Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CARES COMMUNITY HEALTH

NPI: 1447297379 · SACRAMENTO, CA 95814 · Federally Qualified Health Center (FQHC) · NPI assigned 05/31/2006

$110.58M
Total Medicaid Paid
1,170,350
Total Claims
792,824
Beneficiaries
188
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONROE, MICHELLE (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date05/31/2006

Related Entities

Other providers sharing the same authorized official: MONROE, MICHELLE

ProviderCityStateTotal Paid
CARES COMMUNITY HEALTH SACRAMENTO CA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 240,334 $25.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 380,296 319,753 $101.86M
00003 Internal/system code - not a standard HCPCS code 16,450 7,683 $5.27M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 238,758 135,532 $670K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 125,177 74,140 $546K
90837 Psychotherapy, 53 minutes with patient 13,984 6,897 $528K
G0467 Federally 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 17,850 14,269 $376K
90832 Psychotherapy, 30 minutes with patient 11,173 5,938 $217K
90791 Psychiatric diagnostic evaluation 3,490 2,449 $166K
90792 Psychiatric diagnostic evaluation with medical services 2,185 1,482 $131K
90834 Psychotherapy, 45 minutes with patient 2,303 1,320 $69K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,824 3,864 $56K
99215 Prolong outpt/office vis 7,052 3,885 $46K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20,157 12,572 $41K
D1206 Topical application of fluoride varnish 6,468 4,149 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 31,360 17,697 $37K
D0220 Intraoral - periapical first radiographic image 9,476 5,661 $31K
97810 7,462 4,005 $30K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,282 567 $28K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 932 510 $27K
D9430 4,983 3,032 $26K
91322 1,628 1,146 $25K
D0150 Comprehensive oral evaluation - new or established patient 2,886 1,921 $22K
0012A 270 270 $18K
0011A 264 264 $18K
90677 1,541 972 $15K
90739 1,195 794 $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 551 414 $14K
D1120 Prophylaxis - child 690 471 $14K
D0120 Periodic oral evaluation - established patient 2,189 1,255 $12K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 3,149 2,696 $12K
90750 1,185 751 $12K
D1110 Prophylaxis - adult 1,106 707 $12K
0064A 220 204 $11K
90480 2,312 1,652 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,225 4,060 $9K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 11,751 6,785 $9K
D4910 313 195 $9K
86703 1,044 993 $8K
D0210 Intraoral - complete series of radiographic images 666 520 $8K
D0274 Bitewings - four radiographic images 1,371 856 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,945 1,303 $7K
D4341 299 176 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,121 771 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 48,611 30,436 $7K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 11,095 6,111 $6K
D0330 Panoramic radiographic image 1,331 918 $6K
90686 13,922 8,687 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,725 3,845 $5K
D0230 Intraoral - periapical each additional radiographic image 3,526 2,023 $5K
D7140 Extraction, erupted tooth or exposed root 168 91 $4K
90619 545 341 $4K
99188 5,490 3,216 $3K
0134A 543 359 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,200 1,802 $3K
92015 Determination of refractive state 7,622 4,926 $3K
91321 360 272 $2K
90715 2,440 1,581 $2K
92133 2,528 1,578 $2K
92552 3,509 2,072 $2K
11721 1,539 1,045 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,499 855 $2K
80305 2,739 1,786 $2K
99403 336 334 $2K
D0140 Limited oral evaluation - problem focused 1,043 645 $2K
