Wellspace Health
Wellspace Health was paid $76.86M 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) — 98% of everything it billed.
33Billing provider infoWELLSPACE HEALTH
SACRAMENTO, CA 95828
SACRAMENTO, CA 95828
33aNPI1447332036assigned 10/20/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$76.86M
24GClaims2,428,005
24DCodes billed188
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#19 of 435
Median peer was paid$2.89M
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.
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 | 26,895 | $2.29M | |
| 2019 | 85,597 | $3.49M | |
| 2020 | 284,910 | $14.29M | |
| 2021 | 627,674 | $18.83M | |
| 2022 | 590,284 | $13.73M | |
| 2023 | 582,910 | $16.28M | |
| 2024incomplete | 229,735 | $7.96M |
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 | 98% | 500,736 | 425,176 | $75.52M |
| 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% | 12,552 | 9,633 | $452K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 14,111 | 10,210 | $151K |
| 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% | 163,389 | 144,062 | $149K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 59,062 | 52,456 | $102K |
| 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% | 53,464 | 47,746 | $91K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 3,293 | 2,735 | $75K |
| G0466 | Community health center visit, new patientFederally 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 | <1% | 903 | 700 | $61K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,438 | 1,997 | $58K |
| 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% | 649 | 544 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 3,697 | 3,667 | $15K |
| 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% | 166 | 159 | $14K |
176 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 7,117 | $14K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 709 | $12K |
| 97810 | <1% | 7,248 | $11K | |
| D1310 | <1% | 4,429 | $11K | |
| D1351 | Sealant - per tooth | <1% | 1,006 | $8K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,645 | $6K |
| 59425 | <1% | 398 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 3,764 | $5K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 246 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,337 | $5K |
| 0001A | <1% | 272 | $4K | |
| 0011A | <1% | 895 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 8,376 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,090 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,969 | $2K |
| 98940 | <1% | 6,867 | $2K | |
| 0012A | <1% | 351 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 4,294 | $2K |
| 0002A | <1% | 50 | $2K | |
| 99381 | <1% | 2,364 | $1K | |
| 0071A | <1% | 126 | $988.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 794 | $985.60 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,801 | $911.35 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,827 | $690.22 |
| 92551 | <1% | 12,337 | $635.94 | |
| 90686 | <1% | 10,310 | $580.66 | |
| 90633 | <1% | 4,936 | $476.30 | |
| 81025 | <1% | 5,036 | $435.40 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 508 | $414.85 |
| 90680 | <1% | 3,733 | $378.54 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,758 | $375.29 |
| 83655 | <1% | 581 | $295.90 | |
| 80305 | <1% | 365 | $292.32 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 657 | $281.03 |
| 85018 | <1% | 10,645 | $249.66 | |
| 90674 | <1% | 1,808 | $236.30 | |
| 90651 | <1% | 3,022 | $225.27 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,296 | $220.00 |
| D1352 | <1% | 48 | $214.50 | |
| D0603 | <1% | 699 | $198.75 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 18,438 | $113.34 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,485 | $109.90 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,256 | $102.90 |
| 90710 | <1% | 2,105 | $99.27 | |
| 90677 | <1% | 903 | $90.54 | |
| 90715 | <1% | 1,722 | $82.12 | |
| 90697 | <1% | 2,238 | $81.54 | |
| 90647 | <1% | 2,903 | $65.16 | |
| 90744 | <1% | 298 | $63.00 | |
| 90716 | <1% | 1,625 | $63.00 | |
| 90700 | <1% | 1,608 | $63.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 199 | $60.48 |
| 90696 | <1% | 1,094 | $54.27 | |
| 99000 | <1% | 1,187 | $49.91 | |
| 90620 | <1% | 974 | $36.00 | |
| 90688 | <1% | 794 | $20.00 | |
| 99173 | <1% | 12,954 | $19.92 | |
| 99383 | <1% | 1,100 | $19.90 | |
| 90619 | <1% | 640 | $18.27 | |
| 90707 | <1% | 1,071 | $18.00 | |
| 90670 | <1% | 6,621 | $18.00 | |
| 90648 | <1% | 1,196 | $18.00 | |
