Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEIGHBORHOOD HEALTHCARE

NPI: 1760667950 · EL CAJON, CA 92020 · Federally Qualified Health Center (FQHC) · NPI assigned 01/07/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PATEL, RAKESH controls 17+ related entities in our dataset. Read more

$46.58M
Total Medicaid Paid
505,985
Total Claims
425,508
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, RAKESH (CEO)
NPI Enumeration Date01/07/2008

Related Entities

Other providers sharing the same authorized official: PATEL, RAKESH

ProviderCityStateTotal Paid
NEIGHBORHOOD HEALTHCARE HEMET CA $160.42M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $124.93M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $38.37M
NEIGHBORHOOD HEALTHCARE LAKESIDE CA $33.19M
NEIGHBORHOOD HEALTHCARE POWAY CA $20.72M
NEIGHBORHOOD HEALTHCARE TEMECULA CA $15.81M
NEIGHBORHOOD HEALTHCARE MENIFEE CA $5.81M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $4.58M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $3.48M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $3.39M
NEIGHBORHOOD HEALTHCARE RIVERSIDE CA $3.36M
NEIGHBORHOOD HEALTHCARE ESCONDIDO CA $2.04M
NEIGHBORHOOD HEALTHCARE RIVERSIDE CA $1.75M
NEIGHBORHOOD HEALTHCARE RIVERSIDE CA $447K
R PATEL DENTAL GROUP INC CUDAHY CA $95K
RAKESH PATEL M.D. P. A. LA PORTE TX $24K
NEIGHBORHOOD HEALTHCARE- PACE RIVERSIDE RIVERSIDE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,192 $5.35M
2019 46,571 $4.43M
2020 82,566 $5.79M
2021 86,890 $7.74M
2022 74,743 $6.66M
2023 85,984 $7.98M
2024 83,039 $8.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 292,954 240,955 $46.18M
G0467 Federally 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 3,548 2,915 $117K
00003 Internal/system code - not a standard HCPCS code 429 170 $86K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 115,080 102,566 $69K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,795 1,561 $31K
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 2,217 2,202 $29K
0012A 690 690 $21K
0011A 952 952 $17K
0002A 344 344 $10K
0001A 460 460 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,465 10,671 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,880 20,951 $3K
0031A 59 59 $2K
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 14 14 $174.72
99441 896 871 $0.00
Z6406 441 407 $0.00
90834 Psychotherapy, 45 minutes with patient 3,467 2,522 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 8,438 4,273 $0.00
Z6402 413 413 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 768 765 $0.00
99443 472 460 $0.00
99385 14 14 $0.00
Z6204 222 221 $0.00
11055 52 51 $0.00
90792 Psychiatric diagnostic evaluation with medical services 64 64 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 27 24 $0.00
98943 21 12 $0.00
58300 12 12 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 273 271 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,007 2,004 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,786 1,784 $0.00
97810 4,361 2,827 $0.00
81002 250 169 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,408 2,408 $0.00
90785 2,698 2,370 $0.00
90832 Psychotherapy, 30 minutes with patient 12,030 7,868 $0.00
Z6400 1,251 858 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 898 891 $0.00
11721 2,706 2,685 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 357 354 $0.00
99442 3,540 3,372 $0.00
90791 Psychiatric diagnostic evaluation 680 679 $0.00
11056 329 322 $0.00
Z6200 171 171 $0.00
98940 2,195 1,096 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 144 144 $0.00
90837 Psychotherapy, 53 minutes with patient 33 25 $0.00
11720 161 161 $0.00
0502F 220 138 $0.00
99201 26 26 $0.00
Z6414 54 54 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 186 186 $0.00
69209 12 12 $0.00
11750 15 14 $0.00