Elica Health Centers
Elica Health Centers was paid $42.65M by Medicaid between Jan 2019 and Dec 2024, across 169 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoELICA HEALTH CENTERS
WEST SACRAMENTO, CA 95691
WEST SACRAMENTO, CA 95691
33aNPI1205341336assigned 12/12/2017
33bProvider typeCase Manager/Care Coordinator
28Total paid$42.65M
24GClaims644,118
24DCodes billed169
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#47 of 435
Median peer was paid$2.89M
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 | |
|---|---|---|---|
| 2019 | 46,760 | $2.92M | |
| 2020 | 112,297 | $7.94M | |
| 2021 | 161,505 | $11.18M | |
| 2022 | 105,099 | $6.33M | |
| 2023 | 134,710 | $7.50M | |
| 2024incomplete | 83,747 | $6.79M |
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 | 89% | 188,279 | 160,015 | $37.78M |
| 00003 | Internal/system code - not a standard HCPCS code | 8.6% | 13,166 | 7,330 | $3.65M |
| 0012A | <1% | 3,131 | 1,593 | $143K | |
| 0011A | <1% | 3,008 | 1,547 | $115K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 5,318 | 3,970 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 5,095 | 3,483 | $85K |
| D1206 | Topical application of fluoride varnish | <1% | 10,746 | 8,540 | $67K |
| D4341 | <1% | 3,669 | 1,719 | $45K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 7,363 | 6,175 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,348 | 2,267 | $41K |
| 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% | 104,293 | 72,549 | $41K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,768 | 1,615 | $34K |
157 more codes
| D4910 | <1% | 1,562 | $34K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,258 | $34K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 421 | $32K |
| 96156 | <1% | 3,567 | $32K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 4,871 | $31K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12,487 | $28K |
| D0120 | Dental checkup, returning patient | <1% | 5,992 | $27K |
| D1310 | <1% | 6,250 | $25K | |
| G0467 | Community health center visit, returning patient | <1% | 705 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 11,016 | $22K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 979 | $20K |
| D1110 | Prophylaxis - adult | <1% | 2,724 | $18K |
| D9430 | <1% | 6,168 | $17K | |
| D0274 | Bitewings - four radiographic images | <1% | 4,844 | $15K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 23,578 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33,032 | $14K |
| 96127 | <1% | 7,255 | $12K | |
| 90739 | <1% | 212 | $7K | |
| D0603 | <1% | 4,642 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,517 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,128 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,673 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 515 | $5K |
| D1351 | Sealant - per tooth | <1% | 500 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,621 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,706 | $5K |
| 90686 | <1% | 3,839 | $4K | |
| 0064A | <1% | 107 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,814 | $4K |
| D2740 | Crown - porcelain/ceramic | <1% | 22 | $3K |
| D0330 | Panoramic radiographic image | <1% | 1,882 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,526 | $3K |
| D9993 | <1% | 4,692 | $3K | |
| 90677 | <1% | 64 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,664 | $3K |
| 99383 | <1% | 793 | $2K | |
| 90715 | <1% | 716 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,146 | $2K |
| D0270 | <1% | 2,895 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 95 | $2K |
| 97802 | <1% | 335 | $2K | |
| 99442 | <1% | 2,131 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,132 | $2K |
| 97803 | <1% | 268 | $1K | |
| D0602 | <1% | 709 | $1K | |
| 90480 | <1% | 171 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,360 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 489 | $1K |
| H0049 | Alcohol and/or drug screening | <1% | 479 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 225 | $981.97 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 693 | $956.25 |
| 99443 | <1% | 1,221 | $951.41 | |
| 99188 | <1% | 866 | $918.00 | |
| 90688 | <1% | 266 | $907.00 | |
