JWCH Institute, INC
JWCH Institute, INC was paid $12.94M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoJWCH INSTITUTE, INC
DOWNEY, CA 90241
DOWNEY, CA 90241
33aNPI1770988370assigned 10/27/2014
33bProvider typeCase Manager/Care Coordinator
28Total paid$12.94M
24GClaims203,696
24DCodes billed124
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#128 of 435
Median peer was paid$2.89M
This provider vs. median4.5×
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.
Entity ProliferationAuthorized official BALLESTEROS, ALVARO controls 17+ related entities in our dataset. Read more
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 | 14,101 | $2.21M | |
| 2019 | 22,243 | $1.75M | |
| 2020 | 29,425 | $1.51M | |
| 2021 | 33,455 | $1.93M | |
| 2022 | 25,466 | $1.46M | |
| 2023 | 39,338 | $2.05M | |
| 2024incomplete | 39,668 | $2.03M |
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 | 93% | 74,141 | 54,360 | $11.99M |
| 00003 | Internal/system code - not a standard HCPCS code | 6.9% | 5,218 | 4,389 | $898K |
| 0012A | <1% | 420 | 259 | $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% | 102 | 91 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 294 | 294 | $6K |
| 0011A | <1% | 357 | 288 | $5K | |
| 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% | 23,129 | 20,087 | $5K |
| 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% | 6,171 | 5,864 | $4K |
| 0002A | <1% | 90 | 47 | $4K | |
| 0064A | <1% | 151 | 125 | $3K | |
| 0001A | <1% | 93 | 66 | $2K | |
| 0013A | <1% | 59 | 37 | $2K |
112 more codes
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 13 | $811.72 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,090 | $161.25 |
| A4267 | Contraceptive supply, condom, male, each | <1% | 21 | $129.36 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,424 | $108.68 |
| 99000 | <1% | 450 | $81.78 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 275 | $70.93 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,058 | $37.39 |
| 81025 | <1% | 393 | $30.10 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,634 | $22.00 |
| 90658 | <1% | 1,260 | $17.00 | |
| 90633 | <1% | 580 | $9.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,918 | $4.46 |
| 88142 | <1% | 57 | $3.60 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,012 | $3.51 |
| 1159F | <1% | 13,932 | $3.50 | |
| 1160F | <1% | 13,575 | $3.50 | |
| 82948 | <1% | 2,886 | $2.71 | |
| 81002 | <1% | 4,420 | $2.15 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 227 | $2.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 187 | $0.17 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 700 | $0.02 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 813 | $0.00 |
| 90715 | 0% | 798 | $0.00 | |
| Z6200 | 0% | 85 | $0.00 | |
| Z6400 | 0% | 431 | $0.00 | |
| 90461 | 0% | 1,597 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,876 | $0.00 |
| 0502F | 0% | 401 | $0.00 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 222 | $0.00 |
| Z6414 | 0% | 60 | $0.00 | |
| 99173 | 0% | 2,691 | $0.00 | |
| 3078F | 0% | 1,819 | $0.00 | |
| 90648 | 0% | 550 | $0.00 | |
| 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 | 0% | 1,199 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 793 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 315 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 460 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 691 | $0.00 |
| D0190 | 0% | 228 | $0.00 | |
| 90710 | 0% | 255 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 297 | $0.00 |
