Agency
Caloptima
Caloptima was paid $0.00 by Medicaid between Jan 2018 and Oct 2024, across 98 billing codes. Its largest line is T1003, Lpn/lvn services, up to 15 minutes — 0% of everything it billed.
33Billing provider infoCALOPTIMA
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
33aNPI1467870543assigned 04/04/2014
33bProvider typePACE Provider Organization
28Total paid$0.00
24GClaims572,667
24DCodes billed98
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other PACE Provider Organization providers in California
Rank by total paid#10 of 17
Median peer was paid$240.00
This provider vs. median0.0×
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 | 80,422 | $0.00 | |
| 2019 | 175,372 | $0.00 | |
| 2020 | 57,170 | $0.00 | |
| 2021 | 57,091 | $0.00 | |
| 2022 | 74,442 | $0.00 | |
| 2023 | 106,725 | $0.00 | |
| 2024incomplete | 21,445 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1003 | Lpn/lvn services, up to 15 minutes | 0% | 10,822 | 5,795 | $0.00 |
| 96159 | 0% | 76 | 51 | $0.00 | |
| H2032 | Activity therapy, per 15 minutes | 0% | 65,842 | 10,142 | $0.00 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 9,154 | 4,824 | $0.00 |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 0% | 3,305 | 1,714 | $0.00 |
| H0034 | Medication training and support, per 15 minutes | 0% | 2,816 | 2,212 | $0.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 11,229 | 4,053 | $0.00 |
| T1001 | Nursing assessment / evaluation | 0% | 16,137 | 9,452 | $0.00 |
| 98966 | 0% | 23,216 | 5,413 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 3,844 | 3,047 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 1,633 | 1,630 | $0.00 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 2,441 | 2,287 | $0.00 |
86 more codes
| 98960 | 0% | 577 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 1,497 | $0.00 |
| T2003 | Non-emergency transportation, per trip | 0% | 64,184 | $0.00 |
| 97168 | 0% | 989 | $0.00 | |
| 97116 | 0% | 4,403 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 3,233 | $0.00 |
| 81002 | 0% | 58 | $0.00 | |
| 90715 | 0% | 176 | $0.00 | |
| 97161 | 0% | 363 | $0.00 | |
| 97803 | 0% | 2,545 | $0.00 | |
| 99497 | 0% | 187 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 2,059 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 165 | $0.00 |
| 92610 | 0% | 72 | $0.00 | |
| 90653 | 0% | 136 | $0.00 | |
| H2010 | Comprehensive medication services, per 15 minutes | 0% | 1,986 | $0.00 |
| 11056 | 0% | 29 | $0.00 | |
| 99310 | Prolong nursin fac eval 15m | 0% | 1,064 | $0.00 |
| G0159 | Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes | 0% | 790 | $0.00 |
| 97542 | 0% | 73 | $0.00 | |
| 69210 | 0% | 36 | $0.00 | |
| 90736 | 0% | 111 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 119 | $0.00 |
| G0127 | Trimming of dystrophic nails, any number | 0% | 72 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 67 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 282 | $0.00 |
| 97602 | 0% | 1,672 | $0.00 | |
| 99442 | 0% | 4,252 | $0.00 | |
| 99078 | 0% | 166 | $0.00 | |
| 90670 | 0% | 137 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 65 | $0.00 |
| 98968 | 0% | 15 | $0.00 | |
| 11721 | 0% | 17 | $0.00 | |
| 97164 | 0% | 17 | $0.00 | |
| H0046 | Mental health services, not otherwise specified | 0% | 14 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 53 | $0.00 |
| S9453 | Smoking cessation classes, non-physician provider, per session | 0% | 21 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $0.00 |
| T1002 | Rn services, up to 15 minutes | 0% | 28,797 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 1,165 | $0.00 |
| 96156 | 0% | 2,032 | $0.00 | |
| S9977 | Meals, per diem, not otherwise specified | 0% | 64,397 | $0.00 |
| 99000 | 0% | 4,886 | $0.00 | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 0% | 11,837 | $0.00 |
| S5102 | Adult day care, billed per day | 0% | 65,263 | $0.00 |
| S5125 | Attendant care at home, billed per 15 minutes | 0% | 34,708 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 3,259 | $0.00 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 16,584 | $0.00 |
| 97162 | 0% | 676 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 2,677 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,821 | $0.00 |
| 99417 | Prolong home eval add 15m | 0% | 1,380 | $0.00 |
| S5175 | Laundry service, external, professional; per order | 0% | 150 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 120 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,840 | $0.00 |
| 99441 | 0% | 829 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 1,707 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 224 | $0.00 |
| 96150 | 0% | 890 | $0.00 | |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | 0% | 49,464 | $0.00 |
| 82962 | 0% | 1,440 | $0.00 | |
| 96151 | 0% | 1,177 | $0.00 | |
| T1016 | Case management, each 15 minutes | 0% | 7,423 | $0.00 |
| 97010 | 0% | 3,265 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 260 | $0.00 |
| G0160 | Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes | 0% | 824 | $0.00 |
| 97535 | Self-care/home management training, each 15 minutes | 0% | 2,780 | $0.00 |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | 0% | 1,631 | $0.00 |
| H0033 | Oral medication administration, direct observation | 0% | 5,100 | $0.00 |
| 99443 | 0% | 4,819 | $0.00 | |
| 97802 | 0% | 347 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 297 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 187 | $0.00 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 925 | $0.00 |
| 92526 | 0% | 194 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 44 | $0.00 |
| 99606 | 0% | 2,396 | $0.00 | |
| 93922 | 0% | 96 | $0.00 | |
| 97165 | 0% | 55 | $0.00 | |
| 86580 | 0% | 100 | $0.00 | |
| T2025 | Waiver services not otherwise specified | 0% | 24 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 0% | 136 | $0.00 |
| T2022 | Case management, per month | 0% | 24 | $0.00 |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 0% | 19 | $0.00 |
| 98967 | 0% | 139 | $0.00 | |
| 98962 | 0% | 27 | $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 officialSCHRADER, MICHAE (CHIEF EXECUTIVE OFFICER)