Clinic
North County Health Project, INC.
North County Health Project, INC. was paid $57.50M by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoNORTH COUNTY HEALTH PROJECT, INC.
OCEANSIDE, CA 92054
OCEANSIDE, CA 92054
33aNPI1639185317assigned 08/01/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$57.50M
24GClaims671,784
24DCodes billed99
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#55 of 826
Median peer was paid$4.05M
This provider vs. median14×
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 PETERSEN, CHERYL controls 11+ 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 | 38,402 | $6.28M | |
| 2019 | 48,900 | $6.74M | |
| 2020 | 69,887 | $6.77M | |
| 2021 | 87,223 | $8.52M | |
| 2022 | 97,737 | $8.73M | |
| 2023 | 149,677 | $10.97M | |
| 2024incomplete | 179,958 | $9.49M |
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 | 79% | 246,978 | 206,536 | $45.69M |
| 00003 | Internal/system code - not a standard HCPCS code | 19% | 43,479 | 35,353 | $10.67M |
| 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% | 75,700 | 68,789 | $328K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 25,905 | 13,034 | $274K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 26,492 | 15,145 | $118K |
| 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% | 2,599 | 1,910 | $58K |
| 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% | 23,383 | 22,222 | $55K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,282 | 1,859 | $46K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,366 | 991 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21,514 | 20,119 | $32K |
| 0002A | <1% | 331 | 331 | $22K | |
| 0001A | <1% | 325 | 325 | $22K |
87 more codes
| 0012A | <1% | 318 | $21K | |
| 0011A | <1% | 311 | $21K | |
| 0064A | <1% | 266 | $17K | |
| 0004A | <1% | 189 | $12K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 809 | $10K |
| 0124A | <1% | 112 | $7K | |
| 0054A | <1% | 93 | $6K | |
| 0134A | <1% | 86 | $6K | |
| 0031A | <1% | 83 | $6K | |
| G9920 | Screening performed and negative | <1% | 1,281 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 671 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,338 | $4K |
| 91320 | <1% | 328 | $4K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 163 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,683 | $2K |
| 90480 | <1% | 327 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 955 | $1K |
| 90750 | <1% | 444 | $998.82 | |
| 81025 | <1% | 974 | $982.71 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 342 | $873.08 |
| 90677 | <1% | 89 | $794.22 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 257 | $724.13 |
| 90686 | <1% | 659 | $629.10 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 760 | $578.91 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,469 | $543.51 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,131 | $536.86 |
| 99201 | <1% | 51 | $362.20 | |
| 90715 | <1% | 168 | $281.82 | |
| 90688 | <1% | 532 | $255.41 | |
| 81002 | <1% | 2,162 | $239.86 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 281 | $162.51 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 529 | $158.45 |
| 99401 | <1% | 379 | $133.49 | |
| 90732 | <1% | 52 | $130.38 | |
| 96156 | <1% | 1,042 | $104.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 2,749 | $99.00 |
| 90662 | <1% | 79 | $80.40 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,039 | $76.82 |
| 90746 | <1% | 438 | $74.84 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 139 | $69.38 |
| 97811 | <1% | 1,452 | $59.40 | |
| 97810 | <1% | 1,808 | $59.40 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 467 | $57.43 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 96 | $37.39 |
| 97026 | <1% | 452 | $29.22 | |
| 90656 | <1% | 363 | $23.99 | |
| 99000 | <1% | 6,793 | $18.15 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 242 | $17.00 |
| 98940 | <1% | 190 | $16.72 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 50 | $16.24 |
| 92551 | <1% | 46 | $9.16 | |
| 85018 | <1% | 158 | $4.14 | |
| 3077F | 0% | 6,139 | $0.00 | |
| 3078F | 0% | 28,992 | $0.00 | |
| 1160F | 0% | 25,837 | $0.00 | |
| 1159F | 0% | 25,840 | $0.00 | |
| 96160 | 0% | 634 | $0.00 | |
| 90670 | 0% | 119 | $0.00 | |
| 97803 | 0% | 260 | $0.00 | |
| 4004F | 0% | 55 | $0.00 | |
| 3051F | 0% | 183 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 66 | $0.00 |
| 99173 | 0% | 44 | $0.00 | |
| 92552 | 0% | 12 | $0.00 | |
| 99177 | 0% | 12 | $0.00 | |
| 90633 | 0% | 22 | $0.00 | |
| 83655 | 0% | 63 | $0.00 | |
| 3044F | 0% | 1,216 | $0.00 | |
| 1126F | 0% | 5,710 | $0.00 | |
| 3079F | 0% | 14,881 | $0.00 | |
| 3075F | 0% | 7,784 | $0.00 | |
| 3080F | 0% | 2,448 | $0.00 | |
| 3074F | 0% | 32,689 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 71 | $0.00 |
| 1125F | 0% | 2,709 | $0.00 | |
| 88142 | 0% | 14 | $0.00 | |
| 3008F | 0% | 74 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 192 | $0.00 |
| 90698 | 0% | 118 | $0.00 | |
| Z6406 | 0% | 70 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 47 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 28 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 97 | $0.00 |
| 90744 | 0% | 34 | $0.00 | |
| 90680 | 0% | 39 | $0.00 | |
| 93000 | 0% | 24 | $0.00 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 12 | $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 officialPETERSEN, CHERYL (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| North County Health Project, INC. | San Marcos, CA | $125.68M |
| North County Health Project, INC. | Oceanside, CA | $29.48M |
| North County Health Project, INC. | Encinitas, CA | $16.48M |
| North County Health Project, INC | Perris, CA | $15.77M |
| North County Health Project, INC. | Ramona, CA | $15.60M |
| North County Health Project, INC. | Oceanside, CA | $11.36M |
| North County Health Project, INC. | Carlsbad, CA | $6.73M |
| North County Health Project, INC. | Oceanside, CA | $1.59M |
| North County Health Project, INC. | Oceanside, CA | $366K |
| North County Health Project, INC. | San Marcos, CA | $180K |
| North County Health Project, INC. | San Marcos, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.