Altamed Health Services Corp
Altamed Health Services Corp was paid $43.62M by Medicaid between Jan 2018 and Dec 2024, across 164 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.
SANTA ANA, CA 92701
Next to other Federally Qualified Health Center (FQHC) 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 | 50,634 | $7.50M | |
| 2019 | 108,375 | $6.42M | |
| 2020 | 75,684 | $4.84M | |
| 2021 | 88,579 | $5.86M | |
| 2022 | 76,603 | $4.61M | |
| 2023 | 102,177 | $6.71M | |
| 2024incomplete | 146,195 | $7.67M |
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 | 62% | 162,698 | 140,077 | $26.91M |
| 00003 | Internal/system code - not a standard HCPCS code | 35% | 59,436 | 54,135 | $15.11M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54,690 | 45,037 | $271K |
| 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% | 71,479 | 58,048 | $168K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,961 | 3,316 | $142K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,926 | 5,162 | $132K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,701 | 4,006 | $115K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,060 | 4,440 | $100K |
| 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% | 16,034 | 13,351 | $90K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,990 | 2,017 | $62K |
| 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% | 1,032 | 879 | $58K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 3,954 | 2,657 | $49K |
152 more codes
| J3490 | Unclassified drugs | <1% | 645 | $36K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,024 | $26K |
| 90686 | <1% | 7,329 | $26K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 463 | $20K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,890 | $19K |
| 90715 | <1% | 3,497 | $18K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,166 | $18K |
| 92551 | <1% | 2,292 | $18K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 486 | $15K |
| 90651 | <1% | 2,731 | $13K | |
| 85018 | <1% | 14,233 | $12K | |
| 90677 | <1% | 1,195 | $11K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 2,078 | $11K |
| 90739 | <1% | 381 | $10K | |
| 99401 | <1% | 2,624 | $9K | |
| 90670 | <1% | 2,882 | $9K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,655 | $8K |
| 83655 | <1% | 1,959 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 981 | $7K |
| 90656 | <1% | 1,619 | $7K | |
| 99381 | <1% | 619 | $6K | |
| 0001A | <1% | 382 | $6K | |
| 90633 | <1% | 1,874 | $6K | |
| 90680 | <1% | 2,002 | $6K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 497 | $6K |
| 90698 | <1% | 1,858 | $5K | |
| 90734 | <1% | 1,070 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,901 | $5K |
| H1000 | Prenatal care, at-risk assessment | <1% | 123 | $5K |
| G9920 | Screening performed and negative | <1% | 2,495 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 433 | $4K |
| 59430 | <1% | 219 | $4K | |
| 90688 | <1% | 3,153 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 455 | $4K |
| 90658 | <1% | 418 | $3K | |
| 85999 | <1% | 1,123 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,074 | $3K |
| 99386 | <1% | 276 | $3K | |
| 0002A | <1% | 52 | $3K | |
| 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% | 931 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,199 | $3K |
| 90744 | <1% | 1,099 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,658 | $2K |
| 99173 | <1% | 2,286 | $2K | |
| 81025 | <1% | 4,936 | $2K | |
| 90671 | <1% | 439 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 16 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 111 | $1K |
| 99385 | <1% | 89 | $1K | |
| 90649 | <1% | 127 | $1K | |
| 90697 | <1% | 1,328 | $1K | |
| 81002 | <1% | 19,845 | $1K | |
| 90710 | <1% | 316 | $954.00 | |
| 90681 | <1% | 236 | $909.00 | |
| 97803 | <1% | 365 | $849.41 | |
| 90716 | <1% | 450 | $846.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,039 | $767.80 |
| 90696 | <1% | 270 | $765.00 | |
| 90707 | <1% | 387 | $603.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 226 | $555.06 |
| 96156 | <1% | 922 | $529.84 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 821 | $383.75 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 803 | $364.18 |
| 82962 | <1% | 1,388 | $340.57 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 27 | $336.96 |
| 90662 | <1% | 47 | $295.72 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 141 | $266.30 |
| 90619 | <1% | 548 | $216.00 | |
