Bay Area Community Health
Bay Area Community Health was paid $60.05M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 49% of everything it billed.
33Billing provider infoBAY AREA COMMUNITY HEALTH
FREMONT, CA 94538
FREMONT, CA 94538
33aNPI1780054379assigned 09/25/2015
33bProvider typeCase Manager/Care Coordinator
28Total paid$60.05M
24GClaims452,020
24DCodes billed109
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#30 of 435
Median peer was paid$2.89M
This provider vs. median21×
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 | 44,780 | $8.73M | |
| 2019 | 57,628 | $11.32M | |
| 2020 | 44,580 | $5.85M | |
| 2021 | 64,067 | $7.75M | |
| 2022 | 60,735 | $6.65M | |
| 2023 | 99,009 | $10.90M | |
| 2024incomplete | 81,221 | $8.86M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 49% | 114,113 | 56,636 | $29.67M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 48% | 118,900 | 95,664 | $28.83M |
| G9012 | Other specified case management service not elsewhere classified | 1.0% | 2,909 | 2,413 | $619K |
| 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% | 73,245 | 51,478 | $281K |
| 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% | 26,399 | 16,559 | $139K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,394 | 1,838 | $102K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 605 | 387 | $38K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17,360 | 13,216 | $36K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 5,583 | 3,183 | $28K |
| 0012A | <1% | 454 | 439 | $28K | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 344 | 340 | $27K |
| 0011A | <1% | 418 | 410 | $26K |
97 more codes
| 97810 | <1% | 10,476 | $22K | |
| 0001A | <1% | 351 | $20K | |
| G0467 | Community health center visit, returning patient | <1% | 323 | $18K |
| 0002A | <1% | 299 | $17K | |
| 97811 | <1% | 9,729 | $16K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 11,518 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,254 | $11K |
| G9920 | Screening performed and negative | <1% | 4,690 | $9K |
| 90619 | <1% | 122 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,185 | $7K |
| 90686 | <1% | 3,148 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,515 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 911 | $6K |
| 92552 | <1% | 1,313 | $5K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,442 | $4K |
| 90677 | <1% | 73 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 188 | $4K |
| 83026 | <1% | 3,914 | $3K | |
| 92551 | <1% | 2,285 | $3K | |
| 92250 | <1% | 440 | $3K | |
| 0064A | <1% | 59 | $3K | |
| 0031A | <1% | 52 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 153 | $3K |
| 0134A | <1% | 42 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,470 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 847 | $2K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 496 | $2K |
| 92133 | <1% | 128 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 334 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 153 | $1K |
| 90715 | <1% | 214 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,960 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,695 | $1K |
| 97813 | <1% | 27 | $992.16 | |
| 90651 | <1% | 220 | $944.12 | |
| 90660 | <1% | 146 | $937.73 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 94 | $863.17 |
| 90707 | <1% | 83 | $805.12 | |
| 90837 | Psychotherapy session, about an hour | <1% | 42 | $784.16 |
| 90671 | <1% | 13 | $771.98 | |
| 85018 | <1% | 1,674 | $763.46 | |
| 96127 | <1% | 1,284 | $685.13 | |
| 99188 | <1% | 159 | $628.60 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 36 | $457.92 |
| 82947 | <1% | 414 | $457.00 | |
| 92083 | <1% | 27 | $427.13 | |
| 90633 | <1% | 225 | $423.20 | |
| 98942 | <1% | 490 | $423.01 | |
| 90688 | <1% | 167 | $354.00 | |
| 90716 | <1% | 157 | $351.00 | |
| 90750 | <1% | 80 | $336.00 | |
| 99384 | <1% | 18 | $290.08 | |
| 90656 | <1% | 327 | $268.77 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 876 | $228.18 |
| 81002 | <1% | 722 | $219.65 | |
| 90670 | <1% | 65 | $189.92 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 41 | $182.52 |
| 99386 | <1% | 18 | $172.59 | |
| 90744 | <1% | 81 | $156.68 | |
| 90713 | <1% | 74 | $129.68 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 62 | $102.90 |
| 90648 | <1% | 52 | $99.00 | |
| 90658 | <1% | 31 | $90.00 | |
| 98940 | <1% | 176 | $86.94 | |
| 92015 | Determination of refractive state | <1% | 4,487 | $80.90 |
| 90734 | <1% | 17 | $75.68 | |
| 90620 | <1% | 21 | $72.00 | |
| 90662 | <1% | 122 | $67.50 | |
| 90661 | <1% | 54 | $59.52 | |
| 99490 | Ccm add 20min | <1% | 166 | $49.73 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $44.25 |
| 90756 | <1% | 21 | $36.00 | |
| 90723 | <1% | 14 | $27.92 | |
| 90714 | <1% | 15 | $27.00 | |
| 82962 | <1% | 146 | $26.40 | |
| 81025 | <1% | 30 | $25.20 | |
| 90710 | <1% | 16 | $18.00 | |
| 99441 | <1% | 74 | $17.50 | |
| 97814 | <1% | 23 | $5.79 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 85 | $4.91 |
| 99173 | <1% | 2,705 | $2.40 | |
| 3074F | 0% | 2,463 | $0.00 | |
| 3075F | 0% | 51 | $0.00 | |
| 3079F | 0% | 358 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 169 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 66 | $0.00 |
| 3080F | 0% | 76 | $0.00 | |
| 3078F | 0% | 2,544 | $0.00 | |
| 90461 | 0% | 281 | $0.00 | |
| 3077F | 0% | 317 | $0.00 | |
| 81003 | 0% | 180 | $0.00 | |
| 92134 | 0% | 27 | $0.00 | |
| 90687 | 0% | 22 | $0.00 | |
| 91300 | 0% | 32 | $0.00 | |
| 99201 | 0% | 12 | $0.00 | |
| 83655 | 0% | 12 | $0.00 | |
| 90749 | 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 officialPAGE, ZETTIE (CEO)
Parent organizationBAY AREA COMMUNITY HEALTH
| Provider | Location | Paid |
|---|---|---|
| Bay Area Community Health | Fremont, CA | $38.99M |
| Bay Area Community Health | Fremont, CA | $11.91M |
| Bay Area Community Health | Fremont, CA | $2.69M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.