Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › JWCH INSTITUTE, INC.

JWCH INSTITUTE, INC.

NPI: 1598829350 · LOS ANGELES, CA 90029 · Case Manager/Care Coordinator · NPI assigned 12/19/2006

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

Authorized official BALLESTEROS, ALVARO controls 17+ related entities in our dataset. Read more

$119.49M
Total Medicaid Paid
2,200,577
Total Claims
1,897,936
Beneficiaries
270
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBALLESTEROS, ALVARO (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date12/19/2006

Related Entities

Other providers sharing the same authorized official: BALLESTEROS, ALVARO

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 458,588 $25.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 470,671 363,239 $101.21M
00003 Internal/system code - not a standard HCPCS code 56,865 49,242 $15.94M
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 4,700 4,103 $496K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 208,313 179,744 $482K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 77,202 69,369 $218K
G9012 Other specified case management service not elsewhere classified 13,121 7,094 $192K
90832 Psychotherapy, 30 minutes with patient 10,944 6,860 $137K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69,969 60,625 $86K
0012A 3,318 2,337 $78K
99215 Prolong outpt/office vis 10,753 8,976 $68K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13,535 13,304 $46K
0011A 3,034 2,523 $40K
0002A 921 517 $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 364 363 $38K
0001A 986 576 $37K
G9008 Coordinated care fee, physician coordinated care oversight services 13,936 8,094 $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 2,742 2,598 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,868 11,397 $22K
0064A 725 502 $22K
98940 22,388 15,341 $18K
0013A 423 248 $17K
90791 Psychiatric diagnostic evaluation 523 470 $14K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,394 6,863 $14K
11721 2,882 2,828 $13K
59425 1,682 1,354 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,557 7,454 $12K
3074F 92,108 79,013 $12K
3078F 85,144 73,759 $12K
90834 Psychotherapy, 45 minutes with patient 1,429 965 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,830 3,789 $10K
92551 20,010 18,804 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,613 8,362 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,756 4,423 $9K
0071A 245 147 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,288 8,171 $8K
0003A 139 88 $5K
90686 9,239 9,045 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 347 336 $5K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 3,280 2,355 $5K
99383 2,767 2,721 $5K
90715 4,956 4,917 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 35,779 35,395 $4K
0004A 125 116 $4K
90658 4,200 4,166 $3K
H1001 Prenatal care, at-risk enhanced service; antepartum management 247 206 $3K
93000 1,491 1,430 $3K
83036 Hemoglobin; glycosylated (A1C) 18,281 16,566 $3K
82948 19,821 17,795 $3K
3079F 34,575 30,936 $3K
T2051 Supports brokerage, self-directed, waiver; per diem 28 12 $3K
11056 622 611 $2K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 28 28 $2K
G9920 Screening performed and negative 2,287 2,248 $2K
88142 4,426 3,912 $2K
83655 5,099 4,926 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 908 866 $2K
99384 1,928 1,908 $2K
3075F 20,111 18,322 $2K
90633 5,279 5,217 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,707 1,679 $1K
90651 4,315 4,232 $1K
90647 6,208 6,135 $1K
85018 16,690 16,254 $1K
99173 30,034 28,414 $1K
3044F 7,440 6,706 $1K
J3490 Unclassified drugs 114 113 $1K
0072A 105 99 $1K
H0043 Supported housing, per diem 2,472 1,141 $980.12
81025 4,875 4,753 $972.27
99000 4,164 4,054 $968.42
90670 6,605 6,582 $901.36
H1003 Prenatal care, at-risk enhanced service; education 958 822 $740.08
99205 Prolong outpt/office vis 563 559 $736.83
3077F 9,352 8,570 $713.81
81002 17,180 14,550 $704.19
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,597 2,399 $604.16
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 60 60 $502.45
90746 246 242 $500.64
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,539 2,474 $476.52
90723 7,311 7,233 $474.75
90710 2,246 2,238 $471.00
99201 836 831 $464.23
90472 Immunization administration, each additional vaccine (list separately) 15,989 15,789 $394.40
82274 2,548 2,365 $392.00
86318 148 143 $391.02
99401 673 628 $381.15
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 199 176 $321.68
90460 Immunization administration through 18 years of age via any route, first or only component 16,421 15,463 $318.79
96156 387 385 $302.86
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 671 620 $293.48
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4,946 4,300 $280.00
90700 2,202 2,191 $270.00
99381 2,623 2,587 $269.28
1159F 133,814 118,384 $260.23
90677 1,124 1,070 $234.01
90716 2,167 2,156 $223.03
90685 146 146 $216.00
3080F 5,200 4,870 $200.67
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,542 2,144 $192.00
90681 3,234 3,207 $128.70
59430 14 14 $120.96
97802 174 174 $117.81
H2016 Comprehensive community support services, per diem 548 360 $100.00
90461 9,312 8,886 $73.57
86580 1,404 1,357 $66.49
90688 38 38 $63.00