| 83655 | <1% | 468 | $843.02 | |
| 92587 | <1% | 89 | $738.00 | |
| D2331 | <1% | 211 | $725.00 | |
| 90651 | <1% | 328 | $675.17 | |
| 90656 | <1% | 229 | $618.65 | |
| 99406 | <1% | 136 | $614.19 | |
| 92551 | <1% | 3,664 | $582.42 | |
| 93000 | <1% | 630 | $579.19 | |
| 90670 | <1% | 1,380 | $574.26 | |
| 99381 | <1% | 172 | $538.30 | |
| D0272 | Bitewings - two radiographic images | <1% | 293 | $525.00 |
| 99384 | <1% | 314 | $514.10 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 366 | $510.70 |
| 90710 | <1% | 580 | $500.90 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 207 | $440.88 |
| 99382 | <1% | 410 | $363.36 | |
| D0601 | <1% | 424 | $342.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,852 | $236.78 |
| 99441 | <1% | 930 | $214.45 | |
| 90658 | <1% | 50 | $181.60 | |
| 90734 | <1% | 168 | $173.20 | |
| 92552 | <1% | 517 | $151.47 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 337 | $139.67 |
| 90744 | <1% | 286 | $136.58 | |
| 0071A | <1% | 74 | $134.00 | |
| 99283 | Emergency room visit (moderate) | <1% | 1,202 | $129.36 |
| 90633 | <1% | 1,189 | $105.51 | |
| 90698 | <1% | 249 | $99.11 | |
| 85018 | <1% | 2,408 | $96.14 | |
| D0350 | <1% | 738 | $89.60 | |
| 90694 | <1% | 71 | $76.14 | |
| 81025 | <1% | 376 | $70.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 44 | $63.89 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 58 | $54.90 |
| 81002 | <1% | 1,130 | $53.75 | |
| D9110 | <1% | 37 | $45.00 | |
| 90700 | <1% | 207 | $40.36 | |
| 90723 | <1% | 913 | $36.36 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 235 | $33.00 |
| 96160 | <1% | 2,265 | $27.68 | |
| 90713 | <1% | 69 | $27.02 | |
| 90680 | <1% | 86 | $27.01 | |
| 90647 | <1% | 350 | $18.25 | |
| 83026 | <1% | 3,388 | $18.06 | |
| 90696 | <1% | 135 | $18.05 | |
| 96150 | <1% | 32 | $18.03 | |
| 90716 | <1% | 123 | $18.02 | |
| 90681 | <1% | 135 | $18.01 | |
| 99000 | <1% | 17 | $14.96 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 206 | $13.98 |
| 90648 | <1% | 537 | $9.08 | |
| 90707 | <1% | 15 | $9.00 | |
| 99173 | 0% | 4,518 | $0.00 | |
| 3077F | 0% | 3,406 | $0.00 | |
| 3078F | 0% | 10,377 | $0.00 | |
| D9986 | 0% | 378 | $0.00 | |
| 1160F | 0% | 2,058 | $0.00 | |
| 99177 | 0% | 821 | $0.00 | |
| D9990 | 0% | 741 | $0.00 | |
| 1159F | 0% | 2,353 | $0.00 | |
| 3050F | 0% | 22 | $0.00 | |
| D2999 | 0% | 74 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 57 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 154 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 115 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 444 | $0.00 |
| 90461 | 0% | 259 | $0.00 | |
| D9996 | 0% | 251 | $0.00 | |
| D0191 | 0% | 24 | $0.00 | |
| D2950 | 0% | 27 | $0.00 | |
| 91322 | 0% | 54 | $0.00 | |
| 90653 | 0% | 14 | $0.00 | |
| D9987 | 0% | 14 | $0.00 | |
| 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 | 0% | 12 | $0.00 |
| 91313 | 0% | 22 | $0.00 | |
| 3074F | 0% | 10,824 | $0.00 | |
| 3079F | 0% | 4,524 | $0.00 | |
| D1330 | 0% | 10,324 | $0.00 | |
| 3008F | 0% | 14,247 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 317 | $0.00 |
| 3080F | 0% | 1,069 | $0.00 | |
| 3075F | 0% | 1,986 | $0.00 | |
| D5899 | 0% | 368 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 58 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 181 | $0.00 |
| 82962 | 0% | 127 | $0.00 | |
| 3048F | 0% | 34 | $0.00 | |
| 4010F | 0% | 607 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 39 | $0.00 |
| 3044F | 0% | 164 | $0.00 | |
| D4342 | 0% | 102 | $0.00 | |
| 91306 | 0% | 16 | $0.00 | |
| 91307 | 0% | 108 | $0.00 | |
| 1170F | 0% | 190 | $0.00 | |
| 1101F | 0% | 13 | $0.00 | |
| D0171 | 0% | 36 | $0.00 | |
| 1036F | 0% | 26 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 93 | $0.00 |
| D2330 | 0% | 56 | $0.00 | |
| 3049F | 0% | 19 | $0.00 | |
| 99385 | 0% | 28 | $0.00 | |
| 1125F | 0% | 13 | $0.00 | |
| 90474 | 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 officialBAK, TATYANA (CEO)
Parent organizationELICA HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Elica Health Centers | Sacramento, CA | $94.19M |
| Elica Health Centers | North Highlands, CA | $58.22M |
| 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.