Bay Area Community Health

Bay Area Community Health was paid $10K by Medicaid between Jan 2021 and Oct 2024, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 38% of everything it billed.

33Billing provider infoBAY AREA COMMUNITY HEALTH
GILROY, CA 95020

33aNPI1871115964assigned 05/12/2020

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$10K

24GClaims2,971

24DCodes billed5

24AFirst – last monthJan 2021 – Oct 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in California

Rank by total paid#725 of 826

Median peer was paid$4.05M

This provider vs. median0.0×

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
2021	254	$722.51
2022	508	$1K
2023	1,096	$4K
2024incomplete	1,113	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	38%	805	805	$4K
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	30%	407	405	$3K
92015	Determination of refractive state	25%	1,568	1,568	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	4.8%	42	42	$452.63
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.9%	149	144	$280.80

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 officialSHETH, JAGAT (CHIEF EXECUTIVE OFFICER)

Parent organizationBAY AREA COMMUNITY HEALTH

Same official

Other billing entities under SHETH, JAGAT

Full network →

Provider	Location	Paid
Bay Area Community Health	Fremont, CA	$563K
Bay Area Community Health	San Jose, CA	$16K
Bay Area Community Health	San Jose, CA	$14K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.