Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Antelope Valley Community Clinic

Antelope Valley Community Clinic was paid $524K by Medicaid between Jan 2018 and Apr 2019, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoANTELOPE VALLEY COMMUNITY CLINIC
LANCASTER, CA 93534
33aNPI1609199934assigned 03/01/2010
28Total paid$524K
24GClaims141,022
24DCodes billed77
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in California

Rank by total paid#572 of 826
Median peer was paid$4.05M
This provider vs. median0.1×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2018110,383$383K
201930,639$141K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65% 21,313 20,189 $341K
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 13% 2,387 2,333 $66K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.7% 3,320 3,226 $40K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.8% 756 749 $25K
11721 2.2% 799 774 $12K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.5% 170 170 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.4% 372 372 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 206 206 $4K
11056 <1% 257 251 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 163 149 $3K
82947 <1% 1,575 1,502 $3K
90686 <1% 838 829 $2K
65 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 61 $1K
82962 <1% 1,543 $1K
80305 <1% 223 $878.82
82270 <1% 508 $770.82
94010 <1% 54 $738.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 363 $712.49
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 239 $645.03
90715 <1% 57 $576.23
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 47 $522.82
3008F <1% 28,824 $515.38
92551 <1% 946 $405.27
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 105 $274.91
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 33 $263.14
88142 <1% 285 $179.44
90732 <1% 41 $170.00
81025 <1% 937 $167.18
81002 <1% 1,544 $148.59
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 13 $106.23
90670 <1% 140 $63.00
90723 <1% 74 $37.00
90647 <1% 51 $36.00
90633 <1% 31 $35.35
86580 <1% 15 $23.50
3725F <1% 2,884 $21.60
3079F <1% 5,085 $14.00
3078F <1% 9,002 $12.00
3075F <1% 2,360 $11.00
85018 <1% 396 $10.66
90649 <1% 35 $9.00
3080F <1% 1,547 $6.00
99173 <1% 633 $5.01
3077F <1% 2,822 $4.50
3074F 0% 10,553 $0.00
1125F 0% 7,142 $0.00
3061F 0% 78 $0.00
1036F 0% 7,250 $0.00
1126F 0% 9,352 $0.00
3014F 0% 537 $0.00
1034F 0% 585 $0.00
3048F 0% 78 $0.00
3017F 0% 397 $0.00
1111F 0% 228 $0.00
1035F 0% 275 $0.00
3044F 0% 43 $0.00
99384 0% 15 $0.00
99383 0% 68 $0.00
90688 0% 25 $0.00
90674 0% 25 $0.00
83655 0% 14 $0.00
1159F 0% 5,396 $0.00
1160F 0% 3,666 $0.00
99382 0% 32 $0.00
3015F 0% 551 $0.00
97803 0% 976 $0.00
3045F 0% 13 $0.00
2028F 0% 234 $0.00
2022F 0% 190 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 30 $0.00
99408 0% 60 $0.00
90655 0% 25 $0.00
90832 Psychotherapy session, about 30 minutes 0% 17 $0.00
90734 0% 17 $0.00
90685 0% 52 $0.00
4004F 0% 19 $0.00
90658 0% 25 $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 officialCOOK, JAMES (CEO)
Parent organizationANTELOPE VALLEY COMMUNITY CLINIC
Same official

Other billing entities under COOK, JAMES

Full network →
ProviderLocationPaid
Antelope Valley Community ClinicLancaster, CA$4.53M
Antelope Valley Community ClinicPalmdale, CA$3.65M
Antelope Valley Community ClinicPalmdale, CA$1.64M
Lancaster Adult Day Health CareLancaster, CA$1.35M
City of Royal OakRoyal Oak, MI$979K
Family Medical Center PCRichmond, VA$336K
Arkansas River Valley DentistryClarksville, AR$122K
Antelope Valley Community ClinicLancaster, CA$12K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.