Clinic
Community Health Alliance of Pasadena
Community Health Alliance of Pasadena was paid $13.83M by Medicaid between Jan 2018 and Dec 2023, across 163 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH ALLIANCE OF PASADENA
PASADENA, CA 91103
PASADENA, CA 91103
33aNPI1871689315assigned 10/04/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$13.83M
24GClaims537,028
24DCodes billed163
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#244 of 826
Median peer was paid$4.05M
This provider vs. median3.4×
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 | 112,182 | $3.34M | |
| 2019 | 91,804 | $2.74M | |
| 2020 | 64,582 | $2.11M | |
| 2021 | 83,596 | $2.23M | |
| 2022 | 88,479 | $1.72M | |
| 2023 | 96,385 | $1.69M |
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 | 59% | 80,936 | 66,587 | $8.17M |
| 00003 | Internal/system code - not a standard HCPCS code | 27% | 23,409 | 16,740 | $3.74M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 7.5% | 3,794 | 2,623 | $1.03M |
| G9012 | Other specified case management service not elsewhere classified | 4.3% | 3,095 | 1,811 | $588K |
| 0012A | <1% | 1,110 | 915 | $47K | |
| 0011A | <1% | 1,391 | 1,035 | $47K | |
| 0064A | <1% | 869 | 641 | $41K | |
| 0004A | <1% | 713 | 521 | $31K | |
| 0002A | <1% | 677 | 549 | $27K | |
| 0001A | <1% | 669 | 530 | $25K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 89,453 | 73,280 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 55,768 | 44,287 | $9K |
151 more codes
| 90686 | <1% | 6,243 | $8K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 16,741 | $6K |
| 0071A | <1% | 101 | $5K | |
| 0072A | <1% | 49 | $3K | |
| 3725F | <1% | 48,636 | $2K | |
| 0124A | <1% | 34 | $2K | |
| 0134A | <1% | 29 | $2K | |
| 0031A | <1% | 50 | $2K | |
| D1120 | Dental cleaning, child | <1% | 142 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 199 | $2K |
| 90670 | <1% | 432 | $2K | |
| H0049 | Alcohol and/or drug screening | <1% | 45,762 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,952 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 141 | $1K |
| G0467 | Community health center visit, returning patient | <1% | 80 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,694 | $989.41 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 36 | $777.30 |
| D9430 | <1% | 240 | $682.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 508 | $531.33 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,380 | $518.28 |
| 90732 | <1% | 81 | $480.60 | |
| 0003A | <1% | 25 | $469.07 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 7,443 | $366.38 |
| 11721 | <1% | 868 | $346.34 | |
| 0013A | <1% | 20 | $335.06 | |
| 99606 | <1% | 2,856 | $304.62 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,715 | $291.07 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,524 | $287.04 |
| 90715 | <1% | 316 | $250.99 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 30 | $240.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 267 | $227.23 |
| 97802 | <1% | 187 | $225.25 | |
| 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% | 44 | $203.71 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 282 | $202.65 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 19 | $189.00 |
| 82962 | <1% | 9,535 | $142.64 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,239 | $130.23 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 571 | $127.80 |
| 96127 | <1% | 6,475 | $125.43 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,796 | $122.47 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,492 | $109.65 |
| 99607 | <1% | 2,747 | $104.24 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 60 | $102.62 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 49 | $92.00 |
| 90707 | <1% | 28 | $76.46 | |
| 90633 | <1% | 122 | $72.24 | |
| 81002 | <1% | 7,490 | $68.16 | |
| 90746 | <1% | 443 | $65.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 14 | $58.95 |
| 80061 | Lipid panel | <1% | 1,514 | $56.48 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 648 | $54.28 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,240 | $51.98 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 696 | $46.98 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,035 | $45.60 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,163 | $45.60 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 259 | $34.34 |
