Clinic
Mountain Health & Community Services, INC.
Mountain Health & Community Services, INC. was paid $84K by Medicaid between Jan 2018 and Mar 2020, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoMOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
CAMPO, CA 91906
CAMPO, CA 91906
33aNPI1982658142assigned 05/20/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$84K
24GClaims55,831
24DCodes billed57
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#639 of 826
Median peer was paid$4.05M
This provider vs. median0.0×
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 | 27,683 | $5K | |
| 2019 | 23,228 | $73K | |
| 2020 | 4,920 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 21,425 | 18,529 | $40K |
| 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 | 17% | 3,872 | 3,630 | $14K |
| 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 | 6.0% | 917 | 702 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 3,573 | 2,729 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.4% | 115 | 111 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.9% | 2,900 | 1,482 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 83 | 83 | $2K |
| 36415 | Collection of venous blood by venipuncture | 1.7% | 2,718 | 2,597 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 100 | 100 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 124 | 124 | $1K |
| 97810 | 1.3% | 992 | 652 | $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 | 1.2% | 352 | 351 | $1K |
45 more codes
| 99000 | <1% | 2,637 | $774.70 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 110 | $694.56 |
| 92551 | <1% | 677 | $668.54 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 16 | $496.04 |
| 98940 | <1% | 2,461 | $460.36 | |
| 90715 | <1% | 78 | $439.95 | |
| 92015 | Determination of refractive state | <1% | 109 | $410.87 |
| 97811 | <1% | 639 | $408.81 | |
| 93000 | <1% | 52 | $341.21 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 49 | $259.14 |
| 90686 | <1% | 408 | $180.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $136.42 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,559 | $127.28 |
| 81002 | <1% | 593 | $119.18 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 52 | $110.16 |
| 90688 | <1% | 118 | $108.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 215 | $102.56 |
| 90651 | <1% | 54 | $99.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $57.20 |
| 82947 | <1% | 165 | $55.59 | |
| 90670 | <1% | 25 | $45.00 | |
| 85018 | <1% | 130 | $43.05 | |
| 81025 | <1% | 114 | $38.78 | |
| 90734 | <1% | 15 | $36.00 | |
| 90620 | <1% | 12 | $18.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 59 | $8.76 |
| 86580 | <1% | 53 | $3.33 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 98 | $0.00 |
| 3077F | 0% | 121 | $0.00 | |
| 99173 | 0% | 795 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 149 | $0.00 |
| 3078F | 0% | 521 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 27 | $0.00 |
| 2001F | 0% | 1,235 | $0.00 | |
| 1126F | 0% | 673 | $0.00 | |
| 2000F | 0% | 1,185 | $0.00 | |
| 2010F | 0% | 1,238 | $0.00 | |
| 3074F | 0% | 562 | $0.00 | |
| 3008F | 0% | 1,219 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | $0.00 |
| 3079F | 0% | 182 | $0.00 | |
| 3080F | 0% | 28 | $0.00 | |
| 1125F | 0% | 79 | $0.00 | |
| 97802 | 0% | 68 | $0.00 | |
| 3075F | 0% | 43 | $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 officialSHAPLIN, JUDITH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Mountain Health & Community Services, INC | Santee, CA | $2.23M |
| Mountain Health & Community Services, INC. | Alpine, CA | $1.48M |
| Mountain Health & Community Services, INC. | San Diego, CA | $534K |
| Mountain Health & Community Services, INC. | Escondido, CA | $449K |
| Mountain Health & Community Services, INC. | Campo, CA | $246K |
| Mountain Health & Community Services, INC. | San Diego, CA | $97K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.