Wellspace Health
Wellspace Health was paid $13.57M by Medicaid between Jan 2018 and Aug 2024, across 103 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
SACRAMENTO, CA 95817
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 | 36,185 | $2.07M | |
| 2019 | 77,637 | $2.04M | |
| 2020 | 118,942 | $3.17M | |
| 2021 | 181,608 | $2.74M | |
| 2022 | 172,029 | $1.87M | |
| 2023 | 110,135 | $1.40M | |
| 2024incomplete | 13,856 | $288K |
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 | 97% | 156,214 | 139,288 | $13.18M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 8,554 | 4,431 | $116K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,510 | 1,627 | $85K |
| 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% | 4,399 | 2,769 | $59K |
| 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% | 82,224 | 63,608 | $48K |
| 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% | 7,167 | 5,681 | $22K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 9,585 | 7,488 | $17K |
| 0012A | <1% | 315 | 197 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17,328 | 13,470 | $7K |
| 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% | 10,389 | 8,381 | $7K |
| 0011A | <1% | 313 | 200 | $5K | |
| 0031A | <1% | 112 | 86 | $2K |
91 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 79 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 822 | $1K |
| G0466 | Community health center visit, new patient | <1% | 62 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 759 | $861.78 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 36 | $738.76 |
| 59425 | <1% | 147 | $489.27 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 162 | $374.65 |
| 81001 | <1% | 6,735 | $342.56 | |
| 90674 | <1% | 634 | $335.74 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,747 | $279.32 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 385 | $213.06 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 66 | $206.70 |
| 81025 | <1% | 3,230 | $196.09 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,370 | $188.89 |
| 90670 | <1% | 479 | $131.68 | |
| 0502F | <1% | 956 | $124.64 | |
| 92551 | <1% | 1,100 | $122.77 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 373 | $88.36 |
| 90723 | <1% | 302 | $77.89 | |
| 90680 | <1% | 135 | $68.25 | |
| 82948 | <1% | 1,098 | $55.55 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 565 | $47.93 |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 44 | $43.66 |
| 90648 | <1% | 397 | $39.76 | |
| 86580 | <1% | 176 | $33.60 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,553 | $31.22 |
| 85018 | <1% | 672 | $28.10 | |
| 90688 | <1% | 284 | $27.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,653 | $26.03 |
| 99173 | <1% | 1,000 | $24.70 | |
| 90686 | <1% | 1,008 | $19.00 | |
| 87490 | <1% | 17 | $17.17 | |
| 87590 | <1% | 17 | $12.61 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 171 | $11.50 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 68 | $10.02 |
| 90710 | <1% | 175 | $9.00 | |
| 90461 | <1% | 859 | $8.92 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 132 | $2.62 |
| 1036F | <1% | 32,460 | $0.01 | |
| 3046F | 0% | 303 | $0.00 | |
| 3077F | 0% | 8,806 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 8,824 | $0.00 |
| 3078F | 0% | 34,440 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 46,187 | $0.00 |
| 3050F | 0% | 3,018 | $0.00 | |
| Z6400 | 0% | 210 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 858 | $0.00 |
| 90633 | 0% | 413 | $0.00 | |
| 90700 | 0% | 105 | $0.00 | |
| 90715 | 0% | 49 | $0.00 | |
| 90734 | 0% | 65 | $0.00 | |
| 3051F | 0% | 64 | $0.00 | |
| 3045F | 0% | 26 | $0.00 | |
| 90713 | 0% | 12 | $0.00 | |
| 99382 | 0% | 31 | $0.00 | |
| 4004F | 0% | 57 | $0.00 | |
| Z6500 | 0% | 209 | $0.00 | |
| 81003 | 0% | 66 | $0.00 | |
| 90707 | 0% | 64 | $0.00 | |
| 91300 | 0% | 53 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 4,578 | $0.00 |
| 2001F | 0% | 55,237 | $0.00 | |
| 3008F | 0% | 55,211 | $0.00 | |
| 90716 | 0% | 50 | $0.00 | |
| 3080F | 0% | 3,688 | $0.00 | |
| 3048F | 0% | 7,956 | $0.00 | |
| 3074F | 0% | 37,710 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 50,341 | $0.00 |
| 3049F | 0% | 4,559 | $0.00 | |
| 3079F | 0% | 15,636 | $0.00 | |
| 3075F | 0% | 7,246 | $0.00 | |
| 1034F | 0% | 199 | $0.00 | |
| Z1034 | 0% | 750 | $0.00 | |
| 90744 | 0% | 38 | $0.00 | |
| 90647 | 0% | 42 | $0.00 | |
| 91301 | 0% | 475 | $0.00 | |
| 90696 | 0% | 65 | $0.00 | |
| 90651 | 0% | 106 | $0.00 | |
| 1111F | 0% | 19 | $0.00 | |
| Z6410 | 0% | 124 | $0.00 | |
| 99383 | 0% | 29 | $0.00 | |
| 90694 | 0% | 19 | $0.00 | |
| 3044F | 0% | 95 | $0.00 | |
| 1035F | 0% | 39 | $0.00 | |
| 90697 | 0% | 44 | $0.00 | |
| 91303 | 0% | 100 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 22 | $0.00 |
| 99381 | 0% | 20 | $0.00 | |
| 90677 | 0% | 67 | $0.00 | |
| 99406 | 0% | 14 | $0.00 | |
| 3052F | 0% | 15 | $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 | 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 | 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.