Elica Health Centers
Elica Health Centers was paid $58.22M by Medicaid between Sep 2021 and Dec 2024, across 181 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoELICA HEALTH CENTERS
NORTH HIGHLANDS, CA 95660
NORTH HIGHLANDS, CA 95660
33aNPI1366051120assigned 07/28/2020
33bProvider typeCase Manager/Care Coordinator
28Total paid$58.22M
24GClaims882,215
24DCodes billed181
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#32 of 435
Median peer was paid$2.89M
This provider vs. median20×
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 | |
|---|---|---|---|
| 2021 | 2,949 | $320K | |
| 2022 | 114,546 | $4.93M | |
| 2023 | 408,708 | $21.05M | |
| 2024incomplete | 356,012 | $31.92M |
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 | 92% | 230,680 | 198,227 | $53.55M |
| 00003 | Internal/system code - not a standard HCPCS code | 3.0% | 4,890 | 4,262 | $1.77M |
| D4341 | <1% | 11,259 | 4,836 | $242K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 9,180 | 5,875 | $231K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12,374 | 8,521 | $224K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 10,668 | 6,663 | $213K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 4,050 | 2,825 | $196K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13,747 | 9,781 | $179K |
| D1206 | Topical application of fluoride varnish | <1% | 19,869 | 14,210 | $174K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 11,356 | 7,689 | $127K |
| D4910 | <1% | 5,044 | 3,457 | $124K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 10,178 | 7,327 | $114K |
169 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 5,603 | $112K |
| D1310 | <1% | 11,601 | $92K | |
| D9430 | <1% | 14,014 | $79K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 24,671 | $69K |
| D1351 | Sealant - per tooth | <1% | 2,630 | $64K |
| D1110 | Prophylaxis - adult | <1% | 3,160 | $63K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 24,936 | $62K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 514 | $54K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,379 | $48K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 86,556 | $45K |
| D0274 | Bitewings - four radiographic images | <1% | 9,183 | $43K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,290 | $35K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 944 | $33K |
| D2740 | Crown - porcelain/ceramic | <1% | 190 | $27K |
| G0467 | Community health center visit, returning patient | <1% | 701 | $23K |
| D0603 | <1% | 8,523 | $22K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 17,032 | $15K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,368 | $15K |
| D4342 | <1% | 831 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32,181 | $12K |
| D0330 | Panoramic radiographic image | <1% | 4,879 | $12K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 512 | $9K |
| D0270 | <1% | 8,553 | $9K | |
| 90480 | <1% | 1,192 | $8K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 328 | $7K |
| 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 | <1% | 554 | $7K |
| D0240 | <1% | 1,249 | $6K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 458 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,152 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,115 | $6K |
| D2331 | <1% | 160 | $5K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,098 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,696 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,268 | $4K |
| D0602 | <1% | 890 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,188 | $3K |
| D9110 | <1% | 694 | $3K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 349 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 383 | $3K |
| 96127 | <1% | 3,083 | $3K | |
| 97802 | <1% | 910 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 287 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 332 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 27 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17,484 | $2K |
| 90677 | <1% | 1,063 | $1K | |
| 97803 | <1% | 705 | $1K | |
| D2335 | <1% | 36 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,146 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 8,294 | $1K |
| 92587 | <1% | 680 | $1K | |
| 92015 | Determination of refractive state | <1% | 499 | $944.58 |
| D0350 | <1% | 3,287 | $919.00 | |
| D1354 | <1% | 83 | $918.00 | |
| 99383 | <1% | 628 | $827.86 | |
| 99381 | <1% | 119 | $745.72 | |
| 90739 | <1% | 215 | $709.00 | |
