Is FAMILY HEALTHCARE NETWORK flagged for Medicaid fraud?

FAMILY HEALTHCARE NETWORK (NPI: 1467504530) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does FAMILY HEALTHCARE NETWORK bill Medicaid?

FAMILY HEALTHCARE NETWORK received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Federally Qualified Health Center (FQHC) provider. Located in HANFORD, CA.

What is NPI 1467504530?

NPI 1467504530 is the National Provider Identifier for FAMILY HEALTHCARE NETWORK. They are a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in HANFORD, CA. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

FAMILY HEALTHCARE NETWORK

Clinic/Center, Federally Qualified Health Center (FQHC)·HANFORD, CA·NPI: 1467504530Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $76.4M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$76.4M

$76,433,886

Total Claims

1.6M

Beneficiaries

1.2M

1.4 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018

$9.2M

+8%

2019

$9.9M

+2%

2020

$10.2M

+29%

2021

$13.1M

-23%

2022

$10.0M

+14%

2023

$11.4M

+10%

2024

$12.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 78% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$59.6M

431K claims

$138.34

$121.16

1.1×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$59.6M

431K claims · 77.9%

Your Cost: $138.34/claim|Median: $121.16

1.1× median

00003Anesthesia servicesSee all providers →

$14.3M

83K claims

$172.40

$223.77

0.8×

Normal range

00003Normal range

Anesthesia services

$14.3M

83K claims · 18.7%

Your Cost: $172.40/claim|Median: $223.77

0.8× median

98940 See all providers →

$603K

5,357 claims

$112.53

$14.55

7.7×

Top 1%

98940Top 1%

$603K

5,357 claims · 0.8%

Your Cost: $112.53/claim|Median: $14.55

7.7× median

98941Chiropractic manipulative treatment, 3-4 spinal regionsSee all providers →

$428K

5,752 claims

$74.35

$20.83

3.6×

Top 1%

98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$428K

5,752 claims · 0.6%

Your Cost: $74.35/claim|Median: $20.83

3.6× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$271K

291K claims

$0.93

$37.81

0.0×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$271K

291K claims · 0.4%

Your Cost: $0.93/claim|Median: $37.81

0.0× median

92014Ophthalmological exam, comprehensive, established patientSee all providers →

$222K

16K claims

$13.54

$47.08

0.3×

Normal range

92014Normal range

Ophthalmological exam, comprehensive, established patient

$222K

16K claims · 0.3%

Your Cost: $13.54/claim|Median: $47.08

0.3× median

99212Office/outpatient visit, low complexitySee all providers →

$201K

129K claims

$1.56

$25.06

0.1×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$201K

129K claims · 0.3%

Your Cost: $1.56/claim|Median: $25.06

0.1× median

G9012Other specified case management service, per 15 minutesSee all providers →

$196K

1,499 claims

$130.64

$137.85

0.9×

Normal range

G9012Normal range

Other specified case management service, per 15 minutes

$196K

1,499 claims · 0.3%

Your Cost: $130.64/claim|Median: $137.85

0.9× median

90791Psychiatric diagnostic evaluationSee all providers →

$115K

4,263 claims

$26.87

$99.21

0.3×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$115K

4,263 claims · 0.1%

Your Cost: $26.87/claim|Median: $99.21

0.3× median

V2020Frames, purchasesSee all providers →

$114K

9,058 claims

$12.59

$19.33

0.7×

Normal range

V2020Normal range

Frames, purchases

$114K

9,058 claims · 0.1%

Your Cost: $12.59/claim|Median: $19.33

0.7× median

90832Psychotherapy, 30 minutesSee all providers →

$97K

8,716 claims

$11.09

$41.28

0.3×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$97K

8,716 claims · 0.1%

Your Cost: $11.09/claim|Median: $41.28

0.3× median

92340Fitting of spectacles, except for aphakiaSee all providers →

$69K

7,083 claims

$9.70

$19.46

0.5×

Normal range

92340Normal range

Fitting of spectacles, except for aphakia

$69K

7,083 claims · 0.1%

Your Cost: $9.70/claim|Median: $19.46

0.5× median

92004Ophthalmological exam, comprehensive, new patientSee all providers →

$58K

1,170 claims

$49.45

$59.72

0.8×

Normal range

92004Normal range

Ophthalmological exam, comprehensive, new patient

$58K

1,170 claims · 0.1%

Your Cost: $49.45/claim|Median: $59.72

0.8× median

59409Vaginal delivery onlySee all providers →

$48K

223 claims

$215.41

$619.91

0.3×

Normal range

59409Normal range

Vaginal delivery only

$48K

223 claims · 0.1%

Your Cost: $215.41/claim|Median: $619.91

0.3× median

J7307Etonogestrel implant system, including implant and suppliesSee all providers →

