Solera Health, INC.
Solera Health, INC. was paid $529K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is G9001, Coordinated care fee, initial rate — 64% of everything it billed.
33Billing provider infoSOLERA HEALTH, INC.
PHOENIX, AZ 85016
PHOENIX, AZ 85016
33aNPI1144692872assigned 10/21/2015
33bProvider typeHealth Educator
28Total paid$529K
24GClaims3,436
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
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 | 881 | $620.00 | |
| 2019 | 295 | $29K | |
| 2020 | 267 | $30K | |
| 2021 | 170 | $28K | |
| 2022 | 79 | $12K | |
| 2023 | 784 | $219K | |
| 2024incomplete | 960 | $209K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9001 | Coordinated care fee, initial rate | 64% | 1,175 | 1,120 | $338K |
| G9873 | First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions | 19% | 628 | 628 | $103K |
| G9003 | Coordinated care fee, risk adjusted high, initial | 6.5% | 221 | 220 | $35K |
| G9874 | Four total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions | 5.5% | 198 | 198 | $29K |
| G9005 | Coordinated care fee, risk adjusted maintenance | 2.6% | 45 | 44 | $14K |
| G9875 | Nine total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions | 1.0% | 48 | 48 | $5K |
| 0403T | <1% | 1,075 | 907 | $3K | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 46 | 46 | $3K |
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 officialSANTELLI, JOHN (CEO)