Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › WEST SACRAMENTO › OLE HEALTH

OLE HEALTH

NPI: 1710087515 · WEST SACRAMENTO, CA 95605 · Federally Qualified Health Center (FQHC) · NPI assigned 09/22/2006

$26.25M
Total Medicaid Paid
426,675
Total Claims
324,501
Beneficiaries
109
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACISAAC, ROSE (CFO)
NPI Enumeration Date09/22/2006

Related Entities

Other providers sharing the same authorized official: MACISAAC, ROSE

ProviderCityStateTotal Paid
OLE HEALTH WOODLAND CA $30.50M
OLE HEALTH DAVIS CA $22.63M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50,143 $5.14M
2019 52,699 $3.46M
2020 69,365 $3.54M
2021 79,135 $4.13M
2022 68,032 $3.32M
2023 58,414 $3.13M
2024 48,887 $3.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 145,171 124,013 $18.79M
00003 Internal/system code - not a standard HCPCS code 24,344 18,906 $5.33M
G9012 Other specified case management service not elsewhere classified 3,347 1,684 $546K
H1001 Prenatal care, at-risk enhanced service; antepartum management 4,747 3,782 $323K
59425 2,926 2,203 $230K
90832 Psychotherapy, 30 minutes with patient 13,157 6,271 $202K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 95,846 63,375 $162K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,248 17,974 $81K
G0467 Federally 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 7,385 6,803 $79K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 10,244 7,082 $76K
90686 5,501 4,118 $45K
90834 Psychotherapy, 45 minutes with patient 1,282 728 $34K
90688 1,836 1,430 $29K
97803 1,899 1,655 $27K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,049 795 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,786 1,994 $16K
H1002 Prenatal care, at risk enhanced service; care coordination 122 118 $15K
90670 1,753 1,286 $15K
S9452 Nutrition classes, non-physician provider, per session 1,125 836 $14K
96156 1,133 1,013 $14K
0004A 203 202 $13K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,153 2,118 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,881 4,448 $12K
90715 821 640 $12K
H1003 Prenatal care, at-risk enhanced service; education 790 697 $10K
J3490 Unclassified drugs 234 207 $10K
97802 86 81 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,996 2,625 $8K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 363 309 $7K
0064A 104 104 $7K
99401 510 496 $6K
90791 Psychiatric diagnostic evaluation 124 77 $5K
90647 1,095 815 $5K
90633 832 635 $5K
0124A 74 74 $5K
90723 968 701 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,897 1,867 $4K
0071A 57 56 $4K
0002A 57 57 $4K
92551 8,662 5,624 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,302 1,776 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,481 966 $3K
90651 493 378 $3K
97810 327 146 $3K
0001A 44 44 $3K
97811 308 144 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 88 70 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 95 53 $2K
0072A 33 33 $2K
90837 Psychotherapy, 53 minutes with patient 273 186 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 82 54 $2K
0012A 27 27 $2K
90656 258 179 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 12,103 10,947 $2K
81025 879 652 $2K
90734 246 195 $1K
0011A 25 23 $1K
96151 106 95 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,014 1,826 $1K
90681 276 194 $936.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 68 46 $867.47
90716 77 67 $821.45
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 47 25 $673.92
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 13 13 $594.62
99381 50 35 $557.04
90671 124 96 $540.00
90662 33 27 $474.06
90680 76 66 $432.00
H0049 Alcohol and/or drug screening 14 14 $336.00
85018 2,663 2,509 $278.40
83036 Hemoglobin; glycosylated (A1C) 936 899 $277.00
90700 49 29 $225.00
96150 13 13 $210.37
81002 370 293 $195.65
90710 33 24 $153.00
90707 28 25 $153.00
99406 14 14 $149.24
97026 61 30 $140.71
86703 14 12 $131.56
90696 28 25 $126.00
A4267 Contraceptive supply, condom, male, each 12 12 $96.00
90744 14 12 $72.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 105 94 $53.07
99000 22 13 $40.50
S5199 Personal care item, nos, each 12 12 $36.00
88720 62 51 $12.90
86580 76 71 $10.08
82947 35 33 $6.60
Z6208 1,059 830 $0.00
Z6304 1,063 994 $0.00
Z6414 44 43 $0.00
Z6400 749 741 $0.00
Z6500 470 470 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 84 84 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 159 159 $0.00
Z6308 56 56 $0.00
Z6302 27 27 $0.00
Z6200 43 43 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $0.00
Z6300 43 43 $0.00
99173 16 16 $0.00
Z6204 2,151 1,927 $0.00
Z1034 8,025 6,612 $0.00
Z6410 1,571 1,216 $0.00
Z6402 47 47 $0.00
Z6406 541 536 $0.00
G0008 Administration of influenza virus vaccine 159 159 $0.00
Z1032 24 24 $0.00
Z1038 15 15 $0.00