Wellspace Health
Wellspace Health was paid $5.34M 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) — 67% of everything it billed.
33Billing provider infoWELLSPACE HEALTH
SACRAMENTO, CA 95827
SACRAMENTO, CA 95827
33aNPI1437404654assigned 07/14/2012
33bProvider typeCase Manager/Care Coordinator
28Total paid$5.34M
24GClaims348,359
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#178 of 435
Median peer was paid$2.89M
This provider vs. median1.8×
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 | 63,948 | $2.05M | |
| 2019 | 101,388 | $1.84M | |
| 2020 | 48,786 | $358K | |
| 2021 | 25,703 | $131K | |
| 2022 | 36,223 | $287K | |
| 2023 | 42,546 | $353K | |
| 2024incomplete | 29,765 | $324K |
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 | 67% | 50,245 | 46,036 | $3.58M |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 18,656 | 17,334 | $421K |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 19,011 | 17,643 | $217K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 19,873 | 18,657 | $168K |
| D1351 | Sealant - per tooth | 3.0% | 9,529 | 3,763 | $158K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 75,151 | 17,380 | $153K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 5,024 | 4,326 | $130K |
| D0274 | Bitewings - four radiographic images | 2.4% | 12,917 | 12,159 | $127K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 20,623 | 18,643 | $110K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 3,167 | 2,830 | $68K |
| D1310 | <1% | 19,477 | 17,977 | $32K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,284 | 1,233 | $28K |
62 more codes
| 00003 | Internal/system code - not a standard HCPCS code | <1% | 158 | $27K |
| D0170 | <1% | 890 | $27K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,919 | $23K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 246 | $21K |
| D9430 | <1% | 1,225 | $14K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,655 | $7K |
| D0603 | <1% | 3,869 | $7K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 5,628 | $6K |
| 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% | 180 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 840 | $4K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 59 | $4K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 222 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,381 | $1K |
| D0270 | <1% | 378 | $1K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 28 | $1K |
| 0502F | <1% | 519 | $872.11 | |
| D1999 | <1% | 12 | $720.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 67 | $700.00 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 29 | $492.00 |
| D1352 | <1% | 85 | $418.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,453 | $312.21 |
| G0467 | Community health center visit, returning patient | <1% | 53 | $157.04 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 269 | $137.80 |
| 59425 | <1% | 13 | $60.48 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 102 | $34.30 |
| D1320 | <1% | 258 | $22.50 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $17.08 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 6,881 | $0.00 |
| 3075F | 0% | 748 | $0.00 | |
| 3008F | 0% | 7,014 | $0.00 | |
| D1330 | 0% | 16,955 | $0.00 | |
| 2001F | 0% | 7,019 | $0.00 | |
| 1036F | 0% | 5,680 | $0.00 | |
| 3049F | 0% | 908 | $0.00 | |
| 3048F | 0% | 1,237 | $0.00 | |
| 3074F | 0% | 5,020 | $0.00 | |
| Z1034 | 0% | 297 | $0.00 | |
| 3079F | 0% | 1,777 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 279 | $0.00 |
| 92551 | 0% | 319 | $0.00 | |
| 90688 | 0% | 46 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 135 | $0.00 |
| 99383 | 0% | 17 | $0.00 | |
| D4999 | 0% | 84 | $0.00 | |
| 3080F | 0% | 206 | $0.00 | |
| D9995 | 0% | 705 | $0.00 | |
| 90674 | 0% | 99 | $0.00 | |
| 1034F | 0% | 54 | $0.00 | |
| 99384 | 0% | 14 | $0.00 | |
| 3077F | 0% | 1,073 | $0.00 | |
| 3078F | 0% | 4,699 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 1,073 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 6,197 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 34 | $0.00 |
| 3050F | 0% | 609 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 95 | $0.00 |
| 99173 | 0% | 324 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 153 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 59 | $0.00 |
| 99201 | 0% | 14 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 14 | $0.00 |
| 4004F | 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.
From NPPES
Who's on the registration
Authorized officialPORTEUS, ALASDAIR (CHIEF EXECUTIVE OFFICER)
| 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 | 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.