Clinic
Ole Health
Ole Health was paid $36.19M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.
33Billing provider infoOLE HEALTH
NAPA, CA 94558
NAPA, CA 94558
33aNPI1700976503assigned 10/13/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$36.19M
24GClaims551,400
24DCodes billed122
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#99 of 826
Median peer was paid$4.05M
This provider vs. median8.9×
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 | 103,969 | $10.38M | |
| 2019 | 85,885 | $5.87M | |
| 2020 | 64,596 | $3.53M | |
| 2021 | 76,763 | $4.70M | |
| 2022 | 79,009 | $3.99M | |
| 2023 | 79,440 | $4.25M | |
| 2024incomplete | 61,738 | $3.48M |
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 | 62% | 181,693 | 155,340 | $22.33M |
| 00003 | Internal/system code - not a standard HCPCS code | 33% | 52,257 | 37,891 | $11.81M |
| 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% | 157,937 | 102,888 | $458K |
| 97803 | <1% | 3,933 | 2,864 | $275K | |
| 97802 | <1% | 1,110 | 1,085 | $154K | |
| 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% | 16,128 | 10,989 | $83K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 8,358 | 4,804 | $81K |
| 90686 | <1% | 5,976 | 5,514 | $77K | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 364 | 189 | $69K |
| 90651 | <1% | 1,233 | 1,137 | $61K | |
| 90670 | <1% | 3,885 | 3,308 | $48K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,816 | 1,426 | $46K |
110 more codes
| 0002A | <1% | 632 | $40K | |
| 0001A | <1% | 638 | $39K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 2,114 | $38K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,457 | $37K |
| 90648 | <1% | 4,337 | $33K | |
| 90688 | <1% | 3,066 | $30K | |
| 90677 | <1% | 714 | $29K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,832 | $24K |
| 0011A | <1% | 353 | $24K | |
| 90723 | <1% | 3,055 | $23K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,239 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,600 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,236 | $19K |
| 59425 | <1% | 283 | $17K | |
| 99460 | <1% | 403 | $16K | |
| 90715 | <1% | 1,008 | $16K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,853 | $16K |
| 90633 | <1% | 1,941 | $15K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 845 | $14K |
| 0012A | <1% | 200 | $13K | |
| 0003A | <1% | 280 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,147 | $12K |
| 90750 | <1% | 62 | $11K | |
| 90680 | <1% | 1,458 | $10K | |
| 92551 | <1% | 11,390 | $9K | |
| 83655 | <1% | 1,194 | $9K | |
| Q3014 | Telehealth originating site facility fee | <1% | 395 | $9K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 606 | $9K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 12 | $9K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 371 | $8K |
| 90685 | <1% | 1,014 | $8K | |
| 99462 | <1% | 331 | $7K | |
| 90734 | <1% | 796 | $7K | |
| 92250 | <1% | 167 | $7K | |
| 0064A | <1% | 142 | $7K | |
| 0072A | <1% | 173 | $7K | |
| 90710 | <1% | 781 | $6K | |
| 0071A | <1% | 192 | $5K | |
| 81025 | <1% | 2,186 | $5K | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 198 | $5K |
| 90649 | <1% | 517 | $4K | |
| 90662 | <1% | 211 | $4K | |
| 90681 | <1% | 451 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 86 | $3K |
| 99381 | <1% | 248 | $3K | |
| 90716 | <1% | 190 | $3K | |
| 97810 | <1% | 258 | $3K | |
| 96156 | <1% | 159 | $2K | |
| 90656 | <1% | 546 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 228 | $2K |
| 11981 | <1% | 12 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 9,742 | $2K |
| 90746 | <1% | 33 | $2K | |
| 90700 | <1% | 217 | $2K | |
| 90696 | <1% | 238 | $2K | |
| 80305 | <1% | 168 | $2K | |
| 11976 | <1% | 24 | $1K | |
| 90707 | <1% | 89 | $1K | |
| 0031A | <1% | 17 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 360 | $948.33 |
| 0124A | <1% | 12 | $804.00 | |
| 90732 | <1% | 14 | $720.00 | |
| 90733 | <1% | 53 | $703.76 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 184 | $549.56 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 122 | $540.57 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 15 | $461.37 |
| 90619 | <1% | 90 | $450.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 85 | $416.65 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 136 | $343.42 |
| Z7500 | <1% | 14 | $303.24 | |
| 99383 | <1% | 44 | $280.75 | |
| 99401 | <1% | 13 | $277.53 | |
| 86710 | <1% | 385 | $154.31 | |
| 81003 | <1% | 380 | $126.36 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $115.96 |
| 85018 | <1% | 1,413 | $104.32 | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 386 | $92.64 |
| 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% | 629 | $90.22 |
| 93000 | <1% | 26 | $86.10 | |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 14 | $84.25 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | $71.28 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 105 | $61.95 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 225 | $54.63 |
| S0197 | Prenatal vitamins, 30-day supply | <1% | 25 | $41.60 |
| 81002 | <1% | 54 | $36.55 | |
| 87430 | <1% | 62 | $16.36 | |
| 86580 | <1% | 94 | $13.44 | |
| 91321 | <1% | 13 | $9.00 | |
| 88720 | <1% | 44 | $4.30 | |
| G0467 | Community health center visit, returning patient | 0% | 8,169 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 137 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 989 | $0.00 |
| Z6410 | 0% | 2,945 | $0.00 | |
| Z6204 | 0% | 1,258 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 30 | $0.00 |
| Z6406 | 0% | 147 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 137 | $0.00 |
| Z1034 | 0% | 223 | $0.00 | |
| Z1032 | 0% | 17 | $0.00 | |
| 99174 | 0% | 38 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 41 | $0.00 |
| Z6414 | 0% | 372 | $0.00 | |
| Z6400 | 0% | 1,163 | $0.00 | |
| 99173 | 0% | 1,326 | $0.00 | |
| 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 | 0% | 52 | $0.00 |
| Z6500 | 0% | 198 | $0.00 | |
| Z6304 | 0% | 243 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 26 | $0.00 |
| Z6308 | 0% | 18 | $0.00 | |
| 82948 | 0% | 22 | $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 officialHARDY, ALICIA (CHIEF EXECUITVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Ole Health | Napa, CA | $31.57M |
| Ole Health | Fairfield, CA | $31.13M |
| Ole Health | Saint Helena, CA | $1.56M |
| Ole Health | Calistoga, CA | $568K |
| Ole Health | Napa, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.