Clinic
LA Red Health Center INC
LA Red Health Center INC was paid $7.35M by Medicaid between Jan 2018 and Nov 2024, across 80 billing codes. Its largest line is G0467, community health center visit, returning patient — 69% of everything it billed.
33Billing provider infoLA RED HEALTH CENTER INC
GEORGETOWN, DE 19947
GEORGETOWN, DE 19947
33aNPI1700832185assigned 05/26/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.35M
24GClaims133,306
24DCodes billed80
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Delaware
Rank by total paid#2 of 10
Median peer was paid$14K
This provider vs. median536×
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 | 20,766 | $333K | |
| 2019 | 16,212 | $800K | |
| 2020 | 14,453 | $1.11M | |
| 2021 | 24,028 | $1.43M | |
| 2022 | 22,485 | $1.47M | |
| 2023 | 21,874 | $1.28M | |
| 2024incomplete | 13,488 | $930K |
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 | 69% | 31,405 | 24,314 | $5.04M |
| 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 | 7.3% | 5,580 | 4,665 | $536K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 7,464 | 5,533 | $288K |
| 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 | 3.8% | 2,110 | 1,642 | $279K |
| D1206 | Topical application of fluoride varnish | 2.8% | 9,071 | 6,691 | $208K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.8% | 7,560 | 5,364 | $206K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 948 | 675 | $165K |
| D1110 | Prophylaxis - adult | 2.0% | 2,968 | 2,170 | $144K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.6% | 1,321 | 738 | $118K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 647 | 431 | $101K |
| D0274 | Bitewings - four radiographic images | 1.2% | 2,676 | 1,837 | $88K |
| D1351 | Sealant - per tooth | <1% | 2,217 | 322 | $71K |
68 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,116 | $46K |
| D0272 | Bitewings - two radiographic images | <1% | 882 | $21K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 324 | $12K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 157 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 628 | $9K |
| D0330 | Panoramic radiographic image | <1% | 89 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 72 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 8,553 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,212 | $607.41 |
| 81002 | <1% | 4,228 | $492.27 | |
| 99177 | <1% | 6,159 | $464.27 | |
| 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% | 156 | $441.14 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,378 | $270.93 |
| 82962 | <1% | 2,103 | $260.30 | |
| 90685 | <1% | 34 | $132.54 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,605 | $83.40 |
| 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% | 243 | $79.26 |
| 81025 | <1% | 312 | $37.05 | |
| 90633 | <1% | 397 | $22.74 | |
| 90688 | <1% | 52 | $22.07 | |
| 90686 | <1% | 637 | $17.01 | |
| 99441 | <1% | 66 | $14.32 | |
| 86580 | <1% | 55 | $11.80 | |
| 90710 | <1% | 96 | $8.03 | |
| 90670 | <1% | 788 | $1.86 | |
| 83655 | <1% | 291 | $0.74 | |
| 90648 | <1% | 372 | $0.60 | |
| 90734 | <1% | 83 | $0.43 | |
| 90698 | <1% | 169 | $0.33 | |
| 90715 | <1% | 65 | $0.14 | |
| 90681 | <1% | 157 | $0.14 | |
| 90723 | <1% | 144 | $0.13 | |
| 90651 | <1% | 21 | $0.08 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 4,009 | $0.00 |
| 90461 | 0% | 2,265 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,236 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 829 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,619 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 58 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,412 | $0.00 |
| 99173 | 0% | 262 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 85 | $0.00 |
| 99401 | 0% | 302 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 641 | $0.00 |
| 99442 | 0% | 175 | $0.00 | |
| 91300 | 0% | 15 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 51 | $0.00 |
| D0190 | 0% | 147 | $0.00 | |
| 90658 | 0% | 23 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 15 | $0.00 |
| 90707 | 0% | 18 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 22 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 16 | $0.00 |
| 97802 | 0% | 2,686 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 807 | $0.00 |
| D0603 | 0% | 4,340 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 125 | $0.00 |
| 90716 | 0% | 33 | $0.00 | |
| D0602 | 0% | 1,309 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 25 | $0.00 |
| D0601 | 0% | 499 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 366 | $0.00 |
| 0012A | 0% | 38 | $0.00 | |
| 90656 | 0% | 54 | $0.00 | |
| 1000F | 0% | 63 | $0.00 | |
| 99000 | 0% | 13 | $0.00 | |
| 0011A | 0% | 16 | $0.00 | |
| 91301 | 0% | 121 | $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 | $3.10M |
| LA Red Health Center, INC. | Milford, DE | $2.74M |
| LA Red Health Center, INC. | Seaford, DE | $2.49M |
| 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.