Clinic
Ole Health
Ole Health was paid $26.25M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.
33Billing provider infoOLE HEALTH
WEST SACRAMENTO, CA 95605
WEST SACRAMENTO, CA 95605
33aNPI1710087515assigned 09/22/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$26.25M
24GClaims426,675
24DCodes billed109
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#142 of 826
Median peer was paid$4.05M
This provider vs. median6.5×
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 | 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 | |
| 2024incomplete | 48,887 | $3.52M |
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 | 72% | 145,171 | 124,013 | $18.79M |
| 00003 | Internal/system code - not a standard HCPCS code | 20% | 24,344 | 18,906 | $5.33M |
| G9012 | Other specified case management service not elsewhere classified | 2.1% | 3,347 | 1,684 | $546K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.2% | 4,747 | 3,782 | $323K |
| 59425 | <1% | 2,926 | 2,203 | $230K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 13,157 | 6,271 | $202K |
| 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% | 95,846 | 63,375 | $162K |
| 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% | 26,248 | 17,974 | $81K |
| 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% | 7,385 | 6,803 | $79K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 10,244 | 7,082 | $76K |
| 90686 | <1% | 5,501 | 4,118 | $45K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,282 | 728 | $34K |
97 more codes
| 90688 | <1% | 1,836 | $29K | |
| 97803 | <1% | 1,899 | $27K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,049 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,786 | $16K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 122 | $15K |
| 90670 | <1% | 1,753 | $15K | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 1,125 | $14K |
| 96156 | <1% | 1,133 | $14K | |
| 0004A | <1% | 203 | $13K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,153 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,881 | $12K |
| 90715 | <1% | 821 | $12K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 790 | $10K |
| J3490 | Unclassified drugs | <1% | 234 | $10K |
| 97802 | <1% | 86 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,996 | $8K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 363 | $7K |
| 0064A | <1% | 104 | $7K | |
| 99401 | <1% | 510 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 124 | $5K |
| 90647 | <1% | 1,095 | $5K | |
| 90633 | <1% | 832 | $5K | |
| 0124A | <1% | 74 | $5K | |
| 90723 | <1% | 968 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,897 | $4K |
| 0071A | <1% | 57 | $4K | |
| 0002A | <1% | 57 | $4K | |
| 92551 | <1% | 8,662 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,302 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,481 | $3K |
| 90651 | <1% | 493 | $3K | |
| 97810 | <1% | 327 | $3K | |
| 0001A | <1% | 44 | $3K | |
| 97811 | <1% | 308 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 88 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 95 | $2K |
| 0072A | <1% | 33 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 273 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 82 | $2K |
| 0012A | <1% | 27 | $2K | |
| 90656 | <1% | 258 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 12,103 | $2K |
| 81025 | <1% | 879 | $2K | |
| 90734 | <1% | 246 | $1K | |
| 0011A | <1% | 25 | $1K | |
| 96151 | <1% | 106 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,014 | $1K |
| 90681 | <1% | 276 | $936.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 68 | $867.47 |
| 90716 | <1% | 77 | $821.45 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 47 | $673.92 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 13 | $594.62 |
| 99381 | <1% | 50 | $557.04 | |
| 90671 | <1% | 124 | $540.00 | |
| 90662 | <1% | 33 | $474.06 | |
| 90680 | <1% | 76 | $432.00 | |
| H0049 | Alcohol and/or drug screening | <1% | 14 | $336.00 |
| 85018 | <1% | 2,663 | $278.40 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 936 | $277.00 |
| 90700 | <1% | 49 | $225.00 | |
| 96150 | <1% | 13 | $210.37 | |
| 81002 | <1% | 370 | $195.65 | |
| 90710 | <1% | 33 | $153.00 | |
| 90707 | <1% | 28 | $153.00 | |
| 99406 | <1% | 14 | $149.24 | |
| 97026 | <1% | 61 | $140.71 | |
| 86703 | <1% | 14 | $131.56 | |
| 90696 | <1% | 28 | $126.00 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 12 | $96.00 |
| 90744 | <1% | 14 | $72.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 105 | $53.07 |
| 99000 | <1% | 22 | $40.50 | |
| S5199 | Personal care item, nos, each | <1% | 12 | $36.00 |
| 88720 | <1% | 62 | $12.90 | |
| 86580 | <1% | 76 | $10.08 | |
| 82947 | <1% | 35 | $6.60 | |
| Z6208 | 0% | 1,059 | $0.00 | |
| Z6304 | 0% | 1,063 | $0.00 | |
| Z6414 | 0% | 44 | $0.00 | |
| Z6400 | 0% | 749 | $0.00 | |
| Z6500 | 0% | 470 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 84 | $0.00 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 159 | $0.00 |
| Z6308 | 0% | 56 | $0.00 | |
| Z6302 | 0% | 27 | $0.00 | |
| Z6200 | 0% | 43 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| Z6300 | 0% | 43 | $0.00 | |
| 99173 | 0% | 16 | $0.00 | |
| Z6204 | 0% | 2,151 | $0.00 | |
| Z1034 | 0% | 8,025 | $0.00 | |
| Z6410 | 0% | 1,571 | $0.00 | |
| Z6402 | 0% | 47 | $0.00 | |
| Z6406 | 0% | 541 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 159 | $0.00 |
| Z1032 | 0% | 24 | $0.00 | |
| Z1038 | 0% | 15 | $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 officialMACISAAC, ROSE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Ole Health | Woodland, CA | $30.50M |
| Ole Health | Davis, CA | $22.63M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.