Wellspace Health
Wellspace Health was paid $18.86M by Medicaid between Jan 2018 and Nov 2024, across 196 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 31% of everything it billed.
33Billing provider infoWELLSPACE HEALTH
SACRAMENTO, CA 95811
SACRAMENTO, CA 95811
33aNPI1124112933assigned 10/03/2006
33bProvider typeContractor
28Total paid$18.86M
24GClaims3,541,219
24DCodes billed196
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Contractor providers in California
Rank by total paid#3 of 31
Median peer was paid$409K
This provider vs. median46×
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 PORTEUS, ALASDAIR 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 | 54,682 | $1.60M | |
| 2019 | 307,150 | $2.14M | |
| 2020 | 330,462 | $2.92M | |
| 2021 | 827,673 | $1.96M | |
| 2022 | 1,007,397 | $3.93M | |
| 2023 | 864,561 | $5.44M | |
| 2024incomplete | 149,294 | $863K |
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 | 31% | 61,958 | 53,404 | $5.87M |
| G9012 | Other specified case management service not elsewhere classified | 27% | 45,665 | 18,320 | $5.16M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 12% | 14,619 | 8,822 | $2.22M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 11% | 10,196 | 802 | $2.05M |
| H0043 | Supported housing, per diem | 7.5% | 6,268 | 3,311 | $1.42M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 13,088 | 9,056 | $291K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 336,797 | 303,142 | $246K |
| 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 | 1.0% | 14,310 | 11,690 | $190K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 37,737 | 28,762 | $171K |
| 59425 | <1% | 17,784 | 13,350 | $169K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,881 | 2,547 | $150K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,874 | 1,506 | $107K |
184 more codes
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 641 | $79K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 118,063 | $60K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,877 | $59K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 86,383 | $59K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 5,479 | $43K |
| 0502F | <1% | 39,425 | $37K | |
| G0466 | Community health center visit, new patient | <1% | 817 | $37K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 10,170 | $36K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 18,189 | $35K |
| 97810 | <1% | 4,127 | $30K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 20,720 | $24K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,921 | $16K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 966 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 8,586 | $15K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,578 | $13K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 11,003 | $12K |
| 0012A | <1% | 1,234 | $12K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13,816 | $12K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 3,884 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,903 | $11K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 957 | $11K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 20,080 | $10K |
| 99401 | <1% | 4,021 | $10K | |
| 59430 | <1% | 1,927 | $9K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 1,920 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,949 | $8K |
| 0011A | <1% | 1,286 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 8,493 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,883 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,539 | $6K |
| 99385 | <1% | 1,074 | $5K | |
| 0001A | <1% | 731 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,560 | $5K |
| 0071A | <1% | 376 | $5K | |
| 0500F | <1% | 2,949 | $5K | |
| 98940 | <1% | 5,043 | $4K | |
| 92551 | <1% | 19,583 | $4K | |
| 0072A | <1% | 193 | $4K | |
| 90670 | <1% | 10,328 | $4K | |
| 99383 | <1% | 1,463 | $4K | |
| 90686 | <1% | 18,145 | $4K | |
| 99386 | <1% | 695 | $4K | |
| 97803 | <1% | 3,540 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 92 | $3K |
| 87590 | <1% | 4,308 | $3K | |
| 81025 | <1% | 8,867 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,097 | $3K |
| 0002A | <1% | 477 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25,776 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,717 | $2K |
| 90633 | <1% | 8,407 | $2K | |
| 0064A | <1% | 121 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,720 | $2K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 956 | $2K |
| 87490 | <1% | 4,311 | $2K | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 31 | $2K |
| 90680 | <1% | 3,032 | $1K | |
| 90715 | <1% | 2,612 | $1K | |
| 99384 | <1% | 666 | $1K | |
| 99173 | <1% | 20,470 | $1K | |
| 90674 | <1% | 4,390 | $1K | |
| 0013A | <1% | 56 | $1K | |
| 90723 | <1% | 4,615 | $1K | |
| 96156 | <1% | 5,682 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,069 | $1K |
| 99000 | <1% | 2,995 | $1K | |
| 0503F | <1% | 1,288 | $996.64 | |
| 90651 | <1% | 4,136 | $945.15 | |
| 0081A | <1% | 14 | $938.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 11,183 | $935.20 |
| 90716 | <1% | 2,550 | $924.03 | |
| 0031A | <1% | 118 | $804.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 23,106 | $798.32 |
| 99382 | <1% | 378 | $709.43 | |
| 90700 | <1% | 2,437 | $706.09 | |
