Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › DAVIS › OLE HEALTH

OLE HEALTH

NPI: 1558366823 · DAVIS, CA 95616 · Federally Qualified Health Center (FQHC) · NPI assigned 06/14/2005

$22.63M
Total Medicaid Paid
263,508
Total Claims
189,113
Beneficiaries
96
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACISAAC, ROSE (CFO)
NPI Enumeration Date06/14/2005

Related Entities

Other providers sharing the same authorized official: MACISAAC, ROSE

ProviderCityStateTotal Paid
OLE HEALTH WOODLAND CA $30.50M
OLE HEALTH WEST SACRAMENTO CA $26.25M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36,260 $4.81M
2019 27,536 $2.60M
2020 37,083 $1.78M
2021 45,169 $2.75M
2022 37,891 $2.65M
2023 41,214 $3.35M
2024 38,355 $4.69M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 86,779 68,944 $13.12M
00003 Internal/system code - not a standard HCPCS code 33,644 24,319 $8.21M
G9012 Other specified case management service not elsewhere classified 1,819 827 $265K
H1001 Prenatal care, at-risk enhanced service; antepartum management 2,868 2,110 $206K
59425 2,136 1,563 $136K
90832 Psychotherapy, 30 minutes with patient 6,465 2,471 $116K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,563 28,192 $99K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,778 16,129 $74K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 6,109 4,150 $50K
90686 4,224 2,977 $37K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 253 141 $26K
90791 Psychiatric diagnostic evaluation 461 287 $25K
90834 Psychotherapy, 45 minutes with patient 967 431 $25K
90688 1,359 1,027 $23K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,595 1,721 $21K
90837 Psychotherapy, 53 minutes with patient 427 134 $19K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 639 497 $11K
97803 961 809 $11K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,209 1,421 $10K
96156 749 628 $10K
90670 1,502 996 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,293 2,085 $9K
76801 127 85 $8K
H1003 Prenatal care, at-risk enhanced service; education 738 644 $8K
0064A 112 111 $7K
H1002 Prenatal care, at risk enhanced service; care coordination 54 54 $7K
97802 57 53 $6K
90715 291 216 $6K
90647 1,193 812 $6K
0012A 92 91 $6K
0124A 82 82 $5K
90723 1,071 724 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,924 1,185 $5K
0004A 70 70 $5K
0011A 52 52 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,443 937 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 863 515 $3K
90633 459 330 $3K
92551 4,546 2,816 $3K
99401 217 207 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 546 444 $3K
S9452 Nutrition classes, non-physician provider, per session 207 178 $2K
96127 852 498 $2K
0001A 33 33 $2K
90656 348 269 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 56 39 $2K
0134A 28 28 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 66 61 $2K
90671 313 208 $1K
0071A 19 19 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 300 190 $1K
0002A 15 15 $1K
90680 109 109 $972.00
99000 335 323 $903.87
90662 17 12 $870.58
90681 198 130 $765.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 671 528 $762.43
H0049 Alcohol and/or drug screening 32 31 $744.00
96160 416 328 $613.47
99283 Emergency department visit for the evaluation and management, moderate severity 3,343 2,930 $529.84
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 421 378 $515.36
83036 Hemoglobin; glycosylated (A1C) 921 896 $286.01
99406 41 29 $277.16
90685 28 28 $269.27
85018 2,387 2,269 $264.64
99188 16 16 $258.02
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 1,773 1,637 $192.80
90651 21 18 $162.00
81025 79 52 $148.40
86703 15 12 $143.52
82947 870 824 $140.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 195 178 $115.96
90700 12 12 $108.00
90716 12 12 $108.00
86580 143 130 $50.40
81002 114 100 $45.15
86592 16 12 $31.80
82948 82 80 $5.42
Z6304 464 421 $0.00
Z6400 375 370 $0.00
Z6300 16 16 $0.00
Z6208 145 135 $0.00
Z6500 118 118 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 36 36 $0.00
Z6200 16 16 $0.00
99173 41 41 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26 13 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15 15 $0.00
Z6204 741 687 $0.00
Z6410 760 630 $0.00
Z1034 3,340 2,553 $0.00
Z6406 71 71 $0.00
88720 37 26 $0.00
Z6402 17 17 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 13 $0.00
G0008 Administration of influenza virus vaccine 36 36 $0.00