Clinic
The West Oakland Health Council
The West Oakland Health Council was paid $550K by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoTHE WEST OAKLAND HEALTH COUNCIL
OAKLAND, CA 94607
OAKLAND, CA 94607
33aNPI1679522627assigned 05/08/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$550K
24GClaims111,783
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#568 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
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 | 16,289 | $85K | |
| 2019 | 18,800 | $106K | |
| 2020 | 17,380 | $111K | |
| 2021 | 18,749 | $89K | |
| 2022 | 12,048 | $37K | |
| 2023 | 13,450 | $46K | |
| 2024incomplete | 15,067 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 54,385 | 49,717 | $227K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 21% | 1,502 | 858 | $113K |
| 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 | 17% | 17,910 | 16,867 | $93K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.6% | 16,138 | 14,801 | $48K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 578 | 574 | $13K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 113 | 53 | $9K |
| 97803 | 1.0% | 2,203 | 2,163 | $6K | |
| 59425 | 1.0% | 102 | 74 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 752 | 696 | $5K |
| 97802 | <1% | 1,149 | 1,136 | $4K | |
| G9920 | Screening performed and negative | <1% | 990 | 938 | $4K |
| 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% | 166 | 165 | $3K |
43 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,353 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 343 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 558 | $2K |
| 92250 | <1% | 37 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 26 | $1K |
| 92133 | <1% | 40 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 58 | $1K |
| 90677 | <1% | 16 | $967.29 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 772 | $962.66 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 180 | $931.92 |
| 81002 | <1% | 1,567 | $844.89 | |
| 99243 | <1% | 25 | $743.75 | |
| 90658 | <1% | 384 | $712.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 173 | $624.93 |
| 99442 | <1% | 60 | $600.00 | |
| 90656 | <1% | 245 | $568.46 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 445 | $482.48 |
| 92015 | Determination of refractive state | <1% | 2,508 | $430.11 |
| 81025 | <1% | 358 | $320.14 | |
| 92020 | <1% | 14 | $264.14 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 961 | $196.78 |
| 90734 | <1% | 24 | $177.00 | |
| 90649 | <1% | 14 | $132.00 | |
| 90633 | <1% | 12 | $117.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $114.48 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 61 | $74.10 |
| 82948 | <1% | 340 | $71.56 | |
| 99188 | <1% | 74 | $59.40 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 933 | $50.50 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 13 | $49.50 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $46.22 |
| 96127 | <1% | 46 | $36.07 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 32 | $35.20 |
| 99406 | <1% | 38 | $27.00 | |
| V2020 | Frames, purchases | <1% | 68 | $21.31 |
| 90715 | <1% | 13 | $18.00 | |
| 96156 | <1% | 72 | $16.82 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 122 | $8.41 |
| 99401 | <1% | 49 | $8.41 | |
| G0467 | Community health center visit, returning patient | <1% | 50 | $4.94 |
| 59430 | 0% | 14 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,658 | $0.00 |
| 90686 | 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 officialPHILLIPS, ROBERT (CEO)
| Provider | Location | Paid |
|---|---|---|
| The West Oakland Health Council | Oakland, CA | $44.03M |
| TMH Physician Associates PLLC | Houston, TX | $3.77M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.