Sacramento Native American Health Center INC
Sacramento Native American Health Center INC was paid $95.11M by Medicaid between Jan 2018 and Dec 2024, across 149 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoSACRAMENTO NATIVE AMERICAN HEALTH CENTER INC
SACRAMENTO, CA 95814
SACRAMENTO, CA 95814
33aNPI1588756530assigned 09/28/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$95.11M
24GClaims1,171,028
24DCodes billed149
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#13 of 435
Median peer was paid$2.89M
This provider vs. median33×
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 | 88,578 | $12.36M | |
| 2019 | 123,117 | $11.25M | |
| 2020 | 139,859 | $12.05M | |
| 2021 | 157,146 | $14.41M | |
| 2022 | 134,935 | $11.12M | |
| 2023 | 180,102 | $16.01M | |
| 2024incomplete | 347,291 | $17.92M |
Box 24 · Service lines
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 | 89% | 325,293 | 264,047 | $84.85M |
| 00003 | Internal/system code - not a standard HCPCS code | 4.0% | 12,210 | 10,500 | $3.80M |
| G9012 | Other specified case management service not elsewhere classified | 1.3% | 18,703 | 7,861 | $1.20M |
| 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 | 1.2% | 14,197 | 10,736 | $1.17M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 19,882 | 8,241 | $771K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 23,334 | 9,830 | $422K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 1,353 | 1,296 | $393K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 11,175 | 5,978 | $324K |
| 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% | 147,540 | 88,547 | $246K |
| 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 | <1% | 2,035 | 1,288 | $237K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 12,272 | 6,970 | $152K |
| 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% | 82,370 | 49,731 | $148K |
137 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 4,859 | $133K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,007 | $106K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13,478 | $96K |
| D1206 | Topical application of fluoride varnish | <1% | 19,823 | $95K |
| D4341 | <1% | 8,052 | $93K | |
| D1120 | Dental cleaning, child | <1% | 7,403 | $89K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 9,372 | $73K |
| D0120 | Dental checkup, returning patient | <1% | 16,779 | $70K |
| D9430 | <1% | 19,811 | $68K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 6,441 | $67K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 27,686 | $64K |
| 98940 | <1% | 13,005 | $56K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 5,764 | $54K |
| D1110 | Prophylaxis - adult | <1% | 6,216 | $49K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 3,202 | $46K |
| D0274 | Bitewings - four radiographic images | <1% | 12,914 | $37K |
| V2020 | Frames, purchases | <1% | 2,092 | $26K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 24,219 | $23K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 763 | $16K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,850 | $15K |
| 92015 | Determination of refractive state | <1% | 7,002 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 786 | $12K |
| D4910 | <1% | 635 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28,769 | $11K |
| 92341 | <1% | 591 | $10K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 881 | $10K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 281 | $6K |
| D0270 | <1% | 7,719 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 1,489 | $5K |
| D4342 | <1% | 565 | $4K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 242 | $4K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 31 | $4K |
| D1351 | Sealant - per tooth | <1% | 513 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 244 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 804 | $2K |
| D0603 | <1% | 17,432 | $2K | |
| G0466 | Community health center visit, new patient | <1% | 15 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,202 | $2K |
