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.
BRAWLEY, CA 92227
Next to other Health Maintenance Organization providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 401 | $3K | |
| 2019 | 5,338 | $72K | |
| 2020 | 5,026 | $23K | |
| 2021 | 5,928 | $27K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Clinicas De Salud Del Pueblo, INC | Calexico, CA | $38.32M |
| Clinicas De Salud Del Pueblo, INC. | Brawley, CA | $34.87M |
| Clinicas De Salud Del Pueblo, INC | El Centro, CA | $31.83M |
| Clinicas De Salud Del Pueblo INC. | Hemet, CA | $16.61M |
| Clinicas De Salud Del Pueblo, INC | Coachella, CA | $16.48M |
| Clinicas De Salud Del Pueblo INC | Mecca, CA | $12.00M |
| Clinicas De Salud Del Pueblo, INC | Blythe, CA | $11.57M |
| Clinicas De Salud Del Pueblo | Brawley, CA | $6.78M |
| Clinicas De Salud Del Pueblo, INC | Mecca, CA | $2.98M |
| Clinicas De Salud Del Pueblo, INC. | Winterhaven, CA | $2.23M |
| Clinicas De Salud Del Pueblo, INC | Niland, CA | $1.66M |
| Clinicas De Salud Del Pueblo, INC. | Mecca, CA | $1.10M |
| Clinicas De Salud Del Pueblo, INC | Brawley, CA | $1.02M |
| Clinicas De Salud Del Pueblo, INC | El Centro, CA | $42K |
| Clinicas De Salud Del Pueblo, INC | Mecca, CA | $31K |
| Christi Cheng MD INC | San Leandro, CA | $1K |
| Dariush Zandi MD INC | San Leandro, CA | $271.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.