Neighborhood Healthcare
Neighborhood Healthcare was paid $3.48M by Medicaid between Mar 2018 and Jul 2020, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
ESCONDIDO, CA 92025
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 | 17,067 | $1.60M | |
| 2019 | 19,974 | $1.87M | |
| 2020 | 93 | $10K |
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 | 99% | 32,623 | 15,369 | $3.44M |
| 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% | 1,834 | 1,486 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | 34 | $4K |
| 81025 | <1% | 100 | 100 | $100.80 | |
| Z6402 | 0% | 173 | 163 | $0.00 | |
| 59430 | 0% | 19 | 19 | $0.00 | |
| Z6406 | 0% | 690 | 562 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 58 | 58 | $0.00 |
| 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 | 0% | 32 | 32 | $0.00 |
| Z6204 | 0% | 91 | 91 | $0.00 | |
| 0500F | 0% | 60 | 60 | $0.00 | |
| 90686 | 0% | 12 | 12 | $0.00 |
5 more codes
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 | Lakeside, CA | $33.19M |
| 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 | $3.39M |
| 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.