Clinic
Total Care Family Medical Center of Lake Elsinore, INC.
Total Care Family Medical Center of Lake Elsinore, INC. was paid $2.16M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoTOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE, INC.
LAKE ELSINORE, CA 92530
LAKE ELSINORE, CA 92530
33aNPI1992950703assigned 11/20/2008
33bProvider typeUrgent Care Clinic/Center
28Total paid$2.16M
24GClaims93,748
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#50 of 284
Median peer was paid$147K
This provider vs. median15×
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 | 12,675 | $581K | |
| 2019 | 19,935 | $392K | |
| 2020 | 16,548 | $220K | |
| 2021 | 12,593 | $214K | |
| 2022 | 11,845 | $290K | |
| 2023 | 11,354 | $261K | |
| 2024incomplete | 8,798 | $205K |
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 | 34% | 32,607 | 30,985 | $738K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 9,180 | 9,152 | $490K |
| S9083 | Global fee urgent care centers | 18% | 6,898 | 6,267 | $379K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 17% | 6,134 | 5,667 | $366K |
| 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 | 8.1% | 5,608 | 5,454 | $175K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 124 | 124 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,033 | 2,928 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 26 | 25 | $1K |
| 81003 | <1% | 9,220 | 8,955 | $908.68 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | 25 | $531.46 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 955 | 933 | $174.57 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 71 | 71 | $88.50 |
26 more codes
| 85018 | <1% | 730 | $80.13 | |
| 94760 | <1% | 4,593 | $70.80 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 569 | $61.76 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 220 | $58.70 |
| 82947 | <1% | 101 | $36.12 | |
| 92562 | <1% | 230 | $28.58 | |
| 81025 | <1% | 27 | $5.60 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 12 | $5.01 |
| 3079F | 0% | 1,673 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 425 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 513 | $0.00 |
| 3080F | 0% | 257 | $0.00 | |
| 3074F | 0% | 3,655 | $0.00 | |
| 3075F | 0% | 824 | $0.00 | |
| 1220F | 0% | 37 | $0.00 | |
| 3008F | 0% | 40 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 28 | $0.00 |
| 99422 | 0% | 15 | $0.00 | |
| 3077F | 0% | 429 | $0.00 | |
| 3078F | 0% | 3,061 | $0.00 | |
| 97803 | 0% | 174 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,841 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 94 | $0.00 |
| 99173 | 0% | 272 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 28 | $0.00 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 0% | 16 | $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 officialPOWELL, NA'IMAH (OWNER)