$28K

290 claims

$95.01

$786.43

0.1×

Normal range

J7307Normal range

Etonogestrel implant system, including implant and supplies

$28K

290 claims · 0.0%

Your Cost: $95.01/claim|Median: $786.43

0.1× median

92015Determination of refractive stateSee all providers →

$26K

18K claims

$1.50

$10.36

0.1×

Normal range

92015Normal range

Determination of refractive state

$26K

18K claims · 0.0%

Your Cost: $1.50/claim|Median: $10.36

0.1× median

92341 See all providers →

$23K

1,270 claims

$18.45

$22.77

0.8×

Normal range

92341Normal range

$23K

1,270 claims · 0.0%

Your Cost: $18.45/claim|Median: $22.77

0.8× median

J3490Unclassified drugsSee all providers →

$13K

2,813 claims

$4.79

$5.70

0.8×

Normal range

J3490Normal range

Unclassified drugs

$13K

2,813 claims · 0.0%

Your Cost: $4.79/claim|Median: $5.70

0.8× median

G0467Federally qualified health center visit, mental healthSee all providers →

$12K

5,402 claims

$2.26

$21.91

0.1×

Normal range

G0467Normal range

Federally qualified health center visit, mental health

$12K

5,402 claims · 0.0%

Your Cost: $2.26/claim|Median: $21.91

0.1× median

0002ACOVID-19 vaccine admin, Pfizer, 2nd doseSee all providers →

$11K

184 claims

$59.90

$36.70

1.6×

Top 10%

0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$11K

184 claims · 0.0%

Your Cost: $59.90/claim|Median: $36.70

1.6× median

0001ACOVID-19 vaccine admin, Pfizer, 1st doseSee all providers →

$11K

181 claims

$60.15

$33.72

1.8×

Top 5%

0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$11K

181 claims · 0.0%

Your Cost: $60.15/claim|Median: $33.72

1.8× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$9K

1,530 claims

$6.17

$57.85

0.1×

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$9K

1,530 claims · 0.0%

Your Cost: $6.17/claim|Median: $57.85

0.1× median

11981 See all providers →

$8K

262 claims

$30.29

$117.16

0.3×

Normal range

11981Normal range

$8K

262 claims · 0.0%

Your Cost: $30.29/claim|Median: $117.16

0.3× median

81025Urine pregnancy testSee all providers →

$7K

30K claims

$0.25

$4.81

0.1×

Normal range

81025Normal range

Urine pregnancy test

$7K

30K claims · 0.0%

Your Cost: $0.25/claim|Median: $4.81

0.1× median

11976 See all providers →

$6K

337 claims

$18.19

$57.06

0.3×

Normal range

11976Normal range

$6K

337 claims · 0.0%

Your Cost: $18.19/claim|Median: $57.06

0.3× median

90834Psychotherapy, 45 minutesSee all providers →

$6K

316 claims

$18.82

$63.65

0.3×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$6K

316 claims · 0.0%

Your Cost: $18.82/claim|Median: $63.65

0.3× median

99460Initial hospital or birthing center care, newborn, per daySee all providers →