| 90461 | <1% | 9,925 | $17.84 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,779 | $13.35 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 11,022 | $12.93 |
| 90723 | <1% | 3,446 | $9.00 | |
| Z6410 | <1% | 20,136 | $6.31 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,051 | $2.10 |
| 99384 | <1% | 664 | $1.07 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 153,247 | $0.00 |
| 3008F | 0% | 178,389 | $0.00 | |
| Z1034 | 0% | 36,665 | $0.00 | |
| 3079F | 0% | 44,798 | $0.00 | |
| 2001F | 0% | 178,396 | $0.00 | |
| 1036F | 0% | 125,199 | $0.00 | |
| 3074F | 0% | 121,712 | $0.00 | |
| 3049F | 0% | 18,400 | $0.00 | |
| 3048F | 0% | 28,498 | $0.00 | |
| Z1032 | 0% | 4,049 | $0.00 | |
| 3075F | 0% | 21,300 | $0.00 | |
| 0503F | 0% | 1,281 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 4,371 | $0.00 |
| Z6204 | 0% | 1,801 | $0.00 | |
| 0500F | 0% | 2,874 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 7,264 | $0.00 |
| Z6406 | 0% | 1,947 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 13,376 | $0.00 |
| 3080F | 0% | 11,266 | $0.00 | |
| 88142 | 0% | 39 | $0.00 | |
| 87490 | 0% | 3,417 | $0.00 | |
| D1330 | 0% | 3,241 | $0.00 | |
| Z1038 | 0% | 1,619 | $0.00 | |
| 3044F | 0% | 2,469 | $0.00 | |
| 87590 | 0% | 3,428 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 279 | $0.00 |
| 91301 | 0% | 1,933 | $0.00 | |
| 81001 | 0% | 373 | $0.00 | |
| 59514 | 0% | 40 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 268 | $0.00 |
| 99386 | 0% | 696 | $0.00 | |
| 91307 | 0% | 180 | $0.00 | |
| D9995 | 0% | 20 | $0.00 | |
| 3052F | 0% | 348 | $0.00 | |
| 1034F | 0% | 1,203 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 125 | $0.00 |
| 91315 | 0% | 13 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 34 | $0.00 |
| 91303 | 0% | 47 | $0.00 | |
| 90656 | 0% | 216 | $0.00 | |
| 99385 | 0% | 1,025 | $0.00 | |
| Z6402 | 0% | 17 | $0.00 | |
| 58301 | 0% | 12 | $0.00 | |
| 1111F | 0% | 269 | $0.00 | |
| 0064A | 0% | 13 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 26 | $0.00 |
| 90474 | 0% | 107 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 68 | $0.00 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 45 | $0.00 |
| 58300 | 0% | 13 | $0.00 | |
| 99422 | 0% | 24 | $0.00 | |
| 91305 | 0% | 18 | $0.00 | |
| 90381 | 0% | 15 | $0.00 | |
| 0081A | 0% | 14 | $0.00 | |
| 99024 | 0% | 14 | $0.00 | |
| 82043 | 0% | 24 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 30 | $0.00 |
| 0031A | 0% | 33 | $0.00 | |
| 0134A | 0% | 13 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 26,661 | $0.00 |
| Z6304 | 0% | 1,949 | $0.00 | |
| 3078F | 0% | 114,081 | $0.00 | |
| 3050F | 0% | 13,775 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 1,023 | $0.00 |
| Z6500 | 0% | 4,754 | $0.00 | |
| 3077F | 0% | 27,059 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 139,951 | $0.00 |
| 91312 | 0% | 71 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 2,410 | $0.00 |
| 0502F | 0% | 28,497 | $0.00 | |
| 3046F | 0% | 2,437 | $0.00 | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 0% | 708 | $0.00 |
| Z6414 | 0% | 705 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 2,267 | $0.00 |
| 4004F | 0% | 288 | $0.00 | |
| Z6400 | 0% | 5,691 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 1,893 | $0.00 |
| 90734 | 0% | 1,292 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 71 | $0.00 |
| 90713 | 0% | 319 | $0.00 | |
| Z6300 | 0% | 2,027 | $0.00 | |
| 99382 | 0% | 328 | $0.00 | |
| 59426 | 0% | 165 | $0.00 | |
| 3051F | 0% | 666 | $0.00 | |
| A4550 | Surgical trays | 0% | 290 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 297 | $0.00 |
| Z6308 | 0% | 720 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 57 | $0.00 |
| 91308 | 0% | 99 | $0.00 | |
| 91300 | 0% | 167 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 454 | $0.00 |
| 90661 | 0% | 18 | $0.00 | |
| 3045F | 0% | 147 | $0.00 | |
| Z6208 | 0% | 852 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 14 | $0.00 |
| 0124A | 0% | 32 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 100 | $0.00 |
| 82948 | 0% | 15 | $0.00 | |
| 90473 | 0% | 12 | $0.00 | |
| 80101 | 0% | 90 | $0.00 | |
| D0071 | 0% | 34 | $0.00 | |
| 91313 | 0% | 18 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 85 | $0.00 |
| 99201 | 0% | 157 | $0.00 | |
| 90746 | 0% | 14 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 14 | $0.00 |
| 91320 | 0% | 22 | $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 (CEO)
| Provider | Location | Paid |
|---|---|---|
| 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 | 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.