Clinic
LA Red Health Center, INC.
LA Red Health Center, INC. was paid $2.49M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is G0467, community health center visit, returning patient — 81% of everything it billed.
33Billing provider infoLA RED HEALTH CENTER, INC.
SEAFORD, DE 19973
SEAFORD, DE 19973
33aNPI1497071161assigned 04/20/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.49M
24GClaims35,979
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Delaware
Rank by total paid#5 of 10
Median peer was paid$14K
This provider vs. median181×
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 | 3,839 | $13K | |
| 2019 | 2,749 | $126K | |
| 2020 | 3,460 | $309K | |
| 2021 | 5,797 | $474K | |
| 2022 | 5,793 | $522K | |
| 2023 | 8,578 | $507K | |
| 2024incomplete | 5,763 | $537K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 81% | 13,721 | 10,997 | $2.01M |
| 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 | 11% | 1,900 | 1,303 | $265K |
| 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 | 6.5% | 892 | 749 | $163K |
| 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 | 2.0% | 874 | 740 | $50K |
| 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% | 2,354 | 2,011 | $822.13 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,638 | 2,216 | $209.17 |
| 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% | 105 | 88 | $115.50 |
| 90698 | <1% | 225 | 188 | $44.24 | |
| 90670 | <1% | 442 | 377 | $30.25 | |
| 90633 | <1% | 226 | 186 | $30.13 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 577 | 515 | $29.29 |
| 90710 | <1% | 101 | 77 | $22.07 |
30 more codes
| 81002 | <1% | 1,058 | $8.53 | |
| 86580 | <1% | 40 | $5.17 | |
| 82962 | <1% | 544 | $3.26 | |
| 90686 | <1% | 380 | $0.53 | |
| 99177 | <1% | 1,496 | $0.48 | |
| 99401 | <1% | 208 | $0.30 | |
| 81025 | <1% | 51 | $0.11 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,204 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 929 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 292 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 66 | $0.00 |
| 90461 | 0% | 1,198 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 676 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 28 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 15 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 66 | $0.00 |
| 99173 | 0% | 13 | $0.00 | |
| 90681 | 0% | 95 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 21 | $0.00 |
| 90658 | 0% | 15 | $0.00 | |
| 99442 | 0% | 15 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 819 | $0.00 |
| 90697 | 0% | 137 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 490 | $0.00 |
| 97802 | 0% | 709 | $0.00 | |
| 1000F | 0% | 18 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 256 | $0.00 |
| 91301 | 0% | 43 | $0.00 | |
| 99383 | 0% | 18 | $0.00 | |
| 0012A | 0% | 24 | $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 officialOLSON, BRIAN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| LA Red Health Center INC | Georgetown, DE | $7.35M |
| LA Red Health Center INC | Georgetown, DE | $3.10M |
| LA Red Health Center, INC. | Milford, DE | $2.74M |
| LA Red Health Center, INC. | Seaford, DE | $242K |
| LA Red Health Center, INC. | Georgetown, DE | $14K |
| Brian W Olson & Associates S C | Tomah, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.