Omni Family Health
Omni Family Health was paid $13.10M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
SHAFTER, CA 93263
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 | 14,628 | $1.57M | |
| 2019 | 21,587 | $1.84M | |
| 2020 | 31,735 | $1.55M | |
| 2021 | 42,807 | $2.26M | |
| 2022 | 41,216 | $2.00M | |
| 2023 | 79,846 | $1.98M | |
| 2024incomplete | 32,230 | $1.90M |
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 | 66% | 90,942 | 79,549 | $8.61M |
| 00003 | Internal/system code - not a standard HCPCS code | 32% | 27,277 | 22,966 | $4.24M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 48,850 | 40,553 | $141K |
| 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% | 1,283 | 1,073 | $42K |
| 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 | <1% | 6,409 | 5,628 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,025 | 3,531 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,932 | 1,806 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,134 | 1,038 | $5K |
| 98940 | <1% | 3,549 | 2,466 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 582 | 530 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,284 | 1,233 | $3K |
| 92551 | <1% | 2,918 | 2,694 | $3K |
62 more codes
| 85018 | <1% | 4,604 | $2K | |
| 90686 | <1% | 1,780 | $2K | |
| 99000 | <1% | 3,087 | $1K | |
| 0012A | <1% | 27 | $1K | |
| 90723 | <1% | 819 | $1K | |
| 0011A | <1% | 24 | $660.66 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 334 | $607.10 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 102 | $495.00 |
| 83655 | <1% | 260 | $462.46 | |
| 90633 | <1% | 449 | $325.98 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 345 | $277.75 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 14 | $270.81 |
| 99173 | <1% | 2,812 | $211.84 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $194.48 |
| 90680 | <1% | 586 | $167.76 | |
| 90648 | <1% | 1,158 | $98.87 | |
| 90651 | <1% | 101 | $85.03 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 27 | $75.30 |
| 90716 | <1% | 108 | $75.06 | |
| 90700 | <1% | 59 | $71.87 | |
| 81005 | <1% | 292 | $68.65 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 241 | $48.00 |
| 90707 | <1% | 84 | $40.42 | |
| 90670 | <1% | 1,044 | $27.00 | |
| 90710 | <1% | 14 | $9.00 | |
| 3074F | 0% | 3,290 | $0.00 | |
| 1111F | 0% | 8,539 | $0.00 | |
| 1036F | 0% | 7,605 | $0.00 | |
| 2001F | 0% | 8,735 | $0.00 | |
| 3075F | 0% | 249 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,255 | $0.00 |
| 3079F | 0% | 1,117 | $0.00 | |
| 3048F | 0% | 1,525 | $0.00 | |
| 3008F | 0% | 8,732 | $0.00 | |
| 3049F | 0% | 502 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 1,795 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 242 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 123 | $0.00 |
| 90656 | 0% | 214 | $0.00 | |
| Z1034 | 0% | 611 | $0.00 | |
| 90677 | 0% | 83 | $0.00 | |
| 90688 | 0% | 24 | $0.00 | |
| 86580 | 0% | 15 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 90474 | 0% | 12 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 16 | $0.00 |
| 3080F | 0% | 34 | $0.00 | |
| 99381 | 0% | 28 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 50 | $0.00 |
| 3078F | 0% | 2,722 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 160 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,948 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 221 | $0.00 |
| 90734 | 0% | 76 | $0.00 | |
| 4004F | 0% | 54 | $0.00 | |
| 3077F | 0% | 221 | $0.00 | |
| 3050F | 0% | 86 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 12 | $0.00 |
| 81025 | 0% | 14 | $0.00 | |
| Z6400 | 0% | 92 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 16 | $0.00 |
| 90715 | 0% | 33 | $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 |
|---|---|---|
| Omni Family Health | Bakersfield, CA | $84.75M |
| Omni Family Health | Bakersfield, CA | $51.67M |
| Omni Family Health | Bakersfield, CA | $25.07M |
| Omni Family Health | Delano, CA | $20.96M |
| Omni Family Health | Fresno, CA | $20.86M |
| Omni Family Health | Bakersfield, CA | $18.59M |
| Omni Family Health | Wasco, CA | $16.97M |
| Omni Family Health | Bakerfield, CA | $15.34M |
| Omni Family Health | Reedley, CA | $15.12M |
| Omni Family Health | Taft, CA | $15.09M |
| Omni Family Health | Bakersfield, CA | $14.53M |
| Omni Family Health | Tehachapi, CA | $13.44M |
| Omni Family Health | Bakersfield, CA | $11.79M |
| Omni Family Health | Bakersfield, CA | $11.10M |
| Omni Family Health | Bakersfield, CA | $9.80M |
| Omni Family Health | Delano, CA | $9.32M |
| Omni Family Health | Reedley, CA | $9.18M |
| Omni Family Health | Ridgecrest, CA | $8.41M |
| Omni Family Health | Visalia, CA | $7.94M |
| Omni Family Health | Fresno, CA | $6.91M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.