Clinic
Antelope Valley Community Clinic
Antelope Valley Community Clinic was paid $4.53M by Medicaid between Jan 2018 and Apr 2019, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoANTELOPE VALLEY COMMUNITY CLINIC
LANCASTER, CA 93534
LANCASTER, CA 93534
33aNPI1730499872assigned 10/07/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.53M
24GClaims60,744
24DCodes billed50
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#404 of 826
Median peer was paid$4.05M
This provider vs. median1.1×
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 | 49,375 | $3.57M | |
| 2019 | 11,369 | $956K |
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 | 90% | 47,359 | 40,712 | $4.08M |
| 00003 | Internal/system code - not a standard HCPCS code | 8.1% | 2,919 | 2,738 | $368K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,472 | 1,932 | $36K |
| 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% | 748 | 688 | $12K |
| 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% | 175 | 152 | $10K |
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | <1% | 168 | 21 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 77 | 77 | $3K |
| 92551 | <1% | 348 | 348 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 118 | 113 | $2K |
| 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% | 42 | 42 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 41 | 41 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 25 | 25 | $849.14 |
38 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 52 | $750.00 |
| 90686 | <1% | 116 | $631.00 | |
| 99381 | <1% | 12 | $530.40 | |
| 90670 | <1% | 35 | $315.90 | |
| 90647 | <1% | 28 | $225.90 | |
| 90723 | <1% | 28 | $216.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 255 | $184.00 |
| 90633 | <1% | 12 | $108.00 | |
| 81025 | <1% | 25 | $36.01 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $33.96 |
| 85018 | <1% | 77 | $31.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 632 | $24.00 |
| 81002 | <1% | 29 | $23.02 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 163 | $0.00 |
| D0603 | 0% | 625 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 308 | $0.00 |
| D1330 | 0% | 514 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 448 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 518 | $0.00 |
| 3008F | 0% | 871 | $0.00 | |
| 99172 | 0% | 43 | $0.00 | |
| 90657 | 0% | 15 | $0.00 | |
| 97802 | 0% | 137 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 137 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 42 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 55 | $0.00 |
| D1310 | 0% | 16 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 50 | $0.00 |
| 3074F | 0% | 103 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 184 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 96 | $0.00 |
| D0270 | 0% | 15 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 171 | $0.00 |
| 99173 | 0% | 177 | $0.00 | |
| 99401 | 0% | 137 | $0.00 | |
| 3078F | 0% | 60 | $0.00 | |
| D4341 | 0% | 38 | $0.00 | |
| D9430 | 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 officialCOOK, JAMES (CEO)
Parent organizationANTELOPE VALLEY COMMUNITY CLINIC
| Provider | Location | Paid |
|---|---|---|
| Antelope Valley Community Clinic | Palmdale, CA | $3.65M |
| Antelope Valley Community Clinic | Palmdale, CA | $1.64M |
| Lancaster Adult Day Health Care | Lancaster, CA | $1.35M |
| City of Royal Oak | Royal Oak, MI | $979K |
| Antelope Valley Community Clinic | Lancaster, CA | $524K |
| Family Medical Center PC | Richmond, VA | $336K |
| Arkansas River Valley Dentistry | Clarksville, AR | $122K |
| Antelope Valley Community Clinic | Lancaster, CA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.