Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mountain Health & Community Services, INC

Mountain Health & Community Services, INC was paid $2.23M by Medicaid between Jan 2018 and Mar 2020, across 1 billing code. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.

33Billing provider infoMOUNTAIN HEALTH & COMMUNITY SERVICES, INC
SANTEE, CA 92071
33aNPI1932566395assigned 01/15/2016
28Total paid$2.23M
24GClaims14,097
24DCodes billed1
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

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

Rank by total paid#486 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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T1015 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20185,304$828K
20196,267$993K
20202,526$405K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 100% 14,097 10,713 $2.23M

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 officialSHAPLIN, JUDITH (CEO/PRESIDENT)
Same official

Other billing entities under SHAPLIN, JUDITH

Full network →

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