Elica Health Centers
Elica Health Centers was paid $94.19M by Medicaid between Jan 2018 and Dec 2024, across 243 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoELICA HEALTH CENTERS
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
33aNPI1093974065assigned 06/05/2008
33bProvider typeCase Manager/Care Coordinator
28Total paid$94.19M
24GClaims2,248,837
24DCodes billed243
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#15 of 435
Median peer was paid$2.89M
This provider vs. median33×
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 | 134,149 | $14.39M | |
| 2019 | 264,340 | $15.15M | |
| 2020 | 352,676 | $17.19M | |
| 2021 | 403,738 | $19.69M | |
| 2022 | 314,411 | $12.34M | |
| 2023 | 434,341 | $8.75M | |
| 2024incomplete | 345,182 | $6.69M |
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 | 94% | 417,527 | 359,950 | $88.45M |
| 00003 | Internal/system code - not a standard HCPCS code | 1.4% | 5,525 | 4,288 | $1.33M |
| G9012 | Other specified case management service not elsewhere classified | <1% | 11,762 | 5,413 | $939K |
| 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% | 24,756 | 21,820 | $470K |
| 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% | 406,733 | 275,476 | $253K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 6,909 | 4,738 | $240K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 11,235 | 10,288 | $224K |
| D1206 | Topical application of fluoride varnish | <1% | 20,161 | 17,937 | $213K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 13,335 | 8,174 | $188K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12,084 | 11,337 | $140K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 9,898 | 9,164 | $123K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 4,614 | 3,650 | $110K |
231 more codes
| 0012A | <1% | 3,919 | $102K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 53,157 | $97K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 219 | $88K |
| D4341 | <1% | 4,474 | $85K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 4,404 | $79K |
| 0011A | <1% | 3,919 | $78K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 869 | $68K |
| D9430 | <1% | 9,158 | $66K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25,979 | $64K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 7,000 | $64K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 17,350 | $64K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 140,510 | $57K |
| D1351 | Sealant - per tooth | <1% | 3,178 | $55K |
| D1110 | Prophylaxis - adult | <1% | 5,219 | $53K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16,808 | $47K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,318 | $43K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,296 | $40K |
| D0274 | Bitewings - four radiographic images | <1% | 7,821 | $36K |
| D1310 | <1% | 13,428 | $33K | |
| D2740 | Crown - porcelain/ceramic | <1% | 106 | $32K |
| D4910 | <1% | 477 | $25K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 6,336 | $16K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 696 | $16K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,364 | $15K |
| 0064A | <1% | 758 | $11K | |
| D0603 | <1% | 10,356 | $11K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 4,506 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 9,147 | $9K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 1,369 | $9K |
| D0240 | <1% | 1,184 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 5,454 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,006 | $8K |
| G0466 | Community health center visit, new patient | <1% | 334 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 8,002 | $7K |
| D0330 | Panoramic radiographic image | <1% | 1,902 | $7K |
| 98940 | <1% | 7,792 | $7K | |
| 99383 | <1% | 3,387 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,653 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 1,300 | $5K |
| D0270 | <1% | 4,131 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 68,659 | $4K |
| D9110 | <1% | 396 | $4K | |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 65 | $4K |
