Bay Area Community Health
Bay Area Community Health was paid $38.99M by Medicaid between Jan 2018 and Dec 2024, across 120 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoBAY AREA COMMUNITY HEALTH
FREMONT, CA 94538
FREMONT, CA 94538
33aNPI1942387188assigned 11/01/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$38.99M
24GClaims570,013
24DCodes billed120
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#52 of 435
Median peer was paid$2.89M
This provider vs. median13×
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 | 58,299 | $4.92M | |
| 2019 | 48,237 | $3.35M | |
| 2020 | 70,902 | $4.89M | |
| 2021 | 90,721 | $6.36M | |
| 2022 | 94,199 | $6.58M | |
| 2023 | 116,744 | $7.35M | |
| 2024incomplete | 90,911 | $5.54M |
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 | 93% | 199,166 | 164,148 | $36.18M |
| 00003 | Internal/system code - not a standard HCPCS code | 3.4% | 5,918 | 4,466 | $1.34M |
| 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% | 132,265 | 99,160 | $319K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 7,961 | 2,677 | $192K |
| 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% | 2,304 | 1,867 | $170K |
| 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% | 42,877 | 31,063 | $156K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 4,847 | 3,336 | $104K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 23,512 | 11,159 | $89K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 47,876 | 34,121 | $72K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 858 | 383 | $53K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 602 | 369 | $39K |
| 97810 | <1% | 7,714 | 3,988 | $34K |
108 more codes
| 97813 | <1% | 7,503 | $30K | |
| 92250 | <1% | 1,906 | $26K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 246 | $14K |
| 90677 | <1% | 732 | $13K | |
| 90750 | <1% | 1,691 | $12K | |
| G9920 | Screening performed and negative | <1% | 3,455 | $12K |
| 90739 | <1% | 1,832 | $12K | |
| G0466 | Community health center visit, new patient | <1% | 141 | $10K |
| 97802 | <1% | 1,485 | $9K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 389 | $8K |
| 97811 | <1% | 7,040 | $7K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 255 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13,467 | $5K |
| 97814 | <1% | 6,814 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,063 | $4K |
| 92133 | <1% | 276 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 262 | $3K |
| 0001A | <1% | 90 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 480 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 237 | $3K |
| 0064A | <1% | 68 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 145 | $3K |
| 90686 | <1% | 2,659 | $3K | |
| 90671 | <1% | 287 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 912 | $2K |
| 92083 | <1% | 129 | $2K | |
| 0012A | <1% | 52 | $2K | |
| 97803 | <1% | 616 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 2,509 | $2K |
| 0002A | <1% | 60 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 229 | $2K |
| 90715 | <1% | 996 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 903 | $2K |
| 99188 | <1% | 574 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 265 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 867 | $1K |
| 0011A | <1% | 27 | $1K | |
| 90688 | <1% | 1,421 | $1K | |
| 90651 | <1% | 416 | $1K | |
| 92020 | <1% | 98 | $1K | |
| 0004A | <1% | 28 | $867.00 | |
| 95926 | <1% | 75 | $812.82 | |
| 98942 | <1% | 1,560 | $769.12 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,872 | $734.18 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 119 | $708.00 |
| 90746 | <1% | 125 | $661.24 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 197 | $653.85 |
| 83026 | <1% | 2,185 | $490.09 | |
| 90656 | <1% | 964 | $476.88 | |
| 90619 | <1% | 299 | $447.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,987 | $444.88 |
| 96127 | <1% | 394 | $368.53 | |
| 90662 | <1% | 382 | $360.00 | |
| 90756 | <1% | 186 | $324.00 | |
| 90698 | <1% | 98 | $278.76 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 99 | $261.66 |
| 84703 | <1% | 259 | $242.30 | |
| 90633 | <1% | 204 | $241.00 | |
| 82962 | <1% | 1,290 | $220.34 | |
| 90680 | <1% | 98 | $184.00 | |
| 98940 | <1% | 267 | $162.17 | |
| 92015 | Determination of refractive state | <1% | 6,334 | $160.20 |
| 90744 | <1% | 88 | $145.00 | |
| 76514 | <1% | 26 | $131.56 | |
| 90732 | <1% | 110 | $121.56 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 139 | $100.80 |
| 81002 | <1% | 208 | $53.69 | |
| 90658 | <1% | 61 | $52.50 | |
| 90713 | <1% | 15 | $47.00 | |
| 90620 | <1% | 96 | $46.00 | |
| 99490 | Ccm add 20min | <1% | 80 | $45.11 |
| 90670 | <1% | 54 | $39.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 183 | $30.57 |
| 92551 | <1% | 16 | $23.20 | |
| 85018 | <1% | 61 | $20.52 | |
| 90710 | <1% | 28 | $18.00 | |
| 82947 | <1% | 102 | $6.93 | |
| 81003 | <1% | 93 | $6.17 | |
| 81025 | <1% | 13 | $5.88 | |
| 3078F | 0% | 1,572 | $0.00 | |
| V2020 | Frames, purchases | 0% | 129 | $0.00 |
| 3051F | 0% | 74 | $0.00 | |
| 90661 | 0% | 38 | $0.00 | |
| 3077F | 0% | 70 | $0.00 | |
| Z6304 | 0% | 55 | $0.00 | |
| 90611 | 0% | 25 | $0.00 | |
| 3046F | 0% | 71 | $0.00 | |
| 99173 | 0% | 41 | $0.00 | |
| Z6300 | 0% | 16 | $0.00 | |
| 92134 | 0% | 28 | $0.00 | |
| Z6400 | 0% | 79 | $0.00 | |
| 90461 | 0% | 14 | $0.00 | |
| 96160 | 0% | 12 | $0.00 | |
| Z6200 | 0% | 19 | $0.00 | |
| 91300 | 0% | 21 | $0.00 | |
| 3074F | 0% | 1,176 | $0.00 | |
| Z6204 | 0% | 60 | $0.00 | |
| 3044F | 0% | 288 | $0.00 | |
| Z6410 | 0% | 67 | $0.00 | |
| 92002 | 0% | 87 | $0.00 | |
| G9012 | Other specified case management service not elsewhere classified | 0% | 891 | $0.00 |
| Z6402 | 0% | 16 | $0.00 | |
| 97124 | 0% | 26 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 22 | $0.00 |
| 3079F | 0% | 93 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 81 | $0.00 |
| 3075F | 0% | 37 | $0.00 | |
| 99383 | 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 officialPAGE, ZETTIE (CEO)
Parent organizationBAY AREA COMMUNITY HEALTH
| Provider | Location | Paid |
|---|---|---|
| Bay Area Community Health | Fremont, CA | $60.05M |
| Bay Area Community Health | Fremont, CA | $11.91M |
| Bay Area Community Health | Fremont, CA | $2.69M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.