Clinic
Cares Community Health
Cares Community Health was paid $110.58M by Medicaid between Jan 2018 and Dec 2024, across 188 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 infoCARES COMMUNITY HEALTH
SACRAMENTO, CA 95814
SACRAMENTO, CA 95814
33aNPI1447297379assigned 05/31/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$110.58M
24GClaims1,170,350
24DCodes billed188
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#17 of 826
Median peer was paid$4.05M
This provider vs. median27×
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 | |
|---|---|---|---|
| 2018 | 49,764 | $8.09M | |
| 2019 | 107,392 | $10.22M | |
| 2020 | 189,441 | $15.89M | |
| 2021 | 185,725 | $16.22M | |
| 2022 | 165,442 | $14.58M | |
| 2023 | 232,252 | $20.37M | |
| 2024incomplete | 240,334 | $25.22M |
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% | 380,296 | 319,753 | $101.86M |
| 00003 | Internal/system code - not a standard HCPCS code | 4.8% | 16,450 | 7,683 | $5.27M |
| 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% | 238,758 | 135,532 | $670K |
| 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% | 125,177 | 74,140 | $546K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 13,984 | 6,897 | $528K |
| 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% | 17,850 | 14,269 | $376K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 11,173 | 5,938 | $217K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 3,490 | 2,449 | $166K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,185 | 1,482 | $131K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,303 | 1,320 | $69K |
| 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% | 5,824 | 3,864 | $56K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 7,052 | 3,885 | $46K |
176 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 20,157 | $41K |
| D1206 | Topical application of fluoride varnish | <1% | 6,468 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31,360 | $37K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 9,476 | $31K |
| 97810 | <1% | 7,462 | $30K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,282 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 932 | $27K |
| D9430 | <1% | 4,983 | $26K | |
| 91322 | <1% | 1,628 | $25K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,886 | $22K |
| 0012A | <1% | 270 | $18K | |
| 0011A | <1% | 264 | $18K | |
| 90677 | <1% | 1,541 | $15K | |
| 90739 | <1% | 1,195 | $14K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 551 | $14K |
| D1120 | Dental cleaning, child | <1% | 690 | $14K |
| D0120 | Dental checkup, returning patient | <1% | 2,189 | $12K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 3,149 | $12K |
| 90750 | <1% | 1,185 | $12K | |
| D1110 | Prophylaxis - adult | <1% | 1,106 | $12K |
| 0064A | <1% | 220 | $11K | |
| 90480 | <1% | 2,312 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 7,225 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 11,751 | $9K |
| D4910 | <1% | 313 | $9K | |
| 86703 | <1% | 1,044 | $8K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 666 | $8K |
| D0274 | Bitewings - four radiographic images | <1% | 1,371 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,945 | $7K |
| D4341 | <1% | 299 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,121 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48,611 | $7K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 11,095 | $6K |
| D0330 | Panoramic radiographic image | <1% | 1,331 | $6K |
| 90686 | <1% | 13,922 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,725 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,526 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 168 | $4K |
| 90619 | <1% | 545 | $4K | |
| 99188 | <1% | 5,490 | $3K | |
| 0134A | <1% | 543 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,200 | $3K |
| 92015 | Determination of refractive state | <1% | 7,622 | $3K |
| 91321 | <1% | 360 | $2K | |
| 90715 | <1% | 2,440 | $2K | |
| 92133 | <1% | 2,528 | $2K | |
| 92552 | <1% | 3,509 | $2K | |
| 11721 | <1% | 1,539 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,499 | $2K |
| 80305 | <1% | 2,739 | $2K | |
| 99403 | <1% | 336 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,043 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16,829 | $2K |
| 90682 | <1% | 1,942 | $2K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 367 | $2K |
| 0004A | <1% | 28 | $2K | |
| 0031A | <1% | 24 | $2K | |
| D0270 | <1% | 955 | $1K | |
| 90707 | <1% | 75 | $1K | |
| D1354 | <1% | 136 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,370 | $1K |
| 90656 | <1% | 1,267 | $1K | |
| D1320 | <1% | 809 | $1K | |
| 99401 | <1% | 434 | $1K | |
