| Z6410 | 0% | 7,073 | $0.00 | |
| 1125F | 0% | 36,270 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 2,443 | $0.00 |
| Z1034 | 0% | 10,701 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 863 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 399 | $0.00 |
| 99429 | 0% | 7,283 | $0.00 | |
| 90732 | 0% | 231 | $0.00 | |
| 92002 | 0% | 534 | $0.00 | |
| D0603 | 0% | 1,536 | $0.00 | |
| Z1032 | 0% | 1,442 | $0.00 | |
| Z6402 | 0% | 1,013 | $0.00 | |
| 99386 | 0% | 217 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 1,221 | $0.00 |
| S8110 | Peak expiratory flow rate (physician services) | 0% | 184 | $0.00 |
| 3008F | 0% | 5,299 | $0.00 | |
| 1036F | 0% | 1,869 | $0.00 | |
| 3066F | 0% | 125 | $0.00 | |
| D5899 | 0% | 516 | $0.00 | |
| D1310 | 0% | 1,768 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 74 | $0.00 |
| D1330 | 0% | 1,528 | $0.00 | |
| 1101F | 0% | 334 | $0.00 | |
| 1170F | 0% | 3,672 | $0.00 | |
| 90698 | 0% | 147 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,112 | $0.00 |
| 90739 | 0% | 116 | $0.00 | |
| Z6204 | 0% | 971 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 221 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 252 | $0.00 |
| T1016 | Case management, each 15 minutes | 0% | 54 | $0.00 |
| 3060F | 0% | 468 | $0.00 | |
| 36416 | 0% | 565 | $0.00 | |
| 90680 | 0% | 112 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 926 | $0.00 |
| 99385 | 0% | 549 | $0.00 | |
| D0170 | 0% | 226 | $0.00 | |
| 0500F | 0% | 235 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 175 | $0.00 |
| 1034F | 0% | 162 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 1,771 | $0.00 |
| Z1038 | 0% | 422 | $0.00 | |
| 3072F | 0% | 150 | $0.00 | |
| 3052F | 0% | 889 | $0.00 | |
| 82962 | 0% | 81 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 410 | $0.00 |
| 11055 | 0% | 36 | $0.00 | |
| 90744 | 0% | 194 | $0.00 | |
| 91301 | 0% | 333 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 769 | $0.00 |
| 0503F | 0% | 34 | $0.00 | |
| 0501F | 0% | 91 | $0.00 | |
| 90657 | 0% | 115 | $0.00 | |
| 90694 | 0% | 46 | $0.00 | |
| D1320 | 0% | 47 | $0.00 | |
| 98943 | 0% | 34 | $0.00 | |
| 90656 | 0% | 70 | $0.00 | |
| 80055 | 0% | 96 | $0.00 | |
| 99243 | 0% | 57 | $0.00 | |
| 94010 | 0% | 155 | $0.00 | |
| 3014F | 0% | 52 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 20 | $0.00 |
| 82270 | 0% | 73 | $0.00 | |
| 90674 | 0% | 16 | $0.00 | |
| 99443 | 0% | 77 | $0.00 | |
| D0602 | 0% | 26 | $0.00 | |
| 76801 | 0% | 15 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 12 | $0.00 |
| 81001 | 0% | 12 | $0.00 | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 0% | 13 | $0.00 |
| HTD4 | 0% | 15 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 12 | $0.00 |
| 87490 | 0% | 12 | $0.00 | |
| 88174 | 0% | 12 | $0.00 | |
| 96161 | 0% | 12 | $0.00 | |
| 1160F | 0% | 131,407 | $0.00 | |
| D9993 | 0% | 1,728 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 768 | $0.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 298 | $0.00 |
| D0190 | 0% | 1,798 | $0.00 | |
| 99408 | 0% | 1,854 | $0.00 | |
| D0270 | 0% | 252 | $0.00 | |
| Z6400 | 0% | 2,492 | $0.00 | |
| Z6304 | 0% | 967 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 1,723 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,949 | $0.00 |
| 90736 | 0% | 176 | $0.00 | |
| 2026F | 0% | 881 | $0.00 | |
| 3725F | 0% | 3,210 | $0.00 | |
| Z6414 | 0% | 758 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 170 | $0.00 |
| 0502F | 0% | 3,253 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 989 | $0.00 |
| Z6300 | 0% | 1,109 | $0.00 | |
| D9110 | 0% | 130 | $0.00 | |
| 90713 | 0% | 532 | $0.00 | |
| PROP5 | 0% | 168 | $0.00 | |
| VSY5 | 0% | 2,086 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 423 | $0.00 |
| 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 | 0% | 15 | $0.00 |
| 90648 | 0% | 1,067 | $0.00 | |
| Z6200 | 0% | 1,108 | $0.00 | |
| Z6500 | 0% | 407 | $0.00 | |
| 2028F | 0% | 984 | $0.00 | |
| 90649 | 0% | 319 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 1,181 | $0.00 |
| D4341 | 0% | 681 | $0.00 | |
| D9996 | 0% | 953 | $0.00 | |
| Z6208 | 0% | 277 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 253 | $0.00 |
| D9430 | 0% | 1,105 | $0.00 | |
| Z6308 | 0% | 252 | $0.00 | |
| 90750 | 0% | 62 | $0.00 | |
| 1158F | 0% | 161 | $0.00 | |
| CAR01 | 0% | 13 | $0.00 | |
| D0350 | 0% | 1,010 | $0.00 | |
| 99499 | 0% | 108 | $0.00 | |
| 99242 | 0% | 43 | $0.00 | |
| 92225 | 0% | 27 | $0.00 | |
| T1017 | Case management, billed per 15 minutes | 0% | 79 | $0.00 |
| 11750 | 0% | 13 | $0.00 | |
| 99442 | 0% | 51 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 286 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 14 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 55 | $0.00 |
| 3015F | 0% | 28 | $0.00 | |
| 90655 | 0% | 100 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 19 | $0.00 |
| D1354 | 0% | 35 | $0.00 | |
| 80305 | 0% | 18 | $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 officialBALLESTEROS, ALVARO (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| JWCH Institute INC | Los Angeles, CA | $28.06M |
| JWCH Institute, INC. | Norwalk, CA | $16.20M |
| JWCH Institute, INC | Downey, CA | $12.94M |
| JWCH Institute, INC. | Bell Gardens, CA | $6.40M |
| JWCH Institute, INC. | Lynwood, CA | $5.07M |
| JWCH Institute, INC | Hacienda Heights, CA | $3.85M |
| JWCH Institute, INC. | Bellflower, CA | $2.24M |
| JWCH Institute, INC. | Lancaster, CA | $1.12M |
| JWCH Institute, INC. | Los Angeles, CA | $218K |
| JWCH Institute, INC. | Lancaster, CA | $100K |
| JWCH Institute, INC. | Bell Gardens, CA | $67K |
| JWCH Institute, INC. | Palmdale, CA | $56K |
| JWCH Institute INC | Lynwood, CA | $52K |
| JWCH Institute, INC. | Bell Gardens, CA | $40K |
| JWCH Institute, INC. | Lancaster, CA | $11K |
| JWCH Institute, INC | Pasadena, CA | $10K |
| JWCH Institute, INC. | Bellflower, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.