East Valley Community Health Center, INC.
East Valley Community Health Center, INC. was paid $34.47M by Medicaid between Jan 2018 and Dec 2024, across 119 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoEAST VALLEY COMMUNITY HEALTH CENTER, INC.
WEST COVINA, CA 91790
WEST COVINA, CA 91790
33aNPI1831243625assigned 01/22/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$34.47M
24GClaims501,939
24DCodes billed119
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#61 of 435
Median peer was paid$2.89M
This provider vs. median12×
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 | 29,712 | $3.66M | |
| 2019 | 38,646 | $3.53M | |
| 2020 | 68,630 | $4.51M | |
| 2021 | 92,658 | $5.82M | |
| 2022 | 75,720 | $4.88M | |
| 2023 | 95,323 | $6.24M | |
| 2024incomplete | 101,250 | $5.84M |
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 | 86% | 201,553 | 173,674 | $29.56M |
| 00003 | Internal/system code - not a standard HCPCS code | 13% | 21,759 | 16,676 | $4.35M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 9,211 | 4,521 | $186K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,650 | 1,173 | $51K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 2,551 | 1,776 | $47K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,858 | 2,272 | $28K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 801 | 605 | $26K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,076 | 960 | $21K |
| G9920 | Screening performed and negative | <1% | 1,343 | 1,316 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,426 | 1,965 | $20K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 729 | 467 | $18K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,205 | 465 | $16K |
107 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,571 | $15K |
| 92551 | <1% | 3,313 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 75,966 | $9K |
| V2020 | Frames, purchases | <1% | 964 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,021 | $8K |
| 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% | 456 | $7K |
| 0012A | <1% | 125 | $6K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 675 | $5K |
| 0011A | <1% | 87 | $5K | |
| 92015 | Determination of refractive state | <1% | 3,596 | $4K |
| 0001A | <1% | 91 | $4K | |
| 0004A | <1% | 65 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,131 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 303 | $3K |
| G0467 | Community health center visit, returning patient | <1% | 89 | $3K |
| 85018 | <1% | 6,566 | $3K | |
| 92341 | <1% | 126 | $3K | |
| 97803 | <1% | 2,013 | $3K | |
| 90670 | <1% | 1,780 | $2K | |
| 0064A | <1% | 36 | $2K | |
| 90686 | <1% | 2,106 | $2K | |
| 0002A | <1% | 29 | $2K | |
| 0031A | <1% | 26 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 30 | $1K |
| 90698 | <1% | 990 | $1K | |
| 0072A | <1% | 13 | $871.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 800 | $826.49 |
| 90680 | <1% | 1,148 | $783.00 | |
| 90633 | <1% | 842 | $703.00 | |
| 99381 | <1% | 240 | $627.22 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 512 | $495.00 |
| 99173 | <1% | 2,958 | $487.36 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15,566 | $425.42 |
| 90744 | <1% | 539 | $423.00 | |
| 83655 | <1% | 655 | $354.00 | |
| 97802 | <1% | 1,143 | $302.89 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,917 | $286.51 |
| 90710 | <1% | 424 | $279.00 | |
| 86580 | <1% | 279 | $257.57 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 9,242 | $245.65 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 16 | $206.50 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 57 | $179.20 |
| 92552 | <1% | 15 | $114.51 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 386 | $102.90 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 112 | $93.74 |
| 81002 | <1% | 12,546 | $89.31 | |
| 92250 | <1% | 1,137 | $63.72 | |
| 81025 | <1% | 2,992 | $19.57 | |
| 1159F | <1% | 7,689 | $18.50 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 107 | $16.16 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 462 | $12.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 460 | $12.00 |
| 90696 | <1% | 15 | $9.00 | |
| 90715 | <1% | 115 | $9.00 | |
| 3074F | 0% | 15,660 | $0.00 | |
| Z1034 | 0% | 11,091 | $0.00 | |
| 3008F | 0% | 7,406 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 1,584 | $0.00 |
| 1126F | 0% | 3,871 | $0.00 | |
| 3075F | 0% | 977 | $0.00 | |
| 3044F | 0% | 5,653 | $0.00 | |
| 1170F | 0% | 5,435 | $0.00 | |
| 0501F | 0% | 1,312 | $0.00 | |
| 82962 | 0% | 3,033 | $0.00 | |
| 90677 | 0% | 191 | $0.00 | |
| Z1038 | 0% | 213 | $0.00 | |
| 1123F | 0% | 1,315 | $0.00 | |
| 88142 | 0% | 200 | $0.00 | |
| 3079F | 0% | 1,764 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 264 | $0.00 |
| 1125F | 0% | 550 | $0.00 | |
| Z6410 | 0% | 574 | $0.00 | |
| Z1032 | 0% | 591 | $0.00 | |
| 1000F | 0% | 132 | $0.00 | |
| Z6204 | 0% | 211 | $0.00 | |
| 90697 | 0% | 112 | $0.00 | |
| 90474 | 0% | 92 | $0.00 | |
| Z6406 | 0% | 169 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 42 | $0.00 |
| 3351F | 0% | 88 | $0.00 | |
| 36416 | 0% | 221 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 39 | $0.00 |
| 99000 | 0% | 21 | $0.00 | |
| 0503F | 0% | 14 | $0.00 | |
| 3080F | 0% | 18 | $0.00 | |
| 0500F | 0% | 14 | $0.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 34 | $0.00 |
| 3078F | 0% | 16,338 | $0.00 | |
| 1158F | 0% | 1,293 | $0.00 | |
| 0502F | 0% | 1,630 | $0.00 | |
| Z6304 | 0% | 128 | $0.00 | |
| 1160F | 0% | 1,314 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 484 | $0.00 |
| Z6400 | 0% | 1,253 | $0.00 | |
| 92134 | 0% | 180 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 428 | $0.00 |
| 3725F | 0% | 407 | $0.00 | |
| 3077F | 0% | 416 | $0.00 | |
| 90648 | 0% | 75 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 16 | $0.00 |
| Z6500 | 0% | 70 | $0.00 | |
| 90750 | 0% | 14 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 179 | $0.00 |
| 90661 | 0% | 69 | $0.00 | |
| 90461 | 0% | 16 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 19 | $0.00 |
| 90700 | 0% | 15 | $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 officialMARDINI, ALICIA (CHIEF EXEC. OFFICER)
| Provider | Location | Paid |
|---|---|---|
| East Valley Community Health Center, INC. | Pomona, CA | $21.97M |
| East Valley Community Health Center, INC. | Covina, CA | $6.40M |
| East Valley Community Health Center, INC. | La Puente, CA | $1.64M |
| East Valley Community Health Center, INC | West Covina, CA | $407K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.