Clinic
Apla Health & Wellness
Apla Health & Wellness was paid $15.00M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoAPLA HEALTH & WELLNESS
LOS ANGELES, CA 90016
LOS ANGELES, CA 90016
33aNPI1639414139assigned 12/10/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$15.00M
24GClaims190,601
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#225 of 826
Median peer was paid$4.05M
This provider vs. median3.7×
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 | 15,325 | $1.84M | |
| 2019 | 20,980 | $1.37M | |
| 2020 | 28,111 | $1.99M | |
| 2021 | 31,150 | $2.29M | |
| 2022 | 28,786 | $2.14M | |
| 2023 | 34,730 | $2.73M | |
| 2024incomplete | 31,519 | $2.64M |
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 | 78% | 50,259 | 38,435 | $11.72M |
| 00003 | Internal/system code - not a standard HCPCS code | 20% | 9,944 | 8,760 | $2.96M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 6,326 | 2,124 | $229K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,326 | 842 | $51K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 175 | 76 | $14K |
| 90688 | <1% | 1,166 | 1,166 | $5K | |
| 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% | 24,157 | 20,875 | $4K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 65 | 51 | $4K |
| 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% | 27,926 | 24,798 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 5,140 | 3,770 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,141 | 7,039 | $528.95 |
| 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% | 16 | 15 | $488.67 |
65 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 633 | $446.41 |
| 3008F | <1% | 19,786 | $368.48 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 10,941 | $329.33 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 333 | $272.84 |
| 86704 | <1% | 174 | $213.99 | |
| 90734 | <1% | 56 | $180.05 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 324 | $174.87 |
| 3512F | <1% | 9,962 | $164.92 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 870 | $143.20 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,481 | $132.31 |
| 90715 | <1% | 349 | $126.94 | |
| 90746 | <1% | 177 | $116.20 | |
| 82274 | <1% | 219 | $112.22 | |
| 90674 | <1% | 1,265 | $90.00 | |
| D0120 | Dental checkup, returning patient | <1% | 159 | $68.00 |
| 80053 | Comprehensive metabolic panel | <1% | 1,253 | $63.30 |
| 90632 | <1% | 24 | $46.58 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 184 | $36.00 |
| 86803 | <1% | 391 | $30.40 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 468 | $22.16 |
| 99205 | Prolong outpt/office vis | <1% | 40 | $17.70 |
| 86708 | <1% | 214 | $15.72 | |
| 86317 | <1% | 106 | $15.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 164 | $6.00 |
| 82948 | <1% | 456 | $2.68 | |
| 3017F | 0% | 667 | $0.00 | |
| D1330 | 0% | 542 | $0.00 | |
| 87340 | 0% | 147 | $0.00 | |
| 99000 | 0% | 246 | $0.00 | |
| 99385 | 0% | 17 | $0.00 | |
| 90651 | 0% | 24 | $0.00 | |
| 99443 | 0% | 85 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 32 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 39 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 237 | $0.00 |
| 99447 | 0% | 47 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 101 | $0.00 |
| 99406 | 0% | 33 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 28 | $0.00 |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 13 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 35 | $0.00 |
| D5899 | 0% | 72 | $0.00 | |
| 3011F | 0% | 12 | $0.00 | |
| 90739 | 0% | 26 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 4293F | 0% | 14 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 172 | $0.00 |
| D4341 | 0% | 269 | $0.00 | |
| 99401 | 0% | 375 | $0.00 | |
| 1160F | 0% | 798 | $0.00 | |
| 1159F | 0% | 801 | $0.00 | |
| 99408 | 0% | 110 | $0.00 | |
| 90661 | 0% | 340 | $0.00 | |
| 3725F | 0% | 356 | $0.00 | |
| 0124A | 0% | 37 | $0.00 | |
| 91312 | 0% | 37 | $0.00 | |
| 90750 | 0% | 43 | $0.00 | |
| D0270 | 0% | 18 | $0.00 | |
| J1380 | Injection, estradiol valerate, up to 10 mg | 0% | 16 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 52 | $0.00 |
| 3015F | 0% | 12 | $0.00 | |
| 81025 | 0% | 20 | $0.00 | |
| 3511F | 0% | 16 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 17 | $0.00 |
| D4910 | 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.
From NPPES
Who's on the registration
Authorized officialTHOMPSON, CRAIG (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Golden Valley Memorial Hospital District | Clinton, MO | $15.62M |
| Apla Health & Wellness | Los Angeles, CA | $10.54M |
| Apla Health & Wellness | Long Beach, CA | $10.05M |
| Golden Valley Memorial Hospital District | Clinton, MO | $5.57M |
| Apla Health & Wellness | Los Angeles, CA | $4.32M |
| Golden Valley Memorial Hospital District | Windsor, MO | $851K |
| Golden Valley Memorial Hospital District | Osceola, MO | $551K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.