Altura Centers for Health
Altura Centers for Health was paid $8.58M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoALTURA CENTERS FOR HEALTH
TULARE, CA 93274
TULARE, CA 93274
33aNPI1689011637assigned 05/31/2013
33bProvider typeCase Manager/Care Coordinator
28Total paid$8.58M
24GClaims197,694
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#146 of 435
Median peer was paid$2.89M
This provider vs. median3.0×
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 | 14,135 | $1.06M | |
| 2019 | 23,874 | $1.10M | |
| 2020 | 32,369 | $1.14M | |
| 2021 | 33,952 | $1.28M | |
| 2022 | 30,036 | $1.15M | |
| 2023 | 28,744 | $1.35M | |
| 2024incomplete | 34,584 | $1.51M |
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 | 96% | 69,498 | 59,629 | $8.21M |
| 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% | 5,578 | 4,295 | $102K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 426 | 221 | $70K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,811 | 2,481 | $36K |
| 0001A | <1% | 462 | 462 | $31K | |
| 0002A | <1% | 378 | 378 | $25K | |
| 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% | 49,448 | 32,243 | $17K |
| G9920 | Screening performed and negative | <1% | 1,070 | 818 | $14K |
| 87428 | <1% | 1,557 | 970 | $13K | |
| 0072A | <1% | 137 | 137 | $9K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 587 | 398 | $9K |
| 0071A | <1% | 123 | 122 | $8K |
65 more codes
| 0012A | <1% | 112 | $8K | |
| 0011A | <1% | 92 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16,527 | $4K |
| 0053A | <1% | 49 | $3K | |
| 0051A | <1% | 33 | $2K | |
| 0124A | <1% | 31 | $2K | |
| 0052A | <1% | 30 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,681 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 5,571 | $2K |
| 0004A | <1% | 21 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,619 | $1K |
| 0064A | <1% | 21 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,809 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 260 | $655.90 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 491 | $652.93 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 72 | $234.26 |
| 92551 | <1% | 4,185 | $204.05 | |
| 90686 | <1% | 2,027 | $152.44 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,523 | $139.13 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,120 | $138.03 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 100 | $91.39 |
| 99173 | <1% | 3,575 | $64.34 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 690 | $61.34 |
| 85018 | <1% | 5,858 | $59.64 | |
| 90688 | <1% | 326 | $58.98 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 569 | $56.63 |
| 99188 | <1% | 137 | $53.46 | |
| 83655 | <1% | 387 | $48.61 | |
| 90723 | <1% | 270 | $36.90 | |
| 90680 | <1% | 279 | $36.45 | |
| 90670 | <1% | 397 | $26.92 | |
| 90647 | <1% | 258 | $18.90 | |
| 90697 | <1% | 201 | $18.00 | |
| 90633 | <1% | 293 | $17.92 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 550 | $15.56 |
| 86580 | <1% | 171 | $14.12 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 381 | $13.74 |
| 90651 | <1% | 503 | $13.46 | |
| 87420 | <1% | 387 | $8.67 | |
| 90734 | <1% | 245 | $4.46 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 245 | $0.00 |
| 3079F | 0% | 591 | $0.00 | |
| 99174 | 0% | 988 | $0.00 | |
| 3074F | 0% | 1,559 | $0.00 | |
| 3075F | 0% | 499 | $0.00 | |
| 90620 | 0% | 76 | $0.00 | |
| 90656 | 0% | 103 | $0.00 | |
| 90696 | 0% | 87 | $0.00 | |
| 3080F | 0% | 104 | $0.00 | |
| 90619 | 0% | 116 | $0.00 | |
| 99383 | 0% | 15 | $0.00 | |
| 90674 | 0% | 37 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 23 | $0.00 |
| Z6400 | 0% | 352 | $0.00 | |
| 81002 | 0% | 208 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,514 | $0.00 |
| 3078F | 0% | 1,617 | $0.00 | |
| 3077F | 0% | 283 | $0.00 | |
| 90710 | 0% | 96 | $0.00 | |
| 90715 | 0% | 114 | $0.00 | |
| 90671 | 0% | 52 | $0.00 | |
| 91300 | 0% | 12 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 47 | $0.00 |
| 90707 | 0% | 15 | $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 officialSOTO PEREZ, GRACIELA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Altura Centers for Health | Tulare, CA | $37.27M |
| Altura Centers for Health | Tulare, CA | $36.34M |
| Altura Centers for Health | Tulare, CA | $7.69M |
| Altura Centers for Health | Woodville, CA | $6.59M |
| Altura Centers for Health | Tulare, CA | $1.19M |
| Altura Centers for Health | Tulare, CA | $731K |
| Altura Centers for Health | Tulare, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.