| 0134A | <1% | 63 | $2K | |
| D2331 | <1% | 97 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,460 | $1K |
| 92133 | <1% | 155 | $1K | |
| 90715 | <1% | 631 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,288 | $1K |
| 90651 | <1% | 68 | $981.17 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,599 | $958.20 |
| 0011A | <1% | 15 | $938.00 | |
| D2330 | <1% | 48 | $710.00 | |
| 90674 | <1% | 552 | $571.65 | |
| D1999 | <1% | 621 | $500.00 | |
| 92250 | <1% | 1,051 | $470.11 | |
| D0601 | <1% | 2,257 | $384.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 18,901 | $343.37 |
| 92551 | <1% | 1,516 | $281.94 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 2,430 | $246.83 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 71 | $223.63 |
| D3999 | <1% | 49 | $210.00 | |
| 96127 | <1% | 3,694 | $204.29 | |
| 92083 | <1% | 58 | $199.30 | |
| D0602 | <1% | 1,010 | $195.00 | |
| 90686 | <1% | 1,790 | $193.52 | |
| D2954 | <1% | 16 | $175.00 | |
| 90480 | <1% | 34 | $160.00 | |
| 92132 | <1% | 19 | $158.64 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 492 | $141.77 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 388 | $131.88 |
| V2744 | Tint, photochromatic, per lens | <1% | 24 | $126.68 |
| 90636 | <1% | 105 | $111.42 | |
| D0272 | Bitewings - two radiographic images | <1% | 49 | $110.00 |
| 36416 | <1% | 334 | $108.42 | |
| D1330 | <1% | 10,149 | $106.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 271 | $83.60 |
| 90661 | <1% | 519 | $82.62 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 138 | $43.85 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 63 | $37.39 |
| 92082 | <1% | 28 | $34.88 | |
| 76514 | <1% | 16 | $18.22 | |
| 99173 | <1% | 1,264 | $12.70 | |
| 80305 | <1% | 715 | $10.08 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,375 | $9.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,289 | $8.54 |
| 81025 | <1% | 374 | $8.40 | |
| 82962 | <1% | 2,491 | $8.00 | |
| 86580 | <1% | 38 | $3.36 | |
| 3074F | <1% | 21,664 | $0.01 | |
| 3079F | <1% | 8,452 | $0.01 | |
| 2001F | 0% | 6,887 | $0.00 | |
| D5899 | 0% | 3,646 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 727 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 148 | $0.00 |
| D1310 | 0% | 4,935 | $0.00 | |
| 3075F | 0% | 4,988 | $0.00 | |
| 3048F | 0% | 1,213 | $0.00 | |
| 1126F | 0% | 1,757 | $0.00 | |
| 1034F | 0% | 1,788 | $0.00 | |
| 3044F | 0% | 10,645 | $0.00 | |
| 2023F | 0% | 209 | $0.00 | |
| D1320 | 0% | 60 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 49 | $0.00 |
| 1036F | 0% | 3,867 | $0.00 | |
| 1170F | 0% | 5,775 | $0.00 | |
| 3080F | 0% | 2,408 | $0.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 62 | $0.00 |
| 3008F | 0% | 6,889 | $0.00 | |
| 1125F | 0% | 992 | $0.00 | |
| 90656 | 0% | 37 | $0.00 | |
| 1123F | 0% | 231 | $0.00 | |
| 85018 | 0% | 40 | $0.00 | |
| 3049F | 0% | 55 | $0.00 | |
| 3052F | 0% | 22 | $0.00 | |
| 90732 | 0% | 21 | $0.00 | |
| 3078F | 0% | 21,437 | $0.00 | |
| 1160F | 0% | 28,932 | $0.00 | |
| 3077F | 0% | 5,730 | $0.00 | |
| D9993 | 0% | 2,909 | $0.00 | |
| 1159F | 0% | 5,370 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 740 | $0.00 |
| 90746 | 0% | 185 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 451 | $0.00 |
| 81002 | 0% | 1,381 | $0.00 | |
| 90750 | 0% | 170 | $0.00 | |
| 3051F | 0% | 406 | $0.00 | |
| 90461 | 0% | 757 | $0.00 | |
| 3046F | 0% | 424 | $0.00 | |
| 88164 | 0% | 521 | $0.00 | |
| 2028F | 0% | 140 | $0.00 | |
| 1158F | 0% | 231 | $0.00 | |
| 11721 | 0% | 146 | $0.00 | |
| 0521 | 0% | 19 | $0.00 | |
| 90687 | 0% | 94 | $0.00 | |
| 3050F | 0% | 320 | $0.00 | |
| 99442 | 0% | 64 | $0.00 | |
| 90749 | 0% | 42 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 24 | $0.00 |
| 90756 | 0% | 23 | $0.00 | |
| 99382 | 0% | 15 | $0.00 | |
| 90653 | 0% | 14 | $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 officialGUERRERO, BRITTA (CEO)