Family Healthcare Network
Family Healthcare Network was paid $93.48M by Medicaid between Jan 2018 and Dec 2024, across 155 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
VISALIA, CA 93291
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 | |
|---|---|---|---|
| 2018 | 220,499 | $21.06M | |
| 2019 | 133,895 | $12.64M | |
| 2020 | 179,289 | $11.98M | |
| 2021 | 269,745 | $13.74M | |
| 2022 | 289,470 | $10.41M | |
| 2023 | 314,669 | $11.60M | |
| 2024incomplete | 325,188 | $12.05M |
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 | 71% | 482,656 | 405,024 | $66.49M |
| 00003 | Internal/system code - not a standard HCPCS code | 25% | 139,743 | 94,428 | $23.06M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 32,358 | 27,288 | $756K |
| V2020 | Frames, purchases | <1% | 21,385 | 21,334 | $392K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 10,109 | 7,583 | $386K |
| 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% | 224,876 | 146,372 | $356K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 16,489 | 16,449 | $298K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 118,100 | 80,535 | $282K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 794 | 779 | $278K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,130 | 1,050 | $244K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 13,354 | 8,416 | $221K |
| 92015 | Determination of refractive state | <1% | 34,239 | 29,243 | $151K |
143 more codes
| G0467 | Community health center visit, returning patient | <1% | 3,542 | $99K |
| 92341 | <1% | 3,080 | $85K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 517 | $47K |
| G9920 | Screening performed and negative | <1% | 14,869 | $41K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16,997 | $29K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 362 | $25K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 78 | $23K |
| J3490 | Unclassified drugs | <1% | 4,498 | $22K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 12,983 | $14K |
| 0011A | <1% | 198 | $13K | |
| 92250 | <1% | 3,209 | $12K | |
| 99460 | <1% | 986 | $12K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,378 | $11K |
| 99381 | <1% | 1,343 | $11K | |
| 81025 | <1% | 39,384 | $11K | |
| 11976 | <1% | 574 | $10K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 8,293 | $9K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 684 | $8K |
| 0072A | <1% | 111 | $7K | |
| 11981 | <1% | 309 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 4,573 | $6K |
| 0071A | <1% | 65 | $4K | |
| 0002A | <1% | 64 | $4K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 288 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15,297 | $3K |
| 0004A | <1% | 52 | $3K | |
| 0001A | <1% | 49 | $3K | |
| 59514 | <1% | 12 | $3K | |
| 0012A | <1% | 44 | $3K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 671 | $3K |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | <1% | 6,454 | $2K |
| 92133 | <1% | 647 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 119 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 9,671 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 146 | $2K |
| 90670 | <1% | 10,024 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 5,078 | $1K |
| 90680 | <1% | 8,082 | $1K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 118 | $1K |
| 59425 | <1% | 10,211 | $1K | |
| 90715 | <1% | 4,686 | $1K | |
| 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% | 96 | $1K |
| 88720 | <1% | 2,151 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,514 | $995.15 |
| 90686 | <1% | 13,470 | $958.44 | |
| 90723 | <1% | 5,969 | $924.75 | |
| 76813 | <1% | 103 | $911.88 | |
| 90647 | <1% | 5,916 | $873.59 | |
| 81002 | <1% | 67,921 | $873.12 | |
| 90651 | <1% | 1,544 | $817.34 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 41 | $646.38 |
| 92551 | <1% | 19,906 | $640.84 | |
| 99241 | <1% | 27 | $632.64 | |
| 90697 | <1% | 3,149 | $590.86 | |
| 92285 | <1% | 226 | $494.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 205 | $477.02 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,983 | $448.22 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,262 | $429.72 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 19 | $426.56 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 11,276 | $416.55 |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 263 | $403.86 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,260 | $374.80 |
| 90677 | <1% | 2,809 | $363.20 | |
| 59430 | <1% | 839 | $356.83 | |
| 85018 | <1% | 36,763 | $351.15 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,791 | $328.36 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 26 | $321.40 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 24 | $288.54 |
| 90633 | <1% | 4,657 | $236.25 | |
| 83655 | <1% | 4,172 | $225.93 | |
| 99173 | <1% | 17,818 | $207.23 | |
| 90734 | <1% | 1,138 | $206.00 | |
| 58300 | <1% | 19 | $176.69 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,055 | $170.16 |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 319 | $135.83 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 339 | $124.19 |
| 82962 | <1% | 9,306 | $121.93 | |
| 90732 | <1% | 25 | $110.00 | |
| 90716 | <1% | 1,002 | $94.50 | |
| 90707 | <1% | 791 | $81.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 19 | $79.86 |
| 90700 | <1% | 2,578 | $76.50 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 185 | $59.30 |
| 99401 | <1% | 569 | $52.99 | |
| 90746 | <1% | 64 | $52.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 20 | $48.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 499 | $30.42 |
| 96156 | <1% | 793 | $30.28 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 318 | $22.71 |
| 97803 | <1% | 473 | $22.71 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 113,709 | $18.70 |
| 90710 | <1% | 189 | $18.00 | |
| 90688 | <1% | 3,554 | $9.00 | |
| 90713 | <1% | 242 | $9.00 | |
| 90380 | <1% | 26 | $9.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 411 | $8.88 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 114 | $8.00 |
| 90381 | <1% | 14 | $2.55 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,044 | $0.32 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 12,224 | $0.10 |
| 2023F | <1% | 1,548 | $0.06 | |
| 99406 | <1% | 100 | $0.02 | |
| 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% | 1,740 | $0.00 |
| Z1034 | 0% | 30,651 | $0.00 | |
| Z1032 | 0% | 2,518 | $0.00 | |
| 3074F | 0% | 8,815 | $0.00 | |
| 3079F | 0% | 5,032 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 26 | $0.00 |
| Z6410 | 0% | 395 | $0.00 | |
| Z1038 | 0% | 992 | $0.00 | |
| 3044F | 0% | 882 | $0.00 | |
| Z6406 | 0% | 544 | $0.00 | |
| 99383 | 0% | 50 | $0.00 | |
| Z6204 | 0% | 465 | $0.00 | |
| 3075F | 0% | 2,356 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 149 | $0.00 |
| 86580 | 0% | 185 | $0.00 | |
| 96151 | 0% | 27 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 80 | $0.00 |
| 3080F | 0% | 342 | $0.00 | |
| 90632 | 0% | 18 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 22 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 50 | $0.00 |
| 3078F | 0% | 9,011 | $0.00 | |
| Z6304 | 0% | 450 | $0.00 | |
| 3077F | 0% | 2,752 | $0.00 | |
| Z6500 | 0% | 1,244 | $0.00 | |
| Z6400 | 0% | 1,992 | $0.00 | |
| G9357 | Post-partum screenings, evaluations and education performed | 0% | 898 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 188 | $0.00 |
| 99382 | 0% | 18 | $0.00 | |
| 90678 | 0% | 150 | $0.00 | |
| 98940 | 0% | 19 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 22 | $0.00 |
| Z6208 | 0% | 92 | $0.00 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 0% | 31 | $0.00 |
| 11721 | 0% | 482 | $0.00 | |
| Z6308 | 0% | 28 | $0.00 | |
| 90621 | 0% | 60 | $0.00 | |
| 2022F | 0% | 19 | $0.00 | |
| Z6414 | 0% | 33 | $0.00 | |
| 3046F | 0% | 25 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 36 | $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 | 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 | Visalia, CA | $31.00M |
| 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.