90707 2,036 2,022 $54.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,080 1,935 $52.44
97803 98 98 $50.46
99382 1,599 1,594 $46.66
92250 105 105 $42.13
86328 106 106 $40.00
82947 788 726 $31.32
99366 166 166 $30.54
99402 159 130 $25.58
4010F 3,068 2,829 $25.03
90620 1,204 1,188 $18.00
S9452 Nutrition classes, non-physician provider, per session 59 59 $16.82
87210 51 51 $14.24
G8510 Screening for depression is documented as negative, a follow-up plan is not required 26,984 23,391 $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 36,949 35,270 $13.17
90696 1,221 1,219 $9.00
90734 1,486 1,463 $9.00
77067 Screening mammography, bilateral, including computer-aided detection 3,768 3,449 $0.26
3061F 2,210 2,074 $0.20
2022F 1,767 1,627 $0.19
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,697 1,445 $0.09
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 436 432 $0.02
3046F 2,004 1,886 $0.01
3051F 1,470 1,403 $0.01
92134 128 127 $0.01
1126F 74,228 64,497 $0.00
2033F 1,968 1,834 $0.00
D1206 Topical application of fluoride varnish 2,462 2,436 $0.00
SMGS0 418 409 $0.00
1111F 996 940 $0.00
D0230 Intraoral - periapical each additional radiographic image 2,345 2,332 $0.00
Z6406 958 949 $0.00
36415 Collection of venous blood by venipuncture 3,093 2,967 $0.00
D0171 217 207 $0.00
Z6410 7,073 6,271 $0.00
1125F 36,270 31,544 $0.00
D0120 Periodic oral evaluation - established patient 2,443 2,427 $0.00
Z1034 10,701 7,910 $0.00
D0210 Intraoral - complete series of radiographic images 863 863 $0.00
D0272 Bitewings - two radiographic images 399 399 $0.00
99429 7,283 6,233 $0.00
90732 231 229 $0.00
92002 534 529 $0.00
D0603 1,536 1,504 $0.00
Z1032 1,442 1,436 $0.00
Z6402 1,013 1,011 $0.00
99386 217 214 $0.00
D1208 Topical application of fluoride, excluding varnish 1,221 1,218 $0.00
S8110 Peak expiratory flow rate (physician services) 184 176 $0.00
3008F 5,299 4,986 $0.00
1036F 1,869 1,758 $0.00
3066F 125 123 $0.00
D5899 516 277 $0.00
D1310 1,768 1,735 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 74 74 $0.00
D1330 1,528 1,498 $0.00
1101F 334 270 $0.00
1170F 3,672 3,433 $0.00
90698 147 147 $0.00
S9451 Exercise classes, non-physician provider, per session 1,112 1,056 $0.00
90739 116 115 $0.00
Z6204 971 961 $0.00
D1351 Sealant - per tooth 221 73 $0.00
H0049 Alcohol and/or drug screening 252 252 $0.00
T1016 Case management, each 15 minutes 54 53 $0.00
3060F 468 457 $0.00
36416 565 553 $0.00
90680 112 111 $0.00
D0150 Comprehensive oral evaluation - new or established patient 926 925 $0.00
99385 549 544 $0.00
D0170 226 215 $0.00
0500F 235 229 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 175 164 $0.00
1034F 162 154 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 1,771 1,670 $0.00
Z1038 422 405 $0.00
3072F 150 146 $0.00
3052F 889 860 $0.00
82962 81 80 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 410 356 $0.00
11055 36 36 $0.00
90744 194 193 $0.00
91301 333 325 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 769 667 $0.00
0503F 34 33 $0.00
0501F 91 87 $0.00
90657 115 113 $0.00
90694 46 46 $0.00
D1320 47 47 $0.00
98943 34 30 $0.00
90656 70 70 $0.00
80055 96 93 $0.00
99243 57 56 $0.00
94010 155 144 $0.00
3014F 52 46 $0.00
D7140 Extraction, erupted tooth or exposed root 20 15 $0.00
82270 73 73 $0.00
90674 16 16 $0.00
99443 77 68 $0.00
D0602 26 26 $0.00
76801 15 14 $0.00
80053 Comprehensive metabolic panel 12 12 $0.00
81001 12 12 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $0.00
HTD4 15 15 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12 12 $0.00
87490 12 12 $0.00
88174 12 12 $0.00
96161 12 12 $0.00
1160F 131,407 116,056 $0.00
D9993 1,728 1,695 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 768 739 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 298 297 $0.00
D0190 1,798 1,777 $0.00
99408 1,854 1,850 $0.00
D0270 252 249 $0.00
Z6400 2,492 2,447 $0.00
Z6304 967 956 $0.00
92015 Determination of refractive state 1,723 1,708 $0.00
D0220 Intraoral - periapical first radiographic image 2,949 2,921 $0.00
90736 176 176 $0.00
2026F 881 828 $0.00
3725F 3,210 3,086 $0.00
Z6414 758 654 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 170 166 $0.00
0502F 3,253 2,536 $0.00
D1120 Prophylaxis - child 989 988 $0.00
Z6300 1,109 1,107 $0.00
D9110 130 125 $0.00
90713 532 531 $0.00
PROP5 168 164 $0.00
VSY5 2,086 1,889 $0.00
D1110 Prophylaxis - adult 423 422 $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 15 12 $0.00
90648 1,067 1,062 $0.00
Z6200 1,108 1,106 $0.00
Z6500 407 403 $0.00
2028F 984 969 $0.00
90649 319 318 $0.00
D0274 Bitewings - four radiographic images 1,181 1,181 $0.00
D4341 681 331 $0.00
D9996 953 904 $0.00
Z6208 277 277 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 253 248 $0.00
D9430 1,105 1,048 $0.00
Z6308 252 252 $0.00
90750 62 61 $0.00
1158F 161 153 $0.00
CAR01 13 13 $0.00
D0350 1,010 960 $0.00
99499 108 107 $0.00
99242 43 40 $0.00
92225 27 16 $0.00
T1017 Targeted case management, each 15 minutes 79 79 $0.00
11750 13 13 $0.00
99442 51 48 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 286 225 $0.00
90837 Psychotherapy, 53 minutes with patient 14 14 $0.00
D0145 Oral evaluation for a patient under three years of age 55 55 $0.00
3015F 28 26 $0.00
90655 100 100 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 19 19 $0.00
D1354 35 34 $0.00
80305 18 18 $0.00