Clinic
LA Red Health Center, INC.
LA Red Health Center, INC. was paid $2.74M by Medicaid between Jan 2018 and Nov 2024, across 45 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.
MILFORD, DE 19963
MILFORD, DE 19963
33aNPI1750762126assigned 06/11/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.74M
24GClaims43,019
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Delaware
Rank by total paid#4 of 10
Median peer was paid$14K
This provider vs. median200×
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 | 3,613 | $62K | |
| 2019 | 4,160 | $179K | |
| 2020 | 4,599 | $432K | |
| 2021 | 8,417 | $582K | |
| 2022 | 9,565 | $659K | |
| 2023 | 9,026 | $574K | |
| 2024incomplete | 3,639 | $255K |
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% | 13,678 | 9,829 | $1.89M |
| 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 | 12% | 2,129 | 1,234 | $340K |
| 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 | 4.6% | 1,835 | 1,250 | $127K |
| 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 | 2.9% | 614 | 462 | $80K |
| D1110 | Prophylaxis - adult | 2.6% | 1,461 | 1,139 | $72K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 1,827 | 1,169 | $58K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.8% | 2,021 | 1,353 | $50K |
| D1206 | Topical application of fluoride varnish | 1.7% | 2,468 | 1,588 | $47K |
| D0274 | Bitewings - four radiographic images | 1.2% | 1,076 | 672 | $32K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 124 | 86 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 382 | 199 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 85 | 35 | $5K |
33 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 269 | $4K |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 13 | $3K |
| D1351 | Sealant - per tooth | <1% | 105 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 56 | $999.18 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,350 | $948.38 |
| D0330 | Panoramic radiographic image | <1% | 21 | $818.01 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,177 | $589.94 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,844 | $95.22 |
| 90837 | Psychotherapy session, about an hour | <1% | 441 | $79.89 |
| 82962 | <1% | 795 | $61.13 | |
| 99177 | <1% | 1,531 | $57.05 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 88 | $30.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 530 | $7.15 |
| 81002 | <1% | 428 | $4.04 | |
| 90686 | <1% | 281 | $0.50 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,505 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 140 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 32 | $0.00 |
| 90461 | 0% | 493 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 24 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 252 | $0.00 |
| 99401 | 0% | 31 | $0.00 | |
| 81025 | 0% | 46 | $0.00 | |
| 99173 | 0% | 15 | $0.00 | |
| D0603 | 0% | 958 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 171 | $0.00 |
| 97802 | 0% | 554 | $0.00 | |
| 90688 | 0% | 42 | $0.00 | |
| D0602 | 0% | 33 | $0.00 | |
| 91301 | 0% | 33 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 15 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 23 | $0.00 |
| 0012A | 0% | 23 | $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 | $7.35M |
| LA Red Health Center INC | Georgetown, DE | $3.10M |
| 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.