Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN BERNARDINO › H STREET CLINIC

H STREET CLINIC

NPI: 1841437241 · SAN BERNARDINO, CA 92405 · Federally Qualified Health Center (FQHC) · NPI assigned 01/07/2009

$37.92M
Total Medicaid Paid
1,358,286
Total Claims
894,700
Beneficiaries
209
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPEREZ, ELEANOR (COO)
NPI Enumeration Date01/07/2009

Related Entities

Other providers sharing the same authorized official: PEREZ, ELEANOR

ProviderCityStateTotal Paid
H STREET CLINIC INGLEWOOD CA $2.06M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,653 $3.07M
2019 56,752 $3.18M
2020 133,287 $5.23M
2021 244,529 $5.78M
2022 225,407 $5.01M
2023 281,357 $7.25M
2024 391,301 $8.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 203,766 170,332 $35.70M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 88,933 56,543 $283K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 12,076 8,688 $256K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 59,721 37,228 $140K
0002A 2,439 1,293 $129K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 36,703 21,816 $112K
0001A 2,464 1,302 $108K
96110 Developmental screening, with scoring and documentation, per standardized instrument 20,585 14,898 $95K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,587 4,515 $64K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,727 3,899 $63K
0012A 1,249 700 $62K
59425 2,550 1,622 $53K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,957 2,738 $51K
0011A 1,305 758 $50K
0072A 909 464 $48K
87806 5,934 3,951 $47K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,765 4,669 $42K
90832 Psychotherapy, 30 minutes with patient 6,635 3,028 $41K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,015 3,680 $40K
0071A 721 370 $37K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,641 2,453 $32K
96156 4,904 4,889 $31K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 25,587 14,137 $30K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 54,538 33,243 $29K
0003A 536 286 $27K
86769 898 846 $25K
0031A 496 275 $21K
90791 Psychiatric diagnostic evaluation 3,447 2,090 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,127 771 $17K
92551 14,591 10,242 $16K
0013A 286 160 $14K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 36,946 20,914 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,011 2,842 $13K
97802 17,033 10,646 $12K
99441 19,378 11,024 $12K
90834 Psychotherapy, 45 minutes with patient 2,952 1,275 $10K
H1001 Prenatal care, at-risk enhanced service; antepartum management 452 344 $10K
99442 9,650 5,583 $9K
J3490 Unclassified drugs 95 85 $8K
99406 16,824 9,818 $8K
Q3014 Telehealth originating site facility fee 8,531 4,706 $7K
0004A 141 84 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,701 1,887 $7K
96127 24,754 15,900 $7K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 5,108 3,123 $6K
82948 3,462 2,538 $6K
76830 Ultrasound, transvaginal 231 231 $6K
90686 4,765 3,463 $5K
99385 720 495 $5K
90792 Psychiatric diagnostic evaluation with medical services 834 531 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,496 2,357 $4K
92552 4,373 3,096 $4K
99000 26,392 18,484 $4K
57454 141 103 $3K
0064A 73 41 $3K
90837 Psychotherapy, 53 minutes with patient 1,442 674 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,117 7,657 $3K
58100 219 166 $3K
81002 7,276 4,474 $3K
90756 327 326 $2K
90651 2,460 1,787 $2K
99205 Prolong outpt/office vis 74 61 $2K
H0049 Alcohol and/or drug screening 23,573 14,069 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 269 182 $2K
81025 3,053 2,291 $2K
90661 307 216 $2K
99443 1,757 1,012 $2K
99460 37 37 $2K
99173 19,381 13,997 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 2,158 1,494 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 675 542 $2K
0034A 27 14 $1K
99386 559 375 $1K
90472 Immunization administration, each additional vaccine (list separately) 4,100 2,980 $1K
