Wellspace Health
Wellspace Health was paid $2.95M by Medicaid between Jan 2018 and Apr 2024, across 55 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoWELLSPACE HEALTH
MARTELL, CA 95645
MARTELL, CA 95645
33aNPI1225550874assigned 07/14/2017
33bProvider typeContractor
28Total paid$2.95M
24GClaims56,006
24DCodes billed55
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Contractor providers in California
Rank by total paid#8 of 31
Median peer was paid$409K
This provider vs. median7.2×
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 | 4,453 | $477K | |
| 2019 | 12,202 | $744K | |
| 2020 | 18,717 | $825K | |
| 2021 | 10,026 | $366K | |
| 2022 | 3,306 | $138K | |
| 2023 | 4,602 | $227K | |
| 2024incomplete | 2,700 | $176K |
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 | 90% | 22,306 | 18,390 | $2.67M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 8,761 | 6,162 | $86K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.1% | 4,516 | 3,005 | $63K |
| 00003 | Internal/system code - not a standard HCPCS code | <1% | 124 | 63 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,157 | 2,860 | $22K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 594 | 310 | $20K |
| 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% | 1,411 | 872 | $16K |
| 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% | 586 | 483 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 240 | 225 | $12K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 132 | 89 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 240 | 214 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 142 | 92 | $2K |
43 more codes
| 0012A | <1% | 94 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 56 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 33 | $1K |
| 99422 | <1% | 417 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 73 | $964.60 |
| 90688 | <1% | 82 | $922.30 | |
| 0011A | <1% | 73 | $889.50 | |
| 99382 | <1% | 14 | $659.82 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $658.80 |
| 90674 | <1% | 43 | $591.97 | |
| 90686 | <1% | 181 | $360.90 | |
| G9920 | Screening performed and negative | <1% | 27 | $359.60 |
| 92551 | <1% | 119 | $356.16 | |
| G0466 | Community health center visit, new patient | <1% | 20 | $294.30 |
| 90670 | <1% | 108 | $252.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 119 | $216.69 |
| 99173 | <1% | 555 | $192.44 | |
| 90723 | <1% | 53 | $135.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 164 | $115.96 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 47 | $114.40 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 322 | $56.64 |
| 85018 | <1% | 42 | $44.94 | |
| 90716 | <1% | 22 | $27.00 | |
| 81001 | <1% | 17 | $9.83 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,434 | $0.00 |
| 3008F | 0% | 1,721 | $0.00 | |
| 1036F | 0% | 916 | $0.00 | |
| 91301 | 0% | 70 | $0.00 | |
| 2001F | 0% | 1,725 | $0.00 | |
| 3074F | 0% | 1,104 | $0.00 | |
| 90647 | 0% | 47 | $0.00 | |
| 3079F | 0% | 315 | $0.00 | |
| 3075F | 0% | 14 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 17 | $0.00 |
| 3080F | 0% | 15 | $0.00 | |
| 3048F | 0% | 23 | $0.00 | |
| 3078F | 0% | 943 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,321 | $0.00 |
| 80101 | 0% | 125 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 100 | $0.00 |
| 90461 | 0% | 100 | $0.00 | |
| 99442 | 0% | 14 | $0.00 | |
| 3077F | 0% | 100 | $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 (CHIEF EXECUTIVE OFFICER)
Parent organizationWELLSPACE HEALTH
| 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 | $18.86M |
| 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 | 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.