Wellspace Health
Wellspace Health was paid $7.20M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
NORTH HIGHLANDS, CA 95660
Next to other Case Manager/Care Coordinator providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 67,532 | $2.05M | |
| 2019 | 97,839 | $1.94M | |
| 2020 | 101,025 | $1.43M | |
| 2021 | 51,509 | $633K | |
| 2022 | 42,076 | $390K | |
| 2023 | 45,480 | $414K | |
| 2024incomplete | 34,395 | $339K |
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 | 69% | 56,185 | 51,382 | $5.00M |
| D1120 | Dental cleaning, childProphylaxis - child | 5.8% | 22,799 | 19,118 | $418K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 24,643 | 20,551 | $224K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.7% | 28,995 | 24,141 | $192K |
| D1351 | Sealant - per tooth | 2.5% | 11,365 | 3,364 | $180K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 108,519 | 24,811 | $178K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 8,639 | 6,720 | $174K |
| D0274 | Bitewings - four radiographic images | 2.3% | 20,645 | 17,289 | $166K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 33,490 | 26,544 | $141K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 6,249 | 4,764 | $116K |
| 00003 | Internal/system code - not a standard HCPCS code | 1.5% | 751 | 600 | $107K |
| D1310 | <1% | 32,865 | 26,164 | $59K |
75 more codes
| D0170 | <1% | 2,319 | $56K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 5,150 | $55K |
| D9430 | <1% | 3,367 | $29K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,388 | $20K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 1,590 | $18K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 685 | $15K |
| D0603 | <1% | 9,262 | $15K | |
| D0272 | Bitewings - two radiographic images | <1% | 3,220 | $12K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 678 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 236 | $3K |
| D0270 | <1% | 920 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,834 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 153 | $2K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 25 | $2K |
| D0601 | <1% | 77 | $1K | |
| D1320 | <1% | 422 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 986 | $842.15 |
| D1999 | <1% | 13 | $780.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 591 | $668.95 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 614 | $491.81 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 25 | $220.00 |
| 90686 | <1% | 1,070 | $218.43 | |
| 59425 | <1% | 96 | $185.06 | |
| 99381 | <1% | 90 | $173.64 | |
| 90670 | <1% | 744 | $135.00 | |
| 90633 | <1% | 536 | $126.52 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 823 | $77.99 |
| 90648 | <1% | 121 | $63.78 | |
| 90700 | <1% | 224 | $45.00 | |
| 90647 | <1% | 473 | $36.00 | |
| 90723 | <1% | 374 | $36.00 | |
| 90710 | <1% | 228 | $36.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 320 | $25.68 |
| 90688 | <1% | 14 | $18.00 | |
| 90716 | <1% | 106 | $18.00 | |
| 90651 | <1% | 156 | $18.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 16 | $16.82 |
| 85018 | <1% | 1,085 | $11.77 | |
| 90696 | <1% | 56 | $9.00 | |
| 90713 | <1% | 67 | $9.00 | |
| 99173 | <1% | 758 | $5.89 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 129 | $4.28 |
| 99383 | <1% | 71 | $2.14 | |
| 99384 | <1% | 18 | $1.07 | |
| 92551 | 0% | 562 | $0.00 | |
| D4355 | 0% | 270 | $0.00 | |
| D1330 | 0% | 26,360 | $0.00 | |
| D4999 | 0% | 1,560 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 574 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,529 | $0.00 |
| 3048F | 0% | 103 | $0.00 | |
| 1036F | 0% | 450 | $0.00 | |
| D9995 | 0% | 2,147 | $0.00 | |
| 3074F | 0% | 1,486 | $0.00 | |
| Z6410 | 0% | 778 | $0.00 | |
| 3008F | 0% | 1,837 | $0.00 | |
| 90680 | 0% | 239 | $0.00 | |
| 2001F | 0% | 1,836 | $0.00 | |
| 90656 | 0% | 14 | $0.00 | |
| 90620 | 0% | 16 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,521 | $0.00 |
| 90707 | 0% | 40 | $0.00 | |
| 3078F | 0% | 1,464 | $0.00 | |
| 90715 | 0% | 52 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 367 | $0.00 |
| 90649 | 0% | 31 | $0.00 | |
| Z6400 | 0% | 56 | $0.00 | |
| D0071 | 0% | 54 | $0.00 | |
| D9993 | 0% | 36 | $0.00 | |
| 99382 | 0% | 47 | $0.00 | |
| D1015 | 0% | 12 | $0.00 | |
| 90734 | 0% | 95 | $0.00 | |
| 90685 | 0% | 16 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 15 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | $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.
Who's on the registration
| 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 | 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.