Clinic
South Bay Family Healthcare Center
South Bay Family Healthcare Center was paid $2.38M by Medicaid between Jan 2018 and Oct 2021, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoSOUTH BAY FAMILY HEALTHCARE CENTER
GARDENA, CA 90247
GARDENA, CA 90247
33aNPI1871634568assigned 02/08/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.38M
24GClaims41,061
24DCodes billed39
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#482 of 826
Median peer was paid$4.05M
This provider vs. median0.6×
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 | 12,060 | $999K | |
| 2019 | 13,521 | $786K | |
| 2020 | 15,169 | $575K | |
| 2021 | 311 | $17K |
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 | 89% | 26,559 | 22,540 | $2.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 4,831 | 4,215 | $143K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 2,455 | 2,238 | $45K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 860 | 467 | $44K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 156 | 156 | $11K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 59 | 39 | $3K |
| J3490 | Unclassified drugs | <1% | 33 | 30 | $3K |
| 99201 | <1% | 20 | 20 | $3K | |
| 81025 | <1% | 127 | 125 | $268.80 | |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 18 | 12 | $225.54 |
| 90651 | 0% | 117 | 116 | $0.00 | |
| 90688 | 0% | 112 | 111 | $0.00 |
27 more codes
| 85018 | 0% | 538 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,423 | $0.00 |
| 92551 | 0% | 463 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 656 | $0.00 |
| BCM11 | 0% | 33 | $0.00 | |
| 82962 | 0% | 101 | $0.00 | |
| Z1034 | 0% | 15 | $0.00 | |
| 86580 | 0% | 332 | $0.00 | |
| 90647 | 0% | 47 | $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% | 13 | $0.00 |
| 90723 | 0% | 40 | $0.00 | |
| 90656 | 0% | 83 | $0.00 | |
| 90669 | 0% | 65 | $0.00 | |
| 90734 | 0% | 66 | $0.00 | |
| 99173 | 0% | 541 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 418 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 167 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 165 | $0.00 |
| BCM12 | 0% | 14 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 171 | $0.00 |
| 81002 | 0% | 180 | $0.00 | |
| 90715 | 0% | 29 | $0.00 | |
| 90633 | 0% | 81 | $0.00 | |
| 90658 | 0% | 12 | $0.00 | |
| 90655 | 0% | 17 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 15 | $0.00 |
| 90710 | 0% | 29 | $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 officialHAMILITON-LEE, JANN (PRESIDENT-CEO)
| Provider | Location | Paid |
|---|---|---|
| South Bay Family Healthcare Center | Redondo Beach, CA | $3.68M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.