Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Managed care

Communitycare Ipa, LLC

Communitycare Ipa, LLC was paid $125K by Medicaid between Aug 2018 and Aug 2021, across 77 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoCOMMUNITYCARE IPA, LLC
BRAWLEY, CA 92227
33aNPI1639508450assigned 11/02/2013
28Total paid$125K
24GClaims16,693
24DCodes billed77
24AFirst – last monthAug 2018 – Aug 2021
Compared with peers

Next to other Health Maintenance Organization providers in California

Rank by total paid#63 of 151
Median peer was paid$59K
This provider vs. median2.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BELL, YVONNE controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
2018401$3K
20195,338$72K
20205,026$23K
20215,928$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 23% 794 663 $29K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 1,355 1,193 $27K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 7.8% 62 53 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5.1% 374 373 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5.1% 368 367 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4.3% 629 625 $5K
80061 Lipid panel 3.4% 1,372 1,367 $4K
99221 3.3% 120 95 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.9% 249 231 $4K
83036 Hemoglobin; glycosylated (A1C) 2.1% 1,121 1,115 $3K
80053 Comprehensive metabolic panel 2.1% 860 816 $3K
36415 Collection of venous blood by venipuncture 1.7% 1,506 1,425 $2K
65 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.5% 674 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 113 $2K
99204 Doctor's office visit, new patient (more involved) 1.4% 21 $2K
84443 Thyroid stimulating hormone (TSH) 1.4% 346 $2K
87086 Culture, bacterial; quantitative colony count, urine <1% 320 $1K
82607 <1% 91 $1K
82746 <1% 84 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 183 $904.53
93000 <1% 32 $880.71
86803 <1% 191 $856.41
99385 <1% 14 $798.70
84439 <1% 118 $759.51
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 85 $744.64
83013 <1% 13 $721.20
97802 <1% 35 $546.30
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 26 $480.34
87088 <1% 118 $463.73
81001 <1% 580 $440.45
87340 <1% 136 $438.13
S9088 Services provided in an urgent care center (list in addition to code for service) <1% 103 $396.00
86708 <1% 35 $367.95
86704 <1% 32 $321.60
82728 <1% 28 $310.70
86706 <1% 31 $272.89
86480 <1% 24 $208.22
86592 <1% 188 $205.20
82570 <1% 170 $198.41
83550 <1% 30 $184.14
82043 <1% 110 $176.82
83540 <1% 34 $175.46
87070 <1% 24 $157.52
99000 <1% 43 $150.78
82248 <1% 18 $74.29
85027 <1% 108 $52.61
86140 <1% 12 $50.38
80048 Basic metabolic panel (calcium, ionized) <1% 37 $48.95
0510 <1% 12 $47.06
85652 <1% 25 $31.38
84153 <1% 14 $16.35
81003 <1% 13 $2.26
3074F 0% 355 $0.00
1126F 0% 48 $0.00
3008F 0% 173 $0.00
2010F 0% 81 $0.00
80371 0% 133 $0.00
80050 General health panel 0% 909 $0.00
2001F 0% 81 $0.00
80368 0% 100 $0.00
84436 0% 27 $0.00
2000F 0% 79 $0.00
80355 0% 133 $0.00
80362 0% 133 $0.00
80365 0% 80 $0.00
80361 0% 93 $0.00
80366 0% 133 $0.00
80372 0% 133 $0.00
3078F 0% 325 $0.00
80369 0% 133 $0.00
80373 0% 135 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 69 $0.00
80360 0% 120 $0.00
92015 Determination of refractive state 0% 16 $0.00
98940 0% 81 $0.00
1160F 0% 21 $0.00
1159F 0% 21 $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 officialBELL, YVONNE (CEO)
Same official

Other billing entities under BELL, YVONNE

Full network →

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