$3K

601 claims

$5.75

$62.48

0.1×

Normal range

99460Normal range

Initial hospital or birthing center care, newborn, per day

$3K

601 claims · 0.0%

Your Cost: $5.75/claim|Median: $62.48

0.1× median

0011ACOVID-19 vaccine admin, Moderna, 1st doseSee all providers →

$3K

48 claims

$67.00

$25.93

2.6×

Top 5%

0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$3K

48 claims · 0.0%

Your Cost: $67.00/claim|Median: $25.93

2.6× median

99202Office/outpatient visit, new patient, low complexitySee all providers →

$3K

582 claims

$4.64

$40.11

0.1×

Normal range

99202Normal range

Office/outpatient visit, new patient, low complexity

$3K

582 claims · 0.0%

Your Cost: $4.64/claim|Median: $40.11

0.1× median

0012ACOVID-19 vaccine admin, Moderna, 2nd doseSee all providers →

$3K

40 claims

$66.33

$33.85

2.0×

Top 5%

0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

40 claims · 0.0%

Your Cost: $66.33/claim|Median: $33.85

2.0× median

99239Hospital discharge day management, more than 30 minutesSee all providers →

$2K

322 claims

$6.91

$43.85

0.2×

Normal range

99239Normal range

Hospital discharge day management, more than 30 minutes

$2K

322 claims · 0.0%

Your Cost: $6.91/claim|Median: $43.85

0.2× median

92250Fundus photography with interpretation and reportSee all providers →

$2K

2,562 claims

$0.69

$27.95

0.0×

Normal range

92250Normal range

Fundus photography with interpretation and report

$2K

2,562 claims · 0.0%

Your Cost: $0.69/claim|Median: $27.95

0.0× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$2K

17K claims

$0.10

$53.41

0.0×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$2K

17K claims · 0.0%

Your Cost: $0.10/claim|Median: $53.41

0.0× median

59425Antepartum care only, 4-6 visitsSee all providers →

$2K

4,537 claims

$0.38

$63.63

0.0×

Normal range

59425Normal range

Antepartum care only, 4-6 visits

$2K

4,537 claims · 0.0%

Your Cost: $0.38/claim|Median: $63.63

0.0× median

0031ACOVID-19 vaccine admin, J&J, single doseSee all providers →

$1K

21 claims

$67.00

$32.49

2.1×

Top 5%

0031ATop 5%

COVID-19 vaccine admin, J&J, single dose

$1K

21 claims · 0.0%

Your Cost: $67.00/claim|Median: $32.49

2.1× median

G9920 See all providers →

$1K

4,026 claims

$0.33

$6.56

0.0×

Normal range

G9920Normal range

$1K

4,026 claims · 0.0%

Your Cost: $0.33/claim|Median: $6.56

0.0× median

H1001 See all providers →

$949

11K claims

$0.09

$60.48

0.0×

Normal range

H1001Normal range

$949

11K claims · 0.0%

Your Cost: $0.09/claim|Median: $60.48

0.0× median

0071A See all providers →

$871

14 claims

$62.21

$38.71

1.6×

Top 10%

0071ATop 10%

$871

14 claims · 0.0%

Your Cost: $62.21/claim|Median: $38.71

1.6× median

99238Hospital discharge day management, 30 minutes or lessSee all providers →

$859

414 claims

$2.07

$37.22

0.1×

Normal range

99238Normal range

Hospital discharge day management, 30 minutes or less

$859

414 claims · 0.0%

Your Cost: $2.07/claim|Median: $37.22

0.1× median

0004A See all providers →

$804

12 claims

$67.00

$35.62

1.9×

Top 5%

0004ATop 5%

$804

12 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.62

1.9× median

99395Preventive medicine, established patient, age 18-39See all providers →

$730

5,580 claims

$0.13

$72.71

0.0×

Normal range

99395Normal range

Preventive medicine, established patient, age 18-39

$730

5,580 claims · 0.0%

Your Cost: $0.13/claim|Median: $72.71

0.0× median

99391Preventive medicine, established patient, infant (under 1)See all providers →

$611

15K claims

$0.04

$69.35

0.0×

Normal range

99391Normal range

Preventive medicine, established patient, infant (under 1)

$611

15K claims · 0.0%

Your Cost: $0.04/claim|Median: $69.35

0.0× median

58300 See all providers →

$540

79 claims

$6.84

$74.77

0.1×

Normal range

58300Normal range

$540

79 claims · 0.0%

Your Cost: $6.84/claim|Median: $74.77

0.1× median

99243Office or other outpatient consultation, low complexitySee all providers →

$532

1,522 claims

$0.35

$82.43

0.0×

Normal range

99243Normal range

Office or other outpatient consultation, low complexity

$532

1,522 claims · 0.0%

Your Cost: $0.35/claim|Median: $82.43

0.0× median

G0511RHC/FQHC visit, psychiatric collaborative care modelSee all providers →

$522

1,463 claims

$0.36

$11.35

0.0×

Normal range

G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$522

1,463 claims · 0.0%

Your Cost: $0.36/claim|Median: $11.35

0.0× median

99393Preventive medicine, established patient, age 5-11See all providers →

$447

8,992 claims

$0.05

$74.82

0.0×

Normal range

99393Normal range

Preventive medicine, established patient, age 5-11

$447

8,992 claims · 0.0%

Your Cost: $0.05/claim|Median: $74.82

0.0× median

G2025 See all providers →

$408

312 claims

$1.31

$15.63

0.1×

Normal range

G2025Normal range

$408

312 claims · 0.0%

Your Cost: $1.31/claim|Median: $15.63

0.1× median

81002Urinalysis, non-automated without microscopySee all providers →

$366

39K claims

$0.01

$2.00

0.0×

Normal range

81002Normal range

Urinalysis, non-automated without microscopy

$366

39K claims · 0.0%

Your Cost: $0.01/claim|Median: $2.00

0.0× median

99396Preventive medicine, established patient, age 40-64See all providers →

$319

3,087 claims

$0.10

$76.06

0.0×

Normal range

99396Normal range

Preventive medicine, established patient, age 40-64

$319

3,087 claims · 0.0%

Your Cost: $0.10/claim|Median: $76.06

0.0× median

H1000Prenatal care, at-risk assessmentSee all providers →

$248

327 claims

$0.76

$50.36

0.0×

Normal range

H1000Normal range

Prenatal care, at-risk assessment

$248

327 claims · 0.0%

Your Cost: $0.76/claim|Median: $50.36

0.0× median

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