| 80305 | <1% | 2,055 | $679.15 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 27 | $664.07 |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 1,255 | $655.07 |
| 90710 | <1% | 2,887 | $655.06 | |
| 90734 | <1% | 1,861 | $592.47 | |
| 90837 | Psychotherapy session, about an hour | <1% | 14 | $588.12 |
| 85018 | <1% | 13,181 | $586.80 | |
| 90707 | <1% | 1,405 | $584.03 | |
| 96151 | <1% | 1,171 | $496.19 | |
| 0004A | <1% | 14 | $467.00 | |
| 59514 | <1% | 12 | $381.52 | |
| 90696 | <1% | 1,339 | $311.21 | |
| 99381 | <1% | 101 | $265.77 | |
| 90648 | <1% | 1,644 | $263.50 | |
| 3074F | <1% | 225,671 | $194.21 | |
| 90647 | <1% | 4,132 | $175.91 | |
| 11721 | <1% | 77 | $127.34 | |
| 90688 | <1% | 1,994 | $120.00 | |
| 82948 | <1% | 3,031 | $106.02 | |
| 90713 | <1% | 692 | $104.00 | |
| 20610 | <1% | 18 | $91.58 | |
| 20550 | <1% | 12 | $91.58 | |
| 99205 | Prolong outpt/office vis | <1% | 65 | $82.70 |
| 90685 | <1% | 447 | $72.00 | |
| 96150 | <1% | 133 | $69.32 | |
| 93000 | <1% | 26 | $53.70 | |
| 3078F | <1% | 212,071 | $49.90 | |
| 81001 | <1% | 7,217 | $49.64 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,090 | $47.79 |
| 83655 | <1% | 157 | $42.80 | |
| 90744 | <1% | 173 | $36.00 | |
| 2001F | <1% | 330,213 | $24.00 | |
| 90677 | <1% | 189 | $18.00 | |
| 90620 | <1% | 895 | $14.00 | |
| 86580 | <1% | 198 | $13.44 | |
| 90698 | <1% | 13 | $9.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 288,994 | $4.03 |
| 81003 | <1% | 129 | $1.07 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 187 | $1.00 |
| 3052F | 0% | 594 | $0.00 | |
| 3049F | 0% | 36,312 | $0.00 | |
| 3048F | 0% | 56,882 | $0.00 | |
| 3079F | 0% | 82,922 | $0.00 | |
| 3080F | 0% | 20,705 | $0.00 | |
| 3044F | 0% | 4,036 | $0.00 | |
| 90697 | 0% | 2,156 | $0.00 | |
| 3008F | 0% | 330,013 | $0.00 | |
| 3075F | 0% | 40,636 | $0.00 | |
| 1036F | 0% | 221,825 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 24,813 | $0.00 |
| 1034F | 0% | 2,759 | $0.00 | |
| 91301 | 0% | 2,552 | $0.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 121 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 181 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 216 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 196 | $0.00 |
| 86403 | 0% | 65 | $0.00 | |
| 91303 | 0% | 129 | $0.00 | |
| 1111F | 0% | 316 | $0.00 | |
| 99422 | 0% | 157 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 50 | $0.00 |
| 91307 | 0% | 171 | $0.00 | |
| 90619 | 0% | 388 | $0.00 | |
| 99441 | 0% | 51 | $0.00 | |
| Z1034 | 0% | 628 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 35 | $0.00 |
| Z6410 | 0% | 69 | $0.00 | |
| Z1032 | 0% | 16 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 28 | $0.00 |
| D1310 | 0% | 64 | $0.00 | |
| D0603 | 0% | 17 | $0.00 | |
| 90474 | 0% | 52 | $0.00 | |
| 1035F | 0% | 29 | $0.00 | |
| 90656 | 0% | 39 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 54 | $0.00 |
| D1330 | 0% | 53 | $0.00 | |
| 0134A | 0% | 27 | $0.00 | |
| 11055 | 0% | 12 | $0.00 | |
| 91305 | 0% | 23 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 264,785 | $0.00 |
| 3077F | 0% | 49,927 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 49,402 | $0.00 |
| 3046F | 0% | 4,163 | $0.00 | |
| 91300 | 0% | 401 | $0.00 | |
| 3050F | 0% | 26,293 | $0.00 | |
| 90661 | 0% | 29 | $0.00 | |
| 90461 | 0% | 12,860 | $0.00 | |
| 4004F | 0% | 215 | $0.00 | |
| 3051F | 0% | 1,213 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 1,453 | $0.00 |
| 91312 | 0% | 110 | $0.00 | |
| Z6400 | 0% | 52 | $0.00 | |
| 91308 | 0% | 127 | $0.00 | |
| 80101 | 0% | 785 | $0.00 | |
| 96152 | 0% | 108 | $0.00 | |
| A4550 | Surgical trays | 0% | 99 | $0.00 |
| 0124A | 0% | 54 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 74 | $0.00 |
| 3045F | 0% | 144 | $0.00 | |
| Z6500 | 0% | 52 | $0.00 | |
| 99201 | 0% | 75 | $0.00 | |
| 59426 | 0% | 60 | $0.00 | |
| G0124 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician | 0% | 77 | $0.00 |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 0% | 12 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 20 | $0.00 |
| 90681 | 0% | 29 | $0.00 | |
| 99442 | 0% | 18 | $0.00 | |
| 11719 | 0% | 12 | $0.00 | |
| 91313 | 0% | 17 | $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 officialPORTEUS, ALASDAIR (CEO)
| Provider | Location | Paid |
|---|---|---|
| Wellspace Health | Sacramento, CA | $76.86M |
| Wellspace Health | Sacramento, CA | $64.16M |
| Wellspace Health | Galt, CA | $42.54M |
| Wellspace Health | Sacramento, CA | $28.23M |
| Wellspace Health | Sacramento, CA | $14.61M |
| Wellspace Health | Sacramento, CA | $13.57M |
| Wellspace Health | North Highlands, CA | $7.20M |
| Wellspace Health | Sacramento, CA | $5.34M |
| Wellspace Health | Citrus Heights, CA | $5.07M |
| Wellspace Health | Sacramento, CA | $3.67M |
| Wellspace Health | Roseville, CA | $3.03M |
| Wellspace Health | Martell, CA | $2.95M |
| Wellspace Health | Sacramento, CA | $1.02M |
| Wellspace Health | Citrus Heights, CA | $647K |
| Wellspace Health | Sacramento, CA | $318K |
| Wellspace Health | Sacramento, CA | $29K |
| Wellspace Health | Sacramento, CA | $20K |
| Wellspace Health | Sacramento, CA | $10K |
| Wellspace Health | Sacramento, CA | $3K |
| Wellspace Health | Sacramento, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.