| 0124A | <1% | 303 | $1K | |
| 99402 | <1% | 209 | $1K | |
| 90710 | <1% | 725 | $1K | |
| 92083 | <1% | 1,237 | $884.48 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 315 | $867.34 |
| 90839 | <1% | 17 | $724.15 | |
| G0466 | Community health center visit, new patient | <1% | 28 | $690.15 |
| 97802 | <1% | 1,627 | $669.71 | |
| D1310 | <1% | 3,392 | $598.00 | |
| 93000 | <1% | 236 | $536.27 | |
| 90697 | <1% | 1,075 | $529.17 | |
| 83655 | <1% | 2,813 | $520.54 | |
| 92134 | <1% | 764 | $519.15 | |
| 97012 | <1% | 3,173 | $445.77 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 801 | $433.38 |
| 96156 | <1% | 313 | $428.74 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 848 | $391.16 |
| 97803 | <1% | 2,348 | $363.58 | |
| 96150 | <1% | 26 | $305.79 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 186 | $293.27 |
| D9110 | <1% | 283 | $280.00 | |
| J1380 | Injection, estradiol valerate, up to 10 mg | <1% | 386 | $268.85 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 206 | $260.46 |
| 90633 | <1% | 1,738 | $242.26 | |
| 99385 | <1% | 182 | $228.20 | |
| 90632 | <1% | 90 | $212.23 | |
| 99484 | <1% | 184 | $198.15 | |
| 81025 | <1% | 1,997 | $185.46 | |
| D0603 | <1% | 3,108 | $180.00 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 241 | $175.47 |
| 90732 | <1% | 246 | $171.65 | |
| 11056 | <1% | 411 | $126.60 | |
| 90746 | <1% | 220 | $126.39 | |
| 90688 | <1% | 329 | $119.36 | |
| 99383 | <1% | 611 | $109.11 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 114 | $103.40 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,223 | $95.97 |
| 99173 | <1% | 4,937 | $91.91 | |
| D0272 | Bitewings - two radiographic images | <1% | 39 | $90.00 |
| 11057 | <1% | 20 | $80.43 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 22 | $76.71 |
| 0081A | <1% | 22 | $67.00 | |
| 92551 | <1% | 576 | $66.87 | |
| 98940 | <1% | 166 | $63.46 | |
| 11720 | <1% | 265 | $59.19 | |
| 81003 | <1% | 3,325 | $57.91 | |
| 99381 | <1% | 23 | $44.88 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 710 | $34.16 |
| 90648 | <1% | 22 | $29.58 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 382 | $29.18 |
| D0602 | <1% | 492 | $15.00 | |
| 90698 | <1% | 399 | $9.00 | |
| 90670 | <1% | 1,134 | $9.00 | |
| 90681 | <1% | 90 | $9.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 12 | $8.41 |
| 85018 | <1% | 1,744 | $6.21 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 56 | $0.96 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 92 | $0.26 |
| 90611 | <1% | 290 | $0.05 | |
| D1330 | 0% | 14,218 | $0.00 | |
| 90744 | 0% | 539 | $0.00 | |
| D9995 | 0% | 2,347 | $0.00 | |
| 97804 | 0% | 42 | $0.00 | |
| D5899 | 0% | 1,437 | $0.00 | |
| Z6406 | 0% | 186 | $0.00 | |
| Z6402 | 0% | 107 | $0.00 | |
| 99441 | 0% | 259 | $0.00 | |
| 90651 | 0% | 378 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 431 | $0.00 |
| 11055 | 0% | 20 | $0.00 | |
| J0578 | Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy | 0% | 133 | $0.00 |
| 86580 | 0% | 143 | $0.00 | |
| Z6204 | 0% | 47 | $0.00 | |
| 99384 | 0% | 144 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 88 | $0.00 |
| 90696 | 0% | 51 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 25 | $0.00 |
| 91307 | 0% | 116 | $0.00 | |
| D6999 | 0% | 31 | $0.00 | |
| 92250 | 0% | 23 | $0.00 | |
| Z6404 | 0% | 15 | $0.00 | |
| 91317 | 0% | 37 | $0.00 | |
| 0173A | 0% | 19 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 18 | $0.00 |
| 90716 | 0% | 13 | $0.00 | |
| Z6200 | 0% | 150 | $0.00 | |
| D0180 | 0% | 545 | $0.00 | |
| 2022F | 0% | 1,673 | $0.00 | |
| Z6304 | 0% | 44 | $0.00 | |
| 90662 | 0% | 43 | $0.00 | |
| D0190 | 0% | 1,583 | $0.00 | |
| 91313 | 0% | 362 | $0.00 | |
| 91300 | 0% | 50 | $0.00 | |
| 96160 | 0% | 1,154 | $0.00 | |
| 90713 | 0% | 116 | $0.00 | |
| Z6308 | 0% | 13 | $0.00 | |
| 2028F | 0% | 180 | $0.00 | |
| Z6300 | 0% | 120 | $0.00 | |
| S0013 | Esketamine, nasal spray, 1 mg | 0% | 134 | $0.00 |
| Z6400 | 0% | 260 | $0.00 | |
| 99382 | 0% | 88 | $0.00 | |
| 91312 | 0% | 166 | $0.00 | |
| 90700 | 0% | 46 | $0.00 | |
| 90734 | 0% | 73 | $0.00 | |
| 91308 | 0% | 50 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 90 | $0.00 |
| J0741 | Injection, cabotegravir and rilpivirine, 2mg/3mg | 0% | 15 | $0.00 |
| Z6414 | 0% | 26 | $0.00 | |
| 99442 | 0% | 14 | $0.00 | |
| 82948 | 0% | 27 | $0.00 | |
| 0071A | 0% | 33 | $0.00 | |
| 90621 | 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.
From NPPES
Who's on the registration
Authorized officialMONROE, MICHELLE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Cares Community Health | Sacramento, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.