Family Healthcare Network
Family Healthcare Network was paid $31.00M by Medicaid between Apr 2019 and Dec 2024, across 99 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
VISALIA, CA 93277
Next to other Case Manager/Care Coordinator 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 | |
|---|---|---|---|
| 2019 | 22,445 | $2.90M | |
| 2020 | 58,686 | $4.54M | |
| 2021 | 110,640 | $5.89M | |
| 2022 | 146,495 | $5.03M | |
| 2023 | 179,396 | $6.49M | |
| 2024incomplete | 165,483 | $6.16M |
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 | 75% | 166,721 | 141,099 | $23.18M |
| 00003 | Internal/system code - not a standard HCPCS code | 22% | 39,784 | 33,030 | $6.76M |
| G9012 | Other specified case management service not elsewhere classified | <1% | 693 | 665 | $195K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 527 | 523 | $175K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12,318 | 11,133 | $127K |
| V2020 | Frames, purchases | <1% | 4,903 | 4,866 | $94K |
| 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% | 126,671 | 71,322 | $81K |
| 98940 | <1% | 779 | 398 | $76K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 3,328 | 3,297 | $64K |
| 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% | 2,959 | 2,475 | $58K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 40,877 | 25,564 | $41K |
| 92341 | <1% | 1,149 | 1,149 | $33K |
87 more codes
| G9920 | Screening performed and negative | <1% | 12,839 | $20K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 181 | $18K |
| 92015 | Determination of refractive state | <1% | 12,842 | $14K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,648 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,529 | $7K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 913 | $7K |
| 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% | 459 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,868 | $3K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 34 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,325 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 6,685 | $2K |
| J3490 | Unclassified drugs | <1% | 1,132 | $2K |
| 92250 | <1% | 1,470 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,664 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 265 | $2K |
| 81025 | <1% | 9,273 | $2K | |
| 92133 | <1% | 1,607 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 111 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,376 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,200 | $1K |
| 92551 | <1% | 12,336 | $830.09 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 60 | $759.78 |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 1,283 | $743.75 |
| 11981 | <1% | 34 | $731.01 | |
| 90686 | <1% | 5,276 | $514.58 | |
| 90680 | <1% | 2,617 | $456.75 | |
| 90670 | <1% | 3,282 | $447.75 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 84 | $381.09 |
| 85018 | <1% | 25,427 | $351.15 | |
| 90697 | <1% | 1,704 | $336.75 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,481 | $289.56 |
| 90633 | <1% | 2,616 | $243.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 302 | $232.00 |
| 99173 | <1% | 11,639 | $225.34 | |
| 90723 | <1% | 1,552 | $222.75 | |
| 81002 | <1% | 11,938 | $208.25 | |
| 83655 | <1% | 2,224 | $189.69 | |
| 90677 | <1% | 1,522 | $177.65 | |
| 92134 | <1% | 360 | $170.70 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 16 | $136.15 |
| 90647 | <1% | 1,750 | $132.75 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,305 | $118.26 |
| 11976 | <1% | 24 | $111.67 | |
| 90651 | <1% | 1,691 | $99.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,668 | $93.75 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,481 | $87.99 |
| 90700 | <1% | 2,011 | $81.00 | |
| 90716 | <1% | 309 | $72.00 | |
| 90734 | <1% | 1,193 | $66.75 | |
| 99381 | <1% | 58 | $44.88 | |
| 90707 | <1% | 212 | $36.00 | |
| 88720 | <1% | 110 | $34.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,130 | $33.88 |
| 82962 | <1% | 2,227 | $19.97 | |
| 90688 | <1% | 1,618 | $18.00 | |
| 90710 | <1% | 264 | $18.00 | |
| 90715 | <1% | 412 | $18.00 | |
| 90713 | <1% | 272 | $18.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 50,301 | $13.55 |
| 86580 | <1% | 533 | $6.69 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,628 | $0.68 |
| 99406 | <1% | 216 | $0.02 | |
| 3079F | 0% | 5,741 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 1,812 | $0.00 |
| 3074F | 0% | 7,655 | $0.00 | |
| Z1034 | 0% | 2,808 | $0.00 | |
| 3044F | 0% | 527 | $0.00 | |
| 3080F | 0% | 1,922 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 87 | $0.00 |
| 2023F | 0% | 1,413 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 2,243 | $0.00 |
| Z1038 | 0% | 43 | $0.00 | |
| Z1032 | 0% | 369 | $0.00 | |
| 59430 | 0% | 43 | $0.00 | |
| 3075F | 0% | 3,080 | $0.00 | |
| 90732 | 0% | 70 | $0.00 | |
| 3052F | 0% | 23 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 23 | $0.00 |
| 3078F | 0% | 7,314 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 4,555 | $0.00 |
| 59425 | 0% | 593 | $0.00 | |
| 3077F | 0% | 4,180 | $0.00 | |
| 86703 | 0% | 150 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 35 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| 3051F | 0% | 53 | $0.00 | |
| 3046F | 0% | 97 | $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 |
|---|---|---|
| Family Healthcare Network | Fresno, CA | $218.30M |
| Family Healthcare Network | Visalia, CA | $93.48M |
| Family Healthcare Network | Hanford, CA | $76.43M |
| Family Healthcare Network | Porterville, CA | $57.66M |
| Family Healthcare Network | Visalia, CA | $53.29M |
| Family Healthcare Network | Woodlake, CA | $48.73M |
| Family Healthcare Network | Porterville, CA | $34.76M |
| Family Healthcare Network | Visalia, CA | $31.34M |
| Family Healthcare Network | Goshen, CA | $25.21M |
| Family Healthcare Network | Orosi, CA | $24.94M |
| Family Healthcare Network | Tulare, CA | $20.48M |
| Family Healthcare Network | Tulare, CA | $20.28M |
| Family Healthcare Network | Porterville, CA | $11.20M |
| Family Healthcare Network | Terra Bella, CA | $8.28M |
| Family Healthcare Network | Traver, CA | $7.25M |
| Family Healthcare Network | Fresno, CA | $6.91M |
| Family Healthcare Network | Farmersville, CA | $6.66M |
| Family Healthcare Network | Strathmore, CA | $5.90M |
| Family Healthcare Network | Ivanhoe, CA | $4.50M |
| Family Healthcare Network | Springville, CA | $2.61M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.