East Valley Community Health Center, INC.
East Valley Community Health Center, INC. was paid $21.97M by Medicaid between Jan 2018 and Dec 2024, across 110 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoEAST VALLEY COMMUNITY HEALTH CENTER, INC.
POMONA, CA 91766
POMONA, CA 91766
33aNPI1649324443assigned 01/22/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$21.97M
24GClaims355,922
24DCodes billed110
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#94 of 435
Median peer was paid$2.89M
This provider vs. median7.6×
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
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 | 21,584 | $2.47M | |
| 2019 | 23,867 | $2.18M | |
| 2020 | 36,920 | $2.54M | |
| 2021 | 56,393 | $3.31M | |
| 2022 | 57,771 | $3.31M | |
| 2023 | 71,677 | $4.27M | |
| 2024incomplete | 87,710 | $3.88M |
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 | 92% | 138,761 | 116,595 | $20.24M |
| 00003 | Internal/system code - not a standard HCPCS code | 5.8% | 6,305 | 4,601 | $1.27M |
| 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% | 60,819 | 51,986 | $104K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,788 | 2,305 | $84K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 1,090 | 949 | $69K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 637 | 533 | $23K |
| G9920 | Screening performed and negative | <1% | 2,352 | 2,138 | $22K |
| 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% | 5,485 | 4,926 | $21K |
| 97802 | <1% | 1,741 | 1,661 | $14K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 657 | 564 | $13K |
| 97803 | <1% | 2,059 | 1,921 | $12K | |
| 0011A | <1% | 226 | 162 | $11K |
98 more codes
| 0001A | <1% | 218 | $10K | |
| 0012A | <1% | 197 | $9K | |
| 92551 | <1% | 3,571 | $8K | |
| 0002A | <1% | 164 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 578 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,547 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,540 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,046 | $4K |
| 0003A | <1% | 74 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 221 | $3K |
| 92250 | <1% | 965 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,136 | $3K |
| V2020 | Frames, purchases | <1% | 203 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 618 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 375 | $2K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,219 | $2K |
| 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% | 178 | $2K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 485 | $2K |
| 92015 | Determination of refractive state | <1% | 2,248 | $1K |
| 90686 | <1% | 1,749 | $1K | |
| 0031A | <1% | 20 | $849.00 | |
| 81025 | <1% | 1,767 | $802.75 | |
| 92341 | <1% | 34 | $801.36 | |
| 83655 | <1% | 841 | $694.32 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 713 | $651.36 |
| 0013A | <1% | 13 | $639.25 | |
| 85018 | <1% | 2,639 | $215.07 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,409 | $179.44 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 14 | $155.12 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 535 | $141.55 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,696 | $136.65 |
| 90656 | <1% | 197 | $113.90 | |
| 92020 | <1% | 12 | $57.06 | |
| 99188 | <1% | 124 | $53.46 | |
| 82962 | <1% | 5,133 | $49.45 | |
| 90750 | <1% | 20 | $45.00 | |
| 92134 | <1% | 170 | $38.97 | |
| 90715 | <1% | 15 | $27.00 | |
| 88142 | <1% | 545 | $13.32 | |
| 99173 | <1% | 3,134 | $9.12 | |
| 81002 | <1% | 6,335 | $8.11 | |
| 3077F | 0% | 561 | $0.00 | |
| 3078F | 0% | 13,937 | $0.00 | |
| 1158F | 0% | 1,830 | $0.00 | |
| 1159F | 0% | 8,920 | $0.00 | |
| 1160F | 0% | 5,732 | $0.00 | |
| 90734 | 0% | 140 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 85 | $0.00 |
| 0502F | 0% | 1,031 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 334 | $0.00 |
| 3725F | 0% | 493 | $0.00 | |
| Z6400 | 0% | 694 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 13 | $0.00 |
| 90670 | 0% | 554 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 87 | $0.00 |
| 90633 | 0% | 174 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 142 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 13 | $0.00 |
| 90461 | 0% | 39 | $0.00 | |
| 80305 | 0% | 25 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 88 | $0.00 |
| 99201 | 0% | 13 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 14 | $0.00 |
| 3075F | 0% | 656 | $0.00 | |
| 3008F | 0% | 7,548 | $0.00 | |
| 3074F | 0% | 12,800 | $0.00 | |
| 1170F | 0% | 7,929 | $0.00 | |
| 1126F | 0% | 5,576 | $0.00 | |
| Z1034 | 0% | 4,631 | $0.00 | |
| 3044F | 0% | 5,308 | $0.00 | |
| 1123F | 0% | 1,796 | $0.00 | |
| 3079F | 0% | 1,095 | $0.00 | |
| 90651 | 0% | 86 | $0.00 | |
| 0501F | 0% | 646 | $0.00 | |
| 3351F | 0% | 144 | $0.00 | |
| 3048F | 0% | 26 | $0.00 | |
| 90698 | 0% | 410 | $0.00 | |
| 90680 | 0% | 140 | $0.00 | |
| 90744 | 0% | 181 | $0.00 | |
| 1125F | 0% | 90 | $0.00 | |
| 99000 | 0% | 365 | $0.00 | |
| 94760 | 0% | 145 | $0.00 | |
| Z1032 | 0% | 147 | $0.00 | |
| 99384 | 0% | 18 | $0.00 | |
| 90677 | 0% | 107 | $0.00 | |
| 94010 | 0% | 13 | $0.00 | |
| 1000F | 0% | 12 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 142 | $0.00 |
| 99381 | 0% | 35 | $0.00 | |
| 99385 | 0% | 38 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 51 | $0.00 |
| Z1038 | 0% | 73 | $0.00 | |
| 90688 | 0% | 41 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| 99383 | 0% | 78 | $0.00 | |
| 3080F | 0% | 18 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90620 | 0% | 13 | $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 officialMARDINI, ALICIA (CHIEF EXEC. OFFICER)
| Provider | Location | Paid |
|---|---|---|
| East Valley Community Health Center, INC. | West Covina, CA | $34.47M |
| East Valley Community Health Center, INC. | Covina, CA | $6.40M |
| East Valley Community Health Center, INC. | La Puente, CA | $1.64M |
| East Valley Community Health Center, INC | West Covina, CA | $407K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.