| 90700 | <1% | 173 | $135.00 | |
| 90687 | <1% | 78 | $72.00 | |
| 99384 | <1% | 14 | $65.78 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 24 | $58.87 |
| 99000 | <1% | 1,354 | $58.08 | |
| 90380 | <1% | 56 | $45.00 | |
| 90480 | <1% | 133 | $40.00 | |
| 97802 | <1% | 15 | $33.66 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 80 | $29.04 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 143 | $17.53 |
| 90381 | <1% | 77 | $9.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 13 | $7.48 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 524 | $5.99 |
| 36416 | <1% | 1,385 | $4.26 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 151 | $1.97 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 42 | $1.70 |
| 3079F | 0% | 3,689 | $0.00 | |
| Z6406 | 0% | 2,452 | $0.00 | |
| 1126F | 0% | 10,809 | $0.00 | |
| 1125F | 0% | 2,023 | $0.00 | |
| 3351F | 0% | 5,407 | $0.00 | |
| 99441 | 0% | 152 | $0.00 | |
| 1111F | 0% | 1,661 | $0.00 | |
| Z1038 | 0% | 339 | $0.00 | |
| 0501F | 0% | 566 | $0.00 | |
| 3074F | 0% | 6,946 | $0.00 | |
| Z1034 | 0% | 7,050 | $0.00 | |
| 3075F | 0% | 2,042 | $0.00 | |
| 3080F | 0% | 615 | $0.00 | |
| Z1032 | 0% | 810 | $0.00 | |
| 3353F | 0% | 586 | $0.00 | |
| 3044F | 0% | 447 | $0.00 | |
| Z6410 | 0% | 1,145 | $0.00 | |
| 3008F | 0% | 706 | $0.00 | |
| 0500F | 0% | 208 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,222 | $0.00 |
| Z6204 | 0% | 217 | $0.00 | |
| 96151 | 0% | 69 | $0.00 | |
| Z6402 | 0% | 64 | $0.00 | |
| 0503F | 0% | 115 | $0.00 | |
| 3352F | 0% | 129 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 51 | $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% | 233 | $0.00 |
| 93000 | 0% | 56 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 78 | $0.00 |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 96 | $0.00 |
| 88720 | 0% | 41 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 19 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,078 | $0.00 |
| 90474 | 0% | 40 | $0.00 | |
| 98962 | 0% | 109 | $0.00 | |
| 1159F | 0% | 10,413 | $0.00 | |
| 59425 | 0% | 741 | $0.00 | |
| 0502F | 0% | 8,612 | $0.00 | |
| 90648 | 0% | 140 | $0.00 | |
| 3078F | 0% | 7,949 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 14,190 | $0.00 |
| Z6414 | 0% | 98 | $0.00 | |
| Z6400 | 0% | 2,751 | $0.00 | |
| 91300 | 0% | 284 | $0.00 | |
| 3077F | 0% | 3,203 | $0.00 | |
| 3046F | 0% | 177 | $0.00 | |
| A4550 | Surgical trays | 0% | 218 | $0.00 |
| 90461 | 0% | 9,729 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 52 | $0.00 |
| Z6300 | 0% | 64 | $0.00 | |
| 0124A | 0% | 96 | $0.00 | |
| 1160F | 0% | 12,768 | $0.00 | |
| 91312 | 0% | 96 | $0.00 | |
| 90473 | 0% | 100 | $0.00 | |
| Z6200 | 0% | 67 | $0.00 | |
| 3051F | 0% | 59 | $0.00 | |
| 1158F | 0% | 3,230 | $0.00 | |
| J7610 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg | 0% | 88 | $0.00 |
| 3045F | 0% | 50 | $0.00 | |
| 90746 | 0% | 12 | $0.00 | |
| Z6304 | 0% | 77 | $0.00 | |
| 91320 | 0% | 39 | $0.00 | |
| Z6208 | 0% | 16 | $0.00 | |
| 98960 | 0% | 118 | $0.00 | |
| Z6308 | 0% | 29 | $0.00 | |
| 0521 | 0% | 55 | $0.00 | |
| 99201 | 0% | 16 | $0.00 | |
| 99442 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Altamed Health Services Corp. | Los Angeles, CA | $305.80M |
| Altamed Health Services Corp | West Covina, CA | $83.90M |
| Altamed Health Services Corp | Pico Rivera, CA | $70.97M |
| Altamed Health Services Corp | El Monte, CA | $56.32M |
| Altamed Health Services Corp | Huntington Beach, CA | $53.30M |
| Altamed Health Services Corp | Los Angeles, CA | $50.84M |
| Altamed Health Services Corp | Santa Ana, CA | $40.31M |
| Altamed Health Services Corp | E. Los Angeles, CA | $33.24M |
| Altamed Health Services Corp | Garden Grove, CA | $30.84M |
| Altamed Health Services Corp | Los Angeles, CA | $23.94M |
| Altamed Health Services Corp | Orange, CA | $19.54M |
| Altamed Health Services Corp | Pico Rivera, CA | $14.32M |
| Altamed Health Services Corp | Anaheim, CA | $7.95M |
| Robert L. Young, JR. , DDS | Charlotte, NC | $7.89M |
| Altamed Health Services Corp | Los Angeles, CA | $3.75M |
| Altamed Health Services Corp | Anaheim, CA | $3.62M |
| Altamed Health Services Corp | Anaheim, CA | $3.60M |
| Robert L Young 2 DDS PA | Mint Hill, NC | $2.39M |
| Altamed Health Services Corp | Los Angeles, CA | $2.03M |
| Altamed Health Services Corporation | Los Angeles, CA | $1.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.