90734 1,990 1,454 $1K
99383 514 366 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 51 51 $1K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 12,456 6,975 $1K
99238 Hospital discharge day management, 30 minutes or less 31 31 $1K
99241 491 250 $1K
86580 749 519 $958.50
H1003 Prenatal care, at-risk enhanced service; education 222 177 $957.95
99382 173 126 $889.85
90677 84 82 $829.24
90710 512 427 $827.16
93000 217 162 $717.21
90633 1,025 809 $676.81
3078F 62,702 37,715 $638.66
90670 1,390 1,055 $638.10
90621 975 703 $620.46
1000F 56,361 32,193 $605.65
99490 Ccm add 20min 367 232 $570.64
3074F 64,977 39,123 $549.10
91320 79 52 $523.09
90674 45 39 $496.53
90656 279 221 $489.51
90461 904 635 $478.66
90658 161 161 $476.44
3079F 27,816 16,840 $448.72
99401 172 120 $431.67
90715 726 572 $414.21
1160F 19,980 12,215 $396.88
90647 796 574 $394.92
90619 132 96 $393.80
85018 7,802 5,571 $382.87
H1000 Prenatal care, at-risk assessment 14 14 $375.15
99462 16 13 $353.86
90723 394 318 $324.04
81003 750 347 $323.86
3075F 18,458 11,162 $313.99
90671 62 45 $296.91
94760 2,899 1,759 $289.40
3080F 13,848 8,064 $263.47
99242 177 106 $257.06
T1016 Case management, each 15 minutes 29 27 $254.79
3077F 19,982 11,843 $229.30
99381 62 58 $224.40
99409 231 100 $204.23
90698 87 78 $181.95
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 18 13 $180.00
2000F 15,746 10,660 $170.92
36415 Collection of venous blood by venipuncture 4,022 2,993 $157.80
3008F 42,383 27,194 $138.62
98960 361 231 $100.92
1036F 28,731 17,470 $75.80
99384 280 189 $65.78
S0197 Prenatal vitamins, 30-day supply 81 68 $62.10
G9920 Screening performed and negative 862 533 $57.71
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 176 100 $52.92
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,225 815 $45.00
90680 108 96 $44.91
99402 25 17 $43.78
1125F 2,304 1,779 $40.00
82947 890 576 $39.36
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 73 60 $37.31
99403 169 162 $33.66
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 2,499 2,116 $31.87
1159F 20,631 12,740 $30.62
90620 143 98 $27.00
1170F 2,326 1,775 $23.49
1158F 1,177 1,062 $23.49
G0444 Annual depression screening, 5 to 15 minutes 1,530 1,004 $16.00
99408 3,675 1,911 $15.78
99366 414 405 $5.98
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 21,476 13,053 $0.20
1126F 1,835 1,101 $0.04
G8420 Bmi is documented within normal parameters and no follow-up plan is required 4,425 2,612 $0.03
3725F 3,701 2,433 $0.03
3044F 2,616 1,836 $0.02
4013F 992 937 $0.02
4010F 3,472 2,152 $0.01
1034F 3,362 2,153 $0.01
Z1034 2,211 1,462 $0.00
99496 104 101 $0.00
3061F 33 24 $0.00
99024 178 110 $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) 392 245 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 87 63 $0.00
99070 30 15 $0.00
3014F 88 88 $0.00
1101F 29 26 $0.00
Z1032 52 51 $0.00
99495 160 137 $0.00
88150 103 84 $0.00
3017F 113 83 $0.00
90716 67 67 $0.00
G9012 Other specified case management service not elsewhere classified 143 143 $0.00
81000 33 32 $0.00
90480 16 12 $0.00
1111F 340 279 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 96 55 $0.00
90696 97 97 $0.00
0501F 18 15 $0.00
99454 14 14 $0.00
90744 30 30 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 36 24 $0.00
2033F 28 28 $0.00
1157F 21 13 $0.00
3048F 16 16 $0.00
1220F 65 37 $0.00
97803 15 14 $0.00
0502F 3,212 1,381 $0.00
90707 40 40 $0.00
3288F 715 672 $0.00
83655 118 118 $0.00
3046F 44 32 $0.00
4004F 97 94 $0.00
96160 378 363 $0.00
90655 22 22 $0.00
3015F 426 331 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 29 29 $0.00
G0441 12 12 $0.00
92015 Determination of refractive state 24 22 $0.00
90649 54 54 $0.00
3511F 32 32 $0.00
90648 26 26 $0.00
90700 189 152 $0.00
90836 45 27 $0.00
3050F 13 13 $0.00
59426 26 12 $0.00
Z6400 66 61 $0.00
0521F 15 14 $0.00
3018F 38 38 $0.00
3089F 17 17 $0.00
2014F 41 40 $0.00
92557 40 40 $0.00
90681 28 28 $0.00
83037 23 14 $0.00
3045F 19 17 $0.00