| 92552 | <1% | 2,530 | $33.04 | |
| 2028F | <1% | 1,781 | $30.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 617 | $23.49 |
| 82746 | <1% | 63 | $23.49 | |
| 99386 | <1% | 39 | $23.49 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 459 | $17.85 |
| 11720 | <1% | 167 | $15.00 | |
| 81001 | <1% | 1,825 | $12.87 | |
| 85018 | <1% | 564 | $6.15 | |
| 80053 | Comprehensive metabolic panel | <1% | 1,774 | $3.80 |
| 3078F | 0% | 10,298 | $0.00 | |
| 80074 | 0% | 329 | $0.00 | |
| 90461 | 0% | 1,014 | $0.00 | |
| 99173 | 0% | 3,733 | $0.00 | |
| 81025 | 0% | 931 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,076 | $0.00 |
| 82274 | 0% | 113 | $0.00 | |
| 97803 | 0% | 21 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 85 | $0.00 |
| 92134 | 0% | 958 | $0.00 | |
| 99442 | 0% | 5,159 | $0.00 | |
| 3077F | 0% | 1,210 | $0.00 | |
| 98968 | 0% | 532 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 1,232 | $0.00 |
| 87660 | 0% | 145 | $0.00 | |
| 90734 | 0% | 69 | $0.00 | |
| 92083 | 0% | 25 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 185 | $0.00 |
| 90750 | 0% | 235 | $0.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 12 | $0.00 |
| G0127 | Trimming of dystrophic nails, any number | 0% | 76 | $0.00 |
| 99605 | 0% | 255 | $0.00 | |
| 81003 | 0% | 137 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 56 | $0.00 |
| 73630 | 0% | 56 | $0.00 | |
| 69209 | 0% | 16 | $0.00 | |
| 2026F | 0% | 38 | $0.00 | |
| 90649 | 0% | 137 | $0.00 | |
| 92133 | 0% | 111 | $0.00 | |
| 2022F | 0% | 41 | $0.00 | |
| 82570 | 0% | 64 | $0.00 | |
| 91300 | 0% | 270 | $0.00 | |
| D9993 | 0% | 54 | $0.00 | |
| 80305 | 0% | 13 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 17 | $0.00 |
| 11056 | 0% | 20 | $0.00 | |
| 92250 | 0% | 1,275 | $0.00 | |
| 3074F | 0% | 10,222 | $0.00 | |
| D1310 | 0% | 496 | $0.00 | |
| 3075F | 0% | 1,680 | $0.00 | |
| 92551 | 0% | 965 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 1,262 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 2,022 | $0.00 |
| 3079F | 0% | 2,930 | $0.00 | |
| 3080F | 0% | 125 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 194 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 14,195 | $0.00 |
| 87510 | 0% | 145 | $0.00 | |
| D1330 | 0% | 681 | $0.00 | |
| 90744 | 0% | 24 | $0.00 | |
| 90698 | 0% | 73 | $0.00 | |
| 96150 | 0% | 12 | $0.00 | |
| 98967 | 0% | 166 | $0.00 | |
| 2023F | 0% | 199 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 63 | $0.00 |
| 99443 | 0% | 1,270 | $0.00 | |
| 91306 | 0% | 141 | $0.00 | |
| 2033F | 0% | 218 | $0.00 | |
| 91301 | 0% | 463 | $0.00 | |
| 86803 | 0% | 31 | $0.00 | |
| 87070 | 0% | 39 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 208 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 542 | $0.00 |
| 86592 | 0% | 333 | $0.00 | |
| 87480 | 0% | 145 | $0.00 | |
| 84436 | 0% | 12 | $0.00 | |
| 99385 | 0% | 147 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 140 | $0.00 |
| 85652 | 0% | 12 | $0.00 | |
| 11055 | 0% | 37 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 86580 | 0% | 31 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 14 | $0.00 |
| D1320 | 0% | 96 | $0.00 | |
| 93000 | 0% | 16 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 13 | $0.00 |
| 90677 | 0% | 24 | $0.00 | |
| 91303 | 0% | 20 | $0.00 | |
| 87081 | 0% | 13 | $0.00 | |
| 84479 | 0% | 12 | $0.00 | |
| 82607 | 0% | 68 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 38 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 12 | $0.00 |
| 91307 | 0% | 12 | $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 officialMARTINEZ, MARGARET (CHIEF EXECUTIVE OFFICER)
Parent organizationCOMMUNITY HEALTH ALLIANCE OF PASADENA
| Provider | Location | Paid |
|---|---|---|
| Community Health Alliance of Pasadena | El Monte, CA | $8.57M |
| Community Health Alliance of Pasadena | Pasadena, CA | $4.51M |
| Community Health Alliance of Pasadena | Monrovia, CA | $3.44M |
| Community Health Alliance of Pasadena | South El Monte, CA | $2.56M |
| Community Health Alliance of Pasadena | Pasadena, CA | $941K |
| Community Health Alliance of Pasadena | El Monte, CA | $27K |
| Community Health Alliance of Pasadena | South El Monte, CA | $15K |
| Vintage Family Medicine and Pediatrics | Lewisville, TX | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.