Neighborhood Healthcare
Neighborhood Healthcare was paid $33.19M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 56% of everything it billed.
LAKESIDE, CA 92040
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 23,603 | $3.74M | |
| 2019 | 34,743 | $5.95M | |
| 2020 | 43,840 | $5.92M | |
| 2021 | 38,341 | $4.48M | |
| 2022 | 27,854 | $3.61M | |
| 2023 | 32,267 | $4.77M | |
| 2024incomplete | 27,464 | $4.72M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 56% | 78,745 | 48,375 | $18.68M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 44% | 88,419 | 71,454 | $14.45M |
| 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% | 494 | 424 | $15K |
| 0012A | <1% | 268 | 267 | $10K | |
| 0002A | <1% | 151 | 143 | $7K | |
| 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% | 498 | 496 | $7K |
| 0011A | <1% | 197 | 197 | $4K | |
| 0001A | <1% | 119 | 119 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 175 | 147 | $3K |
| 0013A | <1% | 37 | 37 | $2K | |
| 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% | 30,002 | 26,946 | $614.96 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,490 | 8,143 | $106.95 |
19 more codes
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 4,568 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 5,880 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 228 | $0.00 |
| 99441 | 0% | 184 | $0.00 | |
| 99443 | 0% | 194 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 25 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 331 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 374 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 43 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 542 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 773 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 91 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 5,788 | $0.00 |
| 11721 | 0% | 235 | $0.00 | |
| 99442 | 0% | 671 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 336 | $0.00 |
| 98940 | 0% | 187 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 54 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Neighborhood Healthcare | Hemet, CA | $160.42M |
| Neighborhood Healthcare | Escondido, CA | $124.93M |
| Neighborhood Healthcare | El Cajon, CA | $46.58M |
| Neighborhood Healthcare | Escondido, CA | $38.37M |
| Neighborhood Healthcare | Poway, CA | $20.72M |
| Neighborhood Healthcare | Temecula, CA | $15.81M |
| Neighborhood Healthcare | Menifee, CA | $5.81M |
| Neighborhood Healthcare | Escondido, CA | $4.58M |
| Neighborhood Healthcare | Escondido, CA | $3.48M |
| Neighborhood Healthcare | Escondido, CA | $3.39M |
| Neighborhood Healthcare | Riverside, CA | $3.36M |
| Neighborhood Healthcare | Escondido, CA | $2.04M |
| Neighborhood Healthcare | Riverside, CA | $1.75M |
| Neighborhood Healthcare | Riverside, CA | $447K |
| R Patel Dental Group INC | Cudahy, CA | $95K |
| Rakesh Patel M.D. P. A. | La Porte, TX | $24K |
| Neighborhood Healthcare- Pace Riverside | Riverside, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.