| 96127 | <1% | 30,972 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,028 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 374 | $3K |
| D9993 | <1% | 8,655 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,945 | $2K |
| 99384 | <1% | 1,682 | $2K | |
| 90688 | <1% | 7,110 | $2K | |
| 90715 | <1% | 8,682 | $2K | |
| D0160 | <1% | 24 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 24,340 | $2K |
| 96160 | <1% | 11,075 | $2K | |
| 97803 | <1% | 1,537 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,209 | $1K |
| 90670 | <1% | 4,984 | $1K | |
| 96156 | <1% | 10,561 | $1K | |
| 90480 | <1% | 226 | $1K | |
| 92551 | <1% | 15,539 | $1K | |
| D0602 | <1% | 2,253 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,344 | $1K |
| 85018 | <1% | 14,948 | $1K | |
| 99173 | <1% | 20,260 | $1K | |
| 97802 | <1% | 1,436 | $836.74 | |
| 99205 | Prolong outpt/office vis | <1% | 123 | $824.98 |
| 90686 | <1% | 23,559 | $792.06 | |
| 90658 | <1% | 281 | $790.87 | |
| D0601 | <1% | 1,001 | $789.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 19,983 | $781.75 |
| 99385 | <1% | 635 | $742.80 | |
| 92552 | <1% | 3,427 | $677.92 | |
| 0071A | <1% | 131 | $636.00 | |
| 99382 | <1% | 825 | $583.36 | |
| 93000 | <1% | 3,816 | $531.45 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 836 | $529.89 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,193 | $511.60 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,110 | $501.99 |
| 36415 | Collection of venous blood by venipuncture | <1% | 467 | $432.92 |
| 90461 | <1% | 812 | $425.64 | |
| 90744 | <1% | 1,287 | $378.54 | |
| 90746 | <1% | 141 | $283.27 | |
| 0002A | <1% | 17 | $268.00 | |
| 90710 | <1% | 2,955 | $263.82 | |
| 81000 | <1% | 104 | $258.84 | |
| D0350 | <1% | 1,106 | $249.60 | |
| 0052A | <1% | 14 | $241.00 | |
| 0004A | <1% | 18 | $201.00 | |
| 0072A | <1% | 32 | $201.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 608 | $179.84 |
| D1352 | <1% | 78 | $142.00 | |
| 90697 | <1% | 222 | $139.78 | |
| 99381 | <1% | 134 | $133.43 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 72 | $122.07 |
| 90739 | <1% | 614 | $121.70 | |
| 90662 | <1% | 70 | $109.75 | |
| 80053 | Comprehensive metabolic panel | <1% | 105 | $107.00 |
| 90698 | <1% | 339 | $104.19 | |
| D1320 | <1% | 346 | $90.00 | |
| 90633 | <1% | 6,665 | $89.47 | |
| 90713 | <1% | 1,513 | $76.83 | |
| 90656 | <1% | 1,226 | $48.22 | |
| 92587 | <1% | 1,867 | $46.07 | |
| 81025 | <1% | 3,559 | $39.33 | |
| 81002 | <1% | 8,583 | $30.10 | |
| V2020 | Frames, purchases | <1% | 77 | $21.31 |
| 83655 | <1% | 567 | $21.26 | |
| G0008 | Administration of influenza virus vaccine | <1% | 469 | $20.77 |
| 80305 | <1% | 436 | $19.08 | |
| 90716 | <1% | 1,851 | $17.95 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 528 | $13.98 |
| 83026 | <1% | 11,633 | $13.46 | |
| 90696 | <1% | 607 | $13.42 | |
| 99386 | <1% | 283 | $10.72 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 115 | $8.85 |
| 82962 | <1% | 1,666 | $7.89 | |
| 99441 | <1% | 8,475 | $7.20 | |
| 86580 | <1% | 313 | $3.36 | |
| 90653 | <1% | 155 | $3.00 | |
| 90672 | <1% | 1,498 | $0.05 | |
| 90651 | <1% | 3,470 | $0.03 | |
| 1159F | 0% | 25,381 | $0.00 | |
| 99177 | 0% | 3,010 | $0.00 | |
| 90700 | 0% | 703 | $0.00 | |
| 1160F | 0% | 20,826 | $0.00 | |
| 3078F | 0% | 93,338 | $0.00 | |
| 3077F | 0% | 24,887 | $0.00 | |
| 90648 | 0% | 3,305 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 1,567 | $0.00 |
| 99188 | 0% | 1,880 | $0.00 | |
| 99442 | 0% | 7,231 | $0.00 | |
| 3046F | 0% | 493 | $0.00 | |
| 99401 | 0% | 371 | $0.00 | |
| 90734 | 0% | 1,642 | $0.00 | |
| 91321 | 0% | 59 | $0.00 | |
| 90473 | 0% | 351 | $0.00 | |
| D9991 | 0% | 56 | $0.00 | |
| 90681 | 0% | 398 | $0.00 | |
| 3051F | 0% | 488 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 381 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 15 | $0.00 |
| 4004F | 0% | 2,943 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 235 | $0.00 |
| D9986 | 0% | 973 | $0.00 | |
