Clinic
ST Anthony Medical Centers
ST Anthony Medical Centers was paid $4.54M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 53% of everything it billed.
33Billing provider infoST ANTHONY MEDICAL CENTERS
LOS ANGELES, CA 90006
LOS ANGELES, CA 90006
33aNPI1952451031assigned 01/11/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.54M
24GClaims309,261
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#403 of 826
Median peer was paid$4.05M
This provider vs. median1.1×
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 | 36,587 | $1.01M | |
| 2019 | 51,135 | $953K | |
| 2020 | 53,672 | $1.01M | |
| 2021 | 57,775 | $1.12M | |
| 2022 | 45,487 | $438K | |
| 2023 | 29,880 | $9K | |
| 2024incomplete | 34,725 | $2K |
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 | 53% | 30,903 | 24,787 | $2.39M |
| 00003 | Internal/system code - not a standard HCPCS code | 44% | 14,471 | 11,387 | $2.00M |
| 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% | 46,368 | 38,729 | $33K |
| 90656 | <1% | 3,448 | 3,006 | $29K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 48,070 | 35,846 | $24K |
| 92081 | <1% | 16,503 | 14,539 | $11K | |
| 1111F | <1% | 55,990 | 40,007 | $6K | |
| 99000 | <1% | 13,853 | 11,271 | $6K | |
| 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% | 848 | 672 | $5K |
| 92551 | <1% | 14,145 | 12,371 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 11,018 | 9,908 | $5K |
| 90715 | <1% | 321 | 292 | $5K |
39 more codes
| 93000 | <1% | 212 | $4K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 7,419 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,486 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,169 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,140 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,512 | $2K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,297 | $2K |
| 3077F | <1% | 3,394 | $793.15 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,964 | $607.11 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 234 | $478.39 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 82 | $384.45 |
| 86580 | <1% | 68 | $363.96 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 355 | $332.43 |
| 3079F | <1% | 1,727 | $253.59 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,543 | $238.93 |
| 3044F | <1% | 1,651 | $231.73 | |
| 3080F | <1% | 1,883 | $198.74 | |
| 3074F | <1% | 1,480 | $182.12 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 198 | $157.64 |
| 81002 | <1% | 702 | $136.52 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 270 | $105.03 |
| 3078F | <1% | 1,566 | $98.63 | |
| 3075F | <1% | 599 | $46.41 | |
| 90651 | <1% | 36 | $36.00 | |
| 92552 | <1% | 516 | $24.30 | |
| 3046F | <1% | 118 | $18.10 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 157 | $0.00 |
| 99385 | 0% | 48 | $0.00 | |
| 99386 | 0% | 29 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 21 | $0.00 |
| 3045F | 0% | 118 | $0.00 | |
| 1160F | 0% | 2,606 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 766 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 142 | $0.00 |
| 1159F | 0% | 2,614 | $0.00 | |
| 90672 | 0% | 56 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 101 | $0.00 |
| 90670 | 0% | 23 | $0.00 | |
| 90633 | 0% | 21 | $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 officialANTHONY, AWAD (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST Anthony Medical Centers | Hollywood, CA | $2.75M |
| ST Anthony Medical Centers | Los Angeles, CA | $2.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.