North East Medical Services
North East Medical Services was paid $16.05M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoNORTH EAST MEDICAL SERVICES
SAN FRANCISCO, CA 94122
SAN FRANCISCO, CA 94122
33aNPI1982784740assigned 10/16/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$16.05M
24GClaims271,982
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#114 of 435
Median peer was paid$2.89M
This provider vs. median5.6×
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.
Entity ProliferationAuthorized official CHAN, EDDIE controls 20+ related entities in our dataset. Read more
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 | 15,099 | $1.67M | |
| 2019 | 21,409 | $1.47M | |
| 2020 | 39,144 | $2.00M | |
| 2021 | 45,848 | $2.28M | |
| 2022 | 38,072 | $1.90M | |
| 2023 | 38,431 | $2.41M | |
| 2024incomplete | 73,979 | $4.31M |
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 | 95% | 103,147 | 91,536 | $15.25M |
| 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 | 1.8% | 4,538 | 4,016 | $290K |
| 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% | 45,997 | 39,383 | $93K |
| 0001A | <1% | 1,136 | 1,132 | $67K | |
| 0002A | <1% | 875 | 875 | $58K | |
| 0064A | <1% | 537 | 536 | $36K | |
| 0012A | <1% | 492 | 490 | $32K | |
| 0011A | <1% | 540 | 538 | $32K | |
| 0054A | <1% | 406 | 406 | $27K | |
| 0004A | <1% | 401 | 399 | $25K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15,652 | 13,413 | $25K |
| 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% | 6,113 | 5,801 | $15K |
84 more codes
| 0031A | <1% | 209 | $14K | |
| 0071A | <1% | 180 | $12K | |
| 0072A | <1% | 177 | $12K | |
| G9920 | Screening performed and negative | <1% | 2,356 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,080 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,495 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,762 | $6K |
| 0034A | <1% | 74 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,053 | $4K |
| 92551 | <1% | 5,369 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,218 | $3K |
| 90688 | <1% | 2,128 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,696 | $3K |
| 90739 | <1% | 62 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 145 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 741 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,079 | $835.65 |
| 99188 | <1% | 945 | $789.42 | |
| 99173 | <1% | 5,977 | $677.86 | |
| 90480 | <1% | 684 | $630.00 | |
| 90750 | <1% | 89 | $597.80 | |
| 90756 | <1% | 34 | $563.87 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,870 | $557.10 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 136 | $518.09 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 191 | $506.70 |
| 99460 | <1% | 60 | $377.86 | |
| 90662 | <1% | 528 | $355.80 | |
| 0124A | <1% | 192 | $268.00 | |
| 90715 | <1% | 168 | $264.46 | |
| 91320 | <1% | 325 | $262.20 | |
| 90686 | <1% | 3,545 | $223.44 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 41 | $221.58 |
| H0049 | Alcohol and/or drug screening | <1% | 576 | $205.68 |
| 90651 | <1% | 583 | $176.53 | |
| 90620 | <1% | 409 | $147.08 | |
| 90658 | <1% | 509 | $144.05 | |
| 90656 | <1% | 370 | $32.98 | |
| 90473 | <1% | 24 | $24.24 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 80 | $24.21 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 44 | $11.45 |
| 3074F | 0% | 6,099 | $0.00 | |
| 90698 | 0% | 512 | $0.00 | |
| 90744 | 0% | 231 | $0.00 | |
| 3008F | 0% | 7,564 | $0.00 | |
| 1126F | 0% | 479 | $0.00 | |
| 99070 | 0% | 61 | $0.00 | |
| 3075F | 0% | 1,144 | $0.00 | |
| 3079F | 0% | 606 | $0.00 | |
| 3351F | 0% | 590 | $0.00 | |
| 0134A | 0% | 27 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 73 | $0.00 |
| 2023F | 0% | 47 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 530 | $0.00 |
| 90696 | 0% | 41 | $0.00 | |
| 1125F | 0% | 24 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90689 | 0% | 107 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 346 | $0.00 |
| 90619 | 0% | 103 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 13 | $0.00 |
| 86580 | 0% | 45 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 13 | $0.00 |
| 90674 | 0% | 83 | $0.00 | |
| 90670 | 0% | 590 | $0.00 | |
| 1159F | 0% | 4,420 | $0.00 | |
| 1160F | 0% | 2,389 | $0.00 | |
| 3078F | 0% | 7,215 | $0.00 | |
| 3077F | 0% | 239 | $0.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 1,961 | $0.00 |
| 91322 | 0% | 47 | $0.00 | |
| V2020 | Frames, purchases | 0% | 1,869 | $0.00 |
| 90633 | 0% | 323 | $0.00 | |
| 91321 | 0% | 35 | $0.00 | |
| 90734 | 0% | 275 | $0.00 | |
| 92341 | 0% | 55 | $0.00 | |
| 83037 | 0% | 78 | $0.00 | |
| 91300 | 0% | 25 | $0.00 | |
| 91312 | 0% | 184 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 344 | $0.00 |
| 90710 | 0% | 34 | $0.00 | |
| 90681 | 0% | 56 | $0.00 | |
| 90687 | 0% | 14 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 14 | $0.00 |
| 90707 | 0% | 14 | $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 officialCHAN, EDDIE (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| North East Medical Services | San Francisco, CA | $142.96M |
| North East Medical Services | San Francisco, CA | $59.12M |
| North East Medical Services | Daly City, CA | $47.54M |
| North East Medical Services | San Jose, CA | $38.88M |
| North East Medical Services | San Francisco, CA | $10.35M |
| North East Medical Services | San Francisco, CA | $8.89M |
| North East Medical Services | San Francisco, CA | $8.50M |
| North East Medical Services | San Jose, CA | $2.39M |
| North East Medical Services | Daly City, CA | $546K |
| North East Medical Services | San Francisco, CA | $233K |
| North East Medical Services | San Francisco, CA | $131K |
| North East Medical Services | San Francisco, CA | $64K |
| North East Medical Services | San Francisco, CA | $40K |
| North East Medical Services | San Francisco, CA | $40K |
| North East Medical Services | Daly City, CA | $35K |
| North East Medical Services | Daly City, CA | $15K |
| North East Medical Services | San Francisco, CA | $7K |
| North East Medical Services | San Francisco, CA | $2K |
| North East Medical Services | San Francisco, CA | $2K |
| North East Medical Services | San Francisco, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.