| D0601 | <1% | 271 | $702.00 | |
| V2020 | Frames, purchases | <1% | 135 | $675.37 |
| 93000 | <1% | 622 | $641.40 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 805 | $607.87 |
| 92250 | <1% | 430 | $474.77 | |
| 85018 | <1% | 5,330 | $437.27 | |
| G9920 | Screening performed and negative | <1% | 40 | $377.00 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,029 | $373.02 |
| 90686 | <1% | 4,928 | $371.68 | |
| 83655 | <1% | 630 | $315.32 | |
| 90697 | <1% | 426 | $279.56 | |
| 90656 | <1% | 1,277 | $261.27 | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | <1% | 89 | $232.50 |
| 99188 | <1% | 236 | $219.42 | |
| 90715 | <1% | 583 | $216.19 | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 14 | $210.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 70 | $200.00 |
| 99401 | <1% | 632 | $140.64 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 20 | $140.00 |
| 99384 | <1% | 317 | $138.64 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 46 | $135.00 |
| 0124A | <1% | 20 | $134.00 | |
| 92551 | <1% | 39 | $133.62 | |
| 81025 | <1% | 494 | $129.65 | |
| 92552 | <1% | 1,315 | $128.52 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 21 | $116.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 163 | $114.18 |
| 99382 | <1% | 174 | $107.34 | |
| 17110 | <1% | 43 | $102.77 | |
| 80305 | <1% | 181 | $72.00 | |
| 81002 | <1% | 1,110 | $62.35 | |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | <1% | 18 | $60.00 |
| 96160 | <1% | 485 | $46.73 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 124 | $42.78 |
| 90633 | <1% | 1,542 | $40.54 | |
| 82962 | <1% | 1,036 | $38.77 | |
| 90653 | <1% | 66 | $20.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $10.80 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 17 | $10.50 |
| 83026 | <1% | 116 | $7.74 | |
| 99442 | <1% | 1,649 | $4.95 | |
| 99173 | <1% | 1,567 | $3.20 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $2.30 |
| 99177 | <1% | 1,133 | $1.87 | |
| 3074F | 0% | 34,920 | $0.00 | |
| 99441 | 0% | 941 | $0.00 | |
| 3080F | 0% | 2,493 | $0.00 | |
| 90723 | 0% | 496 | $0.00 | |
| D1330 | 0% | 16,238 | $0.00 | |
| 3008F | 0% | 41,766 | $0.00 | |
| 3075F | 0% | 4,994 | $0.00 | |
| D5899 | 0% | 831 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 57 | $0.00 |
| 3079F | 0% | 10,156 | $0.00 | |
| 90696 | 0% | 68 | $0.00 | |
| 90716 | 0% | 462 | $0.00 | |
| 99443 | 0% | 961 | $0.00 | |
| 99403 | 0% | 132 | $0.00 | |
| 90651 | 0% | 703 | $0.00 | |
| 90744 | 0% | 50 | $0.00 | |
| 3044F | 0% | 520 | $0.00 | |
| 96161 | 0% | 15 | $0.00 | |
| 99402 | 0% | 29 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 214 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 49 | $0.00 |
| 1170F | 0% | 14 | $0.00 | |
| 90619 | 0% | 17 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 55 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 336 | $0.00 |
| 90474 | 0% | 14 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| 90694 | 0% | 56 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 40 | $0.00 |
| D0171 | 0% | 43 | $0.00 | |
| 0134A | 0% | 20 | $0.00 | |
| D0170 | 0% | 19 | $0.00 | |
| D9993 | 0% | 6,419 | $0.00 | |
| 3078F | 0% | 34,192 | $0.00 | |
| 1159F | 0% | 6,303 | $0.00 | |
| 4004F | 0% | 539 | $0.00 | |
| D2950 | 0% | 176 | $0.00 | |
| 3077F | 0% | 7,370 | $0.00 | |
| 90670 | 0% | 481 | $0.00 | |
| 1160F | 0% | 6,305 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 446 | $0.00 |
| 91320 | 0% | 33 | $0.00 | |
| 90671 | 0% | 127 | $0.00 | |
| 90648 | 0% | 725 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 164 | $0.00 |
| 90713 | 0% | 234 | $0.00 | |
| 90681 | 0% | 38 | $0.00 | |
| 90710 | 0% | 187 | $0.00 | |
| 90734 | 0% | 357 | $0.00 | |
| 90707 | 0% | 75 | $0.00 | |
| 91321 | 0% | 387 | $0.00 | |
| D2999 | 0% | 222 | $0.00 | |
| 90700 | 0% | 59 | $0.00 | |
| 90672 | 0% | 91 | $0.00 | |
| D9996 | 0% | 97 | $0.00 | |
| D9990 | 0% | 204 | $0.00 | |
| 3046F | 0% | 42 | $0.00 | |
| D0191 | 0% | 433 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 73 | $0.00 |
| 90746 | 0% | 17 | $0.00 | |
| 91322 | 0% | 41 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 58 | $0.00 |
| 3051F | 0% | 12 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 29 | $0.00 |
| 91313 | 0% | 36 | $0.00 | |
| 90662 | 0% | 16 | $0.00 | |
| 91312 | 0% | 21 | $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 | West Sacramento, CA | $42.65M |
| 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.