| 90700 | 0% | 78 | $0.00 | |
| Z6300 | 0% | 71 | $0.00 | |
| 90655 | 0% | 132 | $0.00 | |
| Z6500 | 0% | 114 | $0.00 | |
| 83655 | 0% | 144 | $0.00 | |
| 90670 | 0% | 724 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 259 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 331 | $0.00 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 25 | $0.00 |
| 90681 | 0% | 24 | $0.00 | |
| 2028F | 0% | 55 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 35 | $0.00 |
| PROP5 | 0% | 53 | $0.00 | |
| 3077F | 0% | 162 | $0.00 | |
| 3046F | 0% | 57 | $0.00 | |
| 90671 | 0% | 135 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 58 | $0.00 |
| 99408 | 0% | 107 | $0.00 | |
| 98940 | 0% | 16 | $0.00 | |
| 0004A | 0% | 21 | $0.00 | |
| Z6304 | 0% | 73 | $0.00 | |
| 90734 | 0% | 87 | $0.00 | |
| 90685 | 0% | 60 | $0.00 | |
| D9993 | 0% | 12 | $0.00 | |
| 76802 | 0% | 33 | $0.00 | |
| 90679 | 0% | 12 | $0.00 | |
| 90750 | 0% | 13 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 82274 | 0% | 15 | $0.00 | |
| 90723 | 0% | 665 | $0.00 | |
| 1126F | 0% | 1,958 | $0.00 | |
| 3074F | 0% | 1,748 | $0.00 | |
| 99429 | 0% | 106 | $0.00 | |
| 90686 | 0% | 645 | $0.00 | |
| Z1034 | 0% | 3,809 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 271 | $0.00 |
| 90647 | 0% | 241 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,938 | $0.00 |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 0% | 54 | $0.00 |
| Z1038 | 0% | 29 | $0.00 | |
| 3075F | 0% | 282 | $0.00 | |
| Z6410 | 0% | 4,041 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 28 | $0.00 |
| 90656 | 0% | 56 | $0.00 | |
| 3044F | 0% | 263 | $0.00 | |
| 85018 | 0% | 2,140 | $0.00 | |
| 1170F | 0% | 348 | $0.00 | |
| D1310 | 0% | 12 | $0.00 | |
| 90651 | 0% | 322 | $0.00 | |
| 3008F | 0% | 318 | $0.00 | |
| 90680 | 0% | 182 | $0.00 | |
| 36416 | 0% | 55 | $0.00 | |
| Z1032 | 0% | 66 | $0.00 | |
| 1125F | 0% | 171 | $0.00 | |
| 90620 | 0% | 87 | $0.00 | |
| 76801 | 0% | 469 | $0.00 | |
| 92551 | 0% | 661 | $0.00 | |
| 3079F | 0% | 422 | $0.00 | |
| Z6204 | 0% | 72 | $0.00 | |
| 86580 | 0% | 60 | $0.00 | |
| 3080F | 0% | 26 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| Z6406 | 0% | 49 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 43 | $0.00 |
| Z6402 | 0% | 71 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 26 | $0.00 |
| 91301 | 0% | 45 | $0.00 | |
| D1330 | 0% | 12 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 17 | $0.00 |
| 4010F | 0% | 14 | $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 officialBALLESTEROS, ALVARO (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| JWCH Institute, INC. | Los Angeles, CA | $119.49M |
| JWCH Institute INC | Los Angeles, CA | $28.06M |
| JWCH Institute, INC. | Norwalk, CA | $16.20M |
| JWCH Institute, INC. | Bell Gardens, CA | $6.40M |
| JWCH Institute, INC. | Lynwood, CA | $5.07M |
| JWCH Institute, INC | Hacienda Heights, CA | $3.85M |
| JWCH Institute, INC. | Bellflower, CA | $2.24M |
| JWCH Institute, INC. | Lancaster, CA | $1.12M |
| JWCH Institute, INC. | Los Angeles, CA | $218K |
| JWCH Institute, INC. | Lancaster, CA | $100K |
| JWCH Institute, INC. | Bell Gardens, CA | $67K |
| JWCH Institute, INC. | Palmdale, CA | $56K |
| JWCH Institute INC | Lynwood, CA | $52K |
| JWCH Institute, INC. | Bell Gardens, CA | $40K |
| JWCH Institute, INC. | Lancaster, CA | $11K |
| JWCH Institute, INC | Pasadena, CA | $10K |
| JWCH Institute, INC. | Bellflower, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.