Omni Family Health
Omni Family Health was paid $15.34M by Medicaid between Mar 2019 and Dec 2024, across 106 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
BAKERFIELD, CA 93309
Next to other Case Manager/Care Coordinator providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 15,564 | $1.25M | |
| 2020 | 52,584 | $2.72M | |
| 2021 | 72,786 | $3.82M | |
| 2022 | 57,847 | $2.67M | |
| 2023 | 127,166 | $2.67M | |
| 2024incomplete | 45,877 | $2.21M |
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 | 85% | 122,689 | 110,149 | $13.04M |
| 00003 | Internal/system code - not a standard HCPCS code | 13% | 11,261 | 9,414 | $1.94M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 71,110 | 59,451 | $199K |
| 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% | 1,910 | 1,723 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 11,896 | 10,344 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,238 | 2,032 | $13K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 9,869 | 8,623 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,237 | 1,122 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,480 | 1,367 | $7K |
| 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% | 2,526 | 2,246 | $6K |
| 98940 | <1% | 2,441 | 1,718 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 749 | 697 | $4K |
94 more codes
| 0012A | <1% | 89 | $4K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 52 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 503 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,407 | $3K |
| 99000 | <1% | 4,309 | $3K | |
| 81005 | <1% | 1,512 | $2K | |
| 0011A | <1% | 65 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 4,085 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 119 | $2K |
| 0031A | <1% | 34 | $2K | |
| 85018 | <1% | 5,802 | $2K | |
| 90686 | <1% | 2,038 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 429 | $1K |
| V2020 | Frames, purchases | <1% | 2,576 | $1K |
| 99381 | <1% | 286 | $1K | |
| 92551 | <1% | 3,704 | $1K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 2,018 | $775.60 |
| 3074F | <1% | 4,970 | $650.27 | |
| 90723 | <1% | 1,412 | $543.40 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 475 | $492.88 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 36 | $492.84 |
| 90633 | <1% | 1,049 | $483.35 | |
| 83655 | <1% | 662 | $451.35 | |
| 92015 | Determination of refractive state | <1% | 4,835 | $418.18 |
| 81003 | <1% | 1,056 | $385.05 | |
| 99382 | <1% | 18 | $343.40 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 550 | $319.50 |
| 92341 | <1% | 360 | $314.82 | |
| 90677 | <1% | 267 | $284.00 | |
| 90680 | <1% | 1,036 | $262.14 | |
| 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 | <1% | 51 | $238.50 |
| J3490 | Unclassified drugs | <1% | 12 | $210.72 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 163 | $164.64 |
| 90696 | <1% | 126 | $139.24 | |
| 99173 | <1% | 2,921 | $82.42 | |
| 90700 | <1% | 200 | $73.68 | |
| 1111F | <1% | 10,036 | $72.58 | |
| 81025 | <1% | 252 | $69.16 | |
| 90648 | <1% | 1,837 | $56.25 | |
| 90670 | <1% | 1,641 | $47.25 | |
| 90651 | <1% | 574 | $27.00 | |
| 90734 | <1% | 398 | $9.00 | |
| 90620 | <1% | 26 | $9.00 | |
| 99177 | <1% | 121 | $7.50 | |
| 97813 | <1% | 171 | $5.21 | |
| 97814 | <1% | 170 | $5.21 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 5,914 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 256 | $0.00 |
| 3050F | 0% | 462 | $0.00 | |
| 3078F | 0% | 4,126 | $0.00 | |
| 3077F | 0% | 256 | $0.00 | |
| 90707 | 0% | 231 | $0.00 | |
| 90715 | 0% | 130 | $0.00 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 403 | $0.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 69 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 31 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 170 | $0.00 |
| 97811 | 0% | 14 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 207 | $0.00 |
| Z6400 | 0% | 72 | $0.00 | |
| 90710 | 0% | 98 | $0.00 | |
| 97810 | 0% | 14 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 187 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 16 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 20 | $0.00 |
| 4004F | 0% | 31 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 1,534 | $0.00 |
| 3008F | 0% | 13,033 | $0.00 | |
| 2001F | 0% | 13,033 | $0.00 | |
| 1036F | 0% | 9,671 | $0.00 | |
| 3049F | 0% | 764 | $0.00 | |
| 3079F | 0% | 1,497 | $0.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 386 | $0.00 |
| Z1034 | 0% | 2,727 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 6,146 | $0.00 |
| 3048F | 0% | 1,775 | $0.00 | |
| 3075F | 0% | 399 | $0.00 | |
| 90716 | 0% | 268 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 434 | $0.00 |
| 90656 | 0% | 184 | $0.00 | |
| Z6410 | 0% | 664 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 296 | $0.00 |
| 90474 | 0% | 53 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 1,782 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 119 | $0.00 |
| 97026 | 0% | 191 | $0.00 | |
| 90381 | 0% | 25 | $0.00 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 88 | $0.00 |
| 3044F | 0% | 31 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 27 | $0.00 |
| 3080F | 0% | 58 | $0.00 | |
| 86580 | 0% | 31 | $0.00 | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 30 | $0.00 |
| 99383 | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Omni Family Health | Bakersfield, CA | $84.75M |
| Omni Family Health | Bakersfield, CA | $51.67M |
| Omni Family Health | Bakersfield, CA | $25.07M |
| Omni Family Health | Delano, CA | $20.96M |
| Omni Family Health | Fresno, CA | $20.86M |
| Omni Family Health | Bakersfield, CA | $18.59M |
| Omni Family Health | Wasco, CA | $16.97M |
| Omni Family Health | Reedley, CA | $15.12M |
| Omni Family Health | Taft, CA | $15.09M |
| Omni Family Health | Bakersfield, CA | $14.53M |
| Omni Family Health | Tehachapi, CA | $13.44M |
| Omni Family Health | Shafter, CA | $13.10M |
| Omni Family Health | Bakersfield, CA | $11.79M |
| Omni Family Health | Bakersfield, CA | $11.10M |
| Omni Family Health | Bakersfield, CA | $9.80M |
| Omni Family Health | Delano, CA | $9.32M |
| Omni Family Health | Reedley, CA | $9.18M |
| Omni Family Health | Ridgecrest, CA | $8.41M |
| Omni Family Health | Visalia, CA | $7.94M |
| Omni Family Health | Fresno, CA | $6.91M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.