90472 Immunization administration, each additional vaccine (list separately) 16,829 10,298 $2K
90682 1,942 1,374 $2K
D9999 Unspecified adjunctive procedure, by report 367 197 $2K
0004A 28 27 $2K
0031A 24 24 $2K
D0270 955 586 $1K
90707 75 45 $1K
D1354 136 50 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,370 1,508 $1K
90656 1,267 946 $1K
D1320 809 514 $1K
99401 434 394 $1K
0124A 303 196 $1K
99402 209 208 $1K
90710 725 546 $1K
92083 1,237 754 $884.48
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 315 200 $867.34
90839 17 13 $724.15
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 28 28 $690.15
97802 1,627 1,435 $669.71
D1310 3,392 2,315 $598.00
93000 236 154 $536.27
90697 1,075 667 $529.17
83655 2,813 1,609 $520.54
92134 764 490 $519.15
97012 3,173 1,627 $445.77
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 801 496 $433.38
96156 313 281 $428.74
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 848 528 $391.16
97803 2,348 1,915 $363.58
96150 26 18 $305.79
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 186 98 $293.27
D9110 283 136 $280.00
J1380 Injection, estradiol valerate, up to 10 mg 386 206 $268.85
H1003 Prenatal care, at-risk enhanced service; education 206 198 $260.46
90633 1,738 1,444 $242.26
99385 182 105 $228.20
90632 90 55 $212.23
99484 184 172 $198.15
81025 1,997 1,268 $185.46
D0603 3,108 1,930 $180.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 241 161 $175.47
90732 246 170 $171.65
11056 411 242 $126.60
90746 220 154 $126.39
90688 329 200 $119.36
99383 611 390 $109.11
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 114 82 $103.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,223 707 $95.97
99173 4,937 2,903 $91.91
D0272 Bitewings - two radiographic images 39 25 $90.00
11057 20 12 $80.43
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 22 14 $76.71
0081A 22 13 $67.00
92551 576 320 $66.87
98940 166 114 $63.46
11720 265 187 $59.19
81003 3,325 1,836 $57.91
99381 23 16 $44.88
83036 Hemoglobin; glycosylated (A1C) 710 527 $34.16
90648 22 13 $29.58
J0696 Injection, ceftriaxone sodium, per 250 mg 382 232 $29.18
D0602 492 281 $15.00
90698 399 254 $9.00
90670 1,134 930 $9.00
90681 90 59 $9.00
H2000 Comprehensive multidisciplinary evaluation 12 12 $8.41
85018 1,744 955 $6.21
J0561 Injection, penicillin g benzathine, 100,000 units 56 38 $0.96
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 92 54 $0.26
90611 290 204 $0.05
D1330 14,218 9,128 $0.00
90744 539 337 $0.00
D9995 2,347 1,175 $0.00
97804 42 27 $0.00
D5899 1,437 734 $0.00
Z6406 186 165 $0.00
Z6402 107 106 $0.00
99441 259 225 $0.00
90651 378 293 $0.00
D0999 Unspecified diagnostic procedure, by report 431 416 $0.00
11055 20 14 $0.00
J0578 Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy 133 126 $0.00
86580 143 112 $0.00
Z6204 47 42 $0.00
99384 144 85 $0.00
G0008 Administration of influenza virus vaccine 88 86 $0.00
90696 51 47 $0.00
99205 Prolong outpt/office vis 25 14 $0.00
91307 116 82 $0.00
D6999 31 14 $0.00
92250 23 13 $0.00
Z6404 15 14 $0.00
91317 37 28 $0.00
0173A 19 12 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 18 12 $0.00
90716 13 12 $0.00
Z6200 150 148 $0.00
D0180 545 537 $0.00
2022F 1,673 1,669 $0.00
Z6304 44 43 $0.00
90662 43 41 $0.00
D0190 1,583 805 $0.00
91313 362 249 $0.00
91300 50 28 $0.00
96160 1,154 1,151 $0.00
90713 116 101 $0.00
Z6308 13 12 $0.00
2028F 180 179 $0.00
Z6300 120 117 $0.00
S0013 Esketamine, nasal spray, 1 mg 134 62 $0.00
Z6400 260 251 $0.00
99382 88 53 $0.00
91312 166 111 $0.00
90700 46 41 $0.00
90734 73 47 $0.00
91308 50 50 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 90 50 $0.00
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg 15 15 $0.00
Z6414 26 24 $0.00
99442 14 14 $0.00
82948 27 12 $0.00
0071A 33 17 $0.00
90621 15 14 $0.00