| 91300 | 0% | 151 | $0.00 | |
| D9987 | 0% | 195 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 235 | $0.00 |
| 3050F | 0% | 99 | $0.00 | |
| 90707 | 0% | 511 | $0.00 | |
| 90671 | 0% | 62 | $0.00 | |
| D9996 | 0% | 78 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 186 | $0.00 |
| D5110 | 0% | 31 | $0.00 | |
| 90685 | 0% | 80 | $0.00 | |
| 17110 | 0% | 14 | $0.00 | |
| 90621 | 0% | 53 | $0.00 | |
| D9990 | 0% | 63 | $0.00 | |
| 91322 | 0% | 12 | $0.00 | |
| D2950 | 0% | 49 | $0.00 | |
| 90649 | 0% | 55 | $0.00 | |
| D1354 | 0% | 13 | $0.00 | |
| 11721 | 0% | 29 | $0.00 | |
| 80061 | Lipid panel | 0% | 28 | $0.00 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 104 | $0.00 |
| D2332 | 0% | 12 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 23 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 21 | $0.00 |
| 81003 | 0% | 25 | $0.00 | |
| 99199 | Unlisted special service, procedure or report | 0% | 15 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 12 | $0.00 |
| 3075F | 0% | 17,862 | $0.00 | |
| 3079F | 0% | 33,368 | $0.00 | |
| 1125F | 0% | 1,468 | $0.00 | |
| D1330 | 0% | 22,135 | $0.00 | |
| 3080F | 0% | 12,151 | $0.00 | |
| 3074F | 0% | 96,644 | $0.00 | |
| 3008F | 0% | 135,403 | $0.00 | |
| 3052F | 0% | 37 | $0.00 | |
| 90723 | 0% | 3,235 | $0.00 | |
| 90474 | 0% | 199 | $0.00 | |
| 3044F | 0% | 3,732 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 151 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 597 | $0.00 |
| 4010F | 0% | 3,050 | $0.00 | |
| 91307 | 0% | 256 | $0.00 | |
| 90677 | 0% | 591 | $0.00 | |
| 92250 | 0% | 1,565 | $0.00 | |
| 1170F | 0% | 437 | $0.00 | |
| D5899 | 0% | 869 | $0.00 | |
| 3049F | 0% | 54 | $0.00 | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 64 | $0.00 |
| 96150 | 0% | 958 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 124 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 285 | $0.00 |
| 91301 | 0% | 220 | $0.00 | |
| 90647 | 0% | 282 | $0.00 | |
| 99406 | 0% | 234 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 303 | $0.00 |
| 99443 | 0% | 1,270 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 82 | $0.00 |
| 1126F | 0% | 277 | $0.00 | |
| 90732 | 0% | 214 | $0.00 | |
| 91306 | 0% | 645 | $0.00 | |
| 3061F | 0% | 15 | $0.00 | |
| D2330 | 0% | 76 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 29 | $0.00 |
| 96151 | 0% | 120 | $0.00 | |
| 90694 | 0% | 421 | $0.00 | |
| 1036F | 0% | 220 | $0.00 | |
| 1101F | 0% | 134 | $0.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 32 | $0.00 |
| 90680 | 0% | 136 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 50 | $0.00 |
| D2331 | 0% | 91 | $0.00 | |
| 90620 | 0% | 58 | $0.00 | |
| D0171 | 0% | 106 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 240 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 38 | $0.00 |
| 99402 | 0% | 29 | $0.00 | |
| D4342 | 0% | 15 | $0.00 | |
| 3048F | 0% | 53 | $0.00 | |
| 90619 | 0% | 27 | $0.00 | |
| 99403 | 0% | 31 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 15 | $0.00 |
| 99283 | Emergency room visit (moderate) | 0% | 161 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 45 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 20 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 19 | $0.00 |
| 91305 | 0% | 18 | $0.00 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 16 | $0.00 |
| 90660 | 0% | 25 | $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 officialBAK, TATYANA (CEO)
Parent organizationELICA HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Elica Health Centers | North Highlands, CA | $58.22M |
| Elica Health Centers | West Sacramento, CA | $42.65M |
| Elica Health Centers | West Sacramento, CA | $3.95M |
| Elica Health Centers | Sacramento, CA | $2K |
| Elica Health Centers | Sacramento, CA | $2K |
| Elica Health Centers | Sacramento, CA | $1K |
| Elica Health Centers | Sacramento, CA | $650.36 |
| Elica Health Centers | Sacramento, CA | $0.00 |
| Elica Health Centers | North Highlands, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.