Clinic
Winters Healthcare Foundation, INC.
Winters Healthcare Foundation, INC. was paid $12.81M by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoWINTERS HEALTHCARE FOUNDATION, INC.
WINTERS, CA 95694
WINTERS, CA 95694
33aNPI1992736086assigned 07/06/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.81M
24GClaims116,232
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#256 of 826
Median peer was paid$4.05M
This provider vs. median3.2×
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 | 11,952 | $1.34M | |
| 2019 | 12,336 | $1.18M | |
| 2020 | 14,881 | $1.40M | |
| 2021 | 20,330 | $2.39M | |
| 2022 | 20,126 | $2.26M | |
| 2023 | 25,214 | $2.67M | |
| 2024incomplete | 11,393 | $1.57M |
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 | 60% | 33,341 | 26,091 | $7.64M |
| 00003 | Internal/system code - not a standard HCPCS code | 37% | 16,977 | 15,351 | $4.75M |
| 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% | 26,909 | 19,037 | $89K |
| 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% | 8,287 | 5,669 | $64K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,672 | 1,139 | $53K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,831 | 611 | $52K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 902 | 853 | $31K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,136 | 587 | $26K |
| G9920 | Screening performed and negative | <1% | 1,836 | 1,228 | $24K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,340 | 835 | $23K |
| 90686 | <1% | 1,273 | 1,233 | $13K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 124 | 90 | $7K |
42 more codes
| 99000 | <1% | 2,843 | $6K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 610 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,078 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 967 | $4K |
| 0001A | <1% | 55 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 964 | $3K |
| 0002A | <1% | 40 | $3K | |
| 92551 | <1% | 3,706 | $3K | |
| 0012A | <1% | 38 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 896 | $2K |
| 90677 | <1% | 22 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 40 | $2K |
| 0011A | <1% | 23 | $2K | |
| H0049 | Alcohol and/or drug screening | <1% | 103 | $1K |
| 90688 | <1% | 88 | $947.72 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 61 | $642.78 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $439.60 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 51 | $378.83 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 228 | $378.55 |
| 90649 | <1% | 82 | $306.00 | |
| 90734 | <1% | 74 | $288.00 | |
| 90670 | <1% | 69 | $288.00 | |
| 90633 | <1% | 56 | $279.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 451 | $276.52 |
| 85018 | <1% | 1,043 | $192.33 | |
| 99283 | Emergency room visit (moderate) | <1% | 2,063 | $186.32 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 24 | $142.08 |
| 90715 | <1% | 15 | $126.27 | |
| 83655 | <1% | 22 | $116.93 | |
| 90710 | <1% | 18 | $99.00 | |
| 90647 | <1% | 24 | $99.00 | |
| 90696 | <1% | 16 | $90.00 | |
| 90697 | <1% | 20 | $90.00 | |
| 81002 | <1% | 142 | $46.05 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 396 | $45.26 |
| 81025 | <1% | 34 | $19.60 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 108 | $17.70 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 195 | $8.40 |
| 99173 | 0% | 1,622 | $0.00 | |
| Z1034 | 0% | 233 | $0.00 | |
| Z1032 | 0% | 49 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 19 | $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 officialKELSCH, CHRISTOPHER (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Winters Healthcare Foundation, INC. | Esparto, CA | $172K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.