Ampla Health
Ampla Health was paid $5.09M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 52% of everything it billed.
33Billing provider infoAMPLA HEALTH
COLUSA, CA 95932
COLUSA, CA 95932
33aNPI1477586808assigned 07/09/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$5.09M
24GClaims57,794
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#181 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 FLORES, BENJAMIN 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 | 6,402 | $863K | |
| 2019 | 5,833 | $706K | |
| 2020 | 7,637 | $645K | |
| 2021 | 7,928 | $677K | |
| 2022 | 8,566 | $580K | |
| 2023 | 11,632 | $817K | |
| 2024incomplete | 9,796 | $804K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 52% | 14,959 | 9,841 | $2.66M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 45% | 16,410 | 13,775 | $2.29M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 12,282 | 7,705 | $60K |
| 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% | 4,543 | 2,860 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,888 | 3,171 | $19K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 360 | 201 | $8K |
| 90677 | <1% | 70 | 49 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 367 | 238 | $6K |
| 98940 | <1% | 311 | 141 | $5K | |
| 90686 | <1% | 480 | 373 | $2K | |
| 90656 | <1% | 98 | 66 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 280 | 162 | $923.62 |
20 more codes
| 92552 | <1% | 200 | $559.43 | |
| 82962 | <1% | 347 | $246.12 | |
| 81002 | <1% | 522 | $199.13 | |
| 85018 | <1% | 556 | $177.74 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 28 | $171.60 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 35 | $118.80 |
| 99201 | <1% | 152 | $45.80 | |
| 81025 | <1% | 22 | $44.80 | |
| 99172 | 0% | 115 | $0.00 | |
| 91301 | 0% | 79 | $0.00 | |
| 0011A | 0% | 44 | $0.00 | |
| 94760 | 0% | 34 | $0.00 | |
| 1000F | 0% | 13 | $0.00 | |
| 90651 | 0% | 18 | $0.00 | |
| 3455F | 0% | 461 | $0.00 | |
| 90662 | 0% | 13 | $0.00 | |
| 83037 | 0% | 54 | $0.00 | |
| 99173 | 0% | 20 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 13 | $0.00 |
| 90715 | 0% | 20 | $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 officialFLORES, BENJAMIN (PRESIDENT, CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| United Health Centers of the San Joaquin Valley | Kerman, CA | $47.34M |
| United Health Centers of the San Joaquin Valley | Mendota, CA | $42.12M |
| Ampla Health | Chico, CA | $38.07M |
| Ampla Health | Olivehurst, CA | $33.94M |
| Ampla Health | Yuba City, CA | $30.75M |
| Ampla Health | Oroville, CA | $26.30M |
| United Health Centers of the SJV | Parlier, CA | $17.68M |
| Ampla Health | Yuba City, CA | $17.09M |
| Ampla Health | Yuba City, CA | $15.40M |
| United Health Centers of the San Joaquin Valley | Orange Cove, CA | $12.85M |
| United Health Centers of the San Joaquin Valley | Earlimart, CA | $12.64M |
| Ampla Health | Orland, CA | $5.86M |
| Ampla Health | Gridley, CA | $4.15M |
| Ampla Health | Arbuckle, CA | $4.13M |
| United Health Centers of the SJV | Sanger, CA | $2.66M |
| Ampla Health | Los Molinos, CA | $2.35M |
| Ampla Health | Hamilton City, CA | $1.61M |
| United Health Centers of the San Joaquin Valley | Parlier, CA | $162K |
| United Health Centers of the San Joaquin Valley | Mendota, CA | $118K |
| United Health Centers of the San Joaquin Valley | Parlier, CA | $57K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.