Altura Centers for Health
Altura Centers for Health was paid $6.59M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 63% of everything it billed.
33Billing provider infoALTURA CENTERS FOR HEALTH
WOODVILLE, CA 93257
WOODVILLE, CA 93257
33aNPI1932529831assigned 04/18/2014
33bProvider typeCase Manager/Care Coordinator
28Total paid$6.59M
24GClaims74,007
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#162 of 435
Median peer was paid$2.89M
This provider vs. median2.3×
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 | 8,378 | $1.22M | |
| 2019 | 6,889 | $940K | |
| 2020 | 6,610 | $611K | |
| 2021 | 13,749 | $889K | |
| 2022 | 14,741 | $978K | |
| 2023 | 12,398 | $1.07M | |
| 2024incomplete | 11,242 | $885K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 63% | 24,632 | 15,407 | $4.12M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 37% | 18,791 | 15,580 | $2.41M |
| 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% | 855 | 600 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,224 | 1,443 | $19K |
| 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% | 14,615 | 9,179 | $7K |
| 87428 | <1% | 1,534 | 902 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 136 | 95 | $2K |
| 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 | <1% | 2,256 | 1,383 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,872 | 1,929 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 57 | 44 | $310.98 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,592 | 1,317 | $254.04 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,273 | 1,780 | $213.36 |
17 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 362 | $51.59 |
| 90686 | <1% | 173 | $44.00 | |
| 92551 | <1% | 51 | $22.71 | |
| 90656 | <1% | 91 | $22.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 17 | $15.77 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 55 | $13.76 |
| 85018 | <1% | 406 | $10.51 | |
| 99173 | <1% | 51 | $8.22 | |
| 86580 | <1% | 14 | $3.33 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 22 | $0.26 |
| 3074F | 0% | 397 | $0.00 | |
| 3079F | 0% | 54 | $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% | 12 | $0.00 |
| 3078F | 0% | 364 | $0.00 | |
| 81002 | 0% | 14 | $0.00 | |
| Z6400 | 0% | 74 | $0.00 | |
| 3077F | 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.
From NPPES
Who's on the registration
Authorized officialSOTO PEREZ, GRACIELA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Altura Centers for Health | Tulare, CA | $37.27M |
| Altura Centers for Health | Tulare, CA | $36.34M |
| Altura Centers for Health | Tulare, CA | $8.58M |
| Altura Centers for Health | Tulare, CA | $7.69M |
| Altura Centers for Health | Tulare, CA | $1.19M |
| Altura Centers for Health | Tulare, CA | $731K |
| Altura Centers for Health | Tulare, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.