Medicaid Provider Spending

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

WEST COUNTY HEALTH CENTERS, INC.

NPI: 1861809501 · SEBASTOPOL, CA 95472 · Federally Qualified Health Center (FQHC) · NPI assigned 07/15/2014

$12.60M
Total Medicaid Paid
199,658
Total Claims
132,472
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSZECSEY, MARY (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/15/2014

Related Entities

Other providers sharing the same authorized official: SZECSEY, MARY

ProviderCityStateTotal Paid
WEST COUNTY HEALTH CENTERS, INC. SEBASTOPOL CA $3.88M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,457 $1.47M
2019 19,962 $1.22M
2020 33,657 $1.99M
2021 27,570 $1.64M
2022 27,000 $1.54M
2023 41,053 $2.60M
2024 32,959 $2.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 76,987 58,408 $11.64M
97811 10,664 4,212 $269K
90834 Psychotherapy, 45 minutes with patient 18,479 7,794 $233K
97810 10,929 4,283 $141K
90832 Psychotherapy, 30 minutes with patient 5,323 2,195 $107K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,793 33,613 $100K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,255 8,494 $38K
90837 Psychotherapy, 53 minutes with patient 1,011 571 $23K
G9012 Other specified case management service not elsewhere classified 94 60 $21K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 691 689 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,726 6,787 $10K
G9920 Screening performed and negative 57 55 $2K
H0049 Alcohol and/or drug screening 33 33 $792.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 173 156 $669.18
99283 Emergency department visit for the evaluation and management, moderate severity 1,268 980 $274.96
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 88 67 $193.92
92552 777 587 $164.83
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 69 38 $104.07
81025 35 27 $44.80
90633 14 12 $18.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 3,046 2,547 $0.00
85018 32 29 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 182 141 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 121 102 $0.00
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 334 195 $0.00
90791 Psychiatric diagnostic evaluation 408 343 $0.00
98927 30 21 $0.00
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 16 16 $0.00
98926 23 17 $0.00