Healthnet, INC.

Healthnet, INC. was paid $73.86M by Medicaid between Jan 2018 and Dec 2024, across 170 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

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	269,797	$7.09M
2019	246,023	$10.57M
2020	203,672	$8.38M
2021	410,929	$13.27M
2022	427,104	$11.93M
2023	427,169	$11.95M
2024incomplete	331,632	$10.67M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	431,942	347,727	$21.41M
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	14%	581,631	434,679	$10.48M
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	5.6%	57,217	45,757	$4.12M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.2%	46,851	41,953	$3.82M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.6%	45,200	38,407	$3.38M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.5%	42,739	37,738	$3.34M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	4.4%	85,617	57,414	$3.22M
59426		4.2%	42,647	26,288	$3.13M
59425		2.8%	30,010	23,209	$2.08M
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.6%	24,632	21,097	$1.93M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.2%	54,215	44,398	$1.66M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.3%	12,850	9,998	$994K

158 more codes

D0120	Dental checkup, returning patient	1.0%	46,396	$751K
D1110	Prophylaxis - adult	<1%	21,857	$723K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	<1%	1,442	$696K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	10,050	$683K
D1120	Dental cleaning, child	<1%	24,992	$629K
D1206	Topical application of fluoride varnish	<1%	37,677	$613K
D0330	Panoramic radiographic image	<1%	16,245	$575K
D1351	Sealant - per tooth	<1%	29,981	$570K
D9999	Unspecified adjunctive procedure, by report	<1%	81,637	$544K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	11,491	$517K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	5,048	$432K
98941	Chiropractic manipulative treatment; spinal, 3-4 regions	<1%	15,926	$431K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	12,319	$427K
G0467	Community health center visit, returning patient	<1%	22,302	$401K
99238	Hospital discharge day management, 30 minutes or less	<1%	8,002	$368K
D0150	Comprehensive oral evaluation - new or established patient	<1%	15,447	$360K
D7140	Extraction, erupted tooth or exposed root	<1%	7,086	$337K
59025	Fetal non-stress test	<1%	15,753	$336K
D0274	Bitewings - four radiographic images	<1%	16,538	$289K
99460		<1%	4,606	$289K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	6,755	$265K
59430		<1%	2,890	$251K
99235		<1%	2,784	$244K
D0272	Bitewings - two radiographic images	<1%	11,413	$171K
D0210	Intraoral - complete series of radiographic images	<1%	15,225	$167K
99203	Doctor's office visit, new patient (routine)	<1%	2,934	$157K
90686		<1%	63,433	$153K
87210		<1%	37,119	$144K
D0140	Limited oral evaluation - problem focused	<1%	5,758	$138K
81025		<1%	23,621	$135K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	2,455	$126K
99283	Emergency room visit (moderate)	<1%	2,322	$113K
99205	Prolong outpt/office vis	<1%	807	$108K
83036	Hemoglobin; glycosylated (A1C)	<1%	17,059	$107K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	1,372	$95K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	9,674	$95K
D4341		<1%	1,691	$92K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	1,558	$87K
99204	Doctor's office visit, new patient (more involved)	<1%	839	$85K
D2331		<1%	1,532	$82K
99385		<1%	1,489	$81K
D4346		<1%	1,121	$76K
D4910		<1%	4,357	$76K
92015	Determination of refractive state	<1%	7,051	$73K
D2330		<1%	1,608	$72K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	1,484	$70K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	5,876	$69K
D0145	Oral evaluation for a patient under three years of age	<1%	2,763	$65K
81002		<1%	24,868	$57K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	9,322	$55K
D0220	Intraoral - periapical first radiographic image	<1%	9,894	$54K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	983	$53K
D1354		<1%	1,299	$52K
99462		<1%	1,746	$50K
D0240		<1%	4,830	$49K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	2,640	$48K
D2332		<1%	675	$43K
99386		<1%	624	$32K
98943		<1%	1,640	$30K
83986		<1%	9,835	$27K
99384		<1%	384	$27K
D0230	Intraoral - periapical each additional radiographic image	<1%	11,076	$26K
D2335		<1%	298	$24K
76830	Ultrasound, transvaginal	<1%	453	$22K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	<1%	2,085	$21K
59514		<1%	169	$20K
76801		<1%	417	$19K
99215	Doctor's office visit, returning patient (complex)	<1%	175	$18K
90677		<1%	3,564	$16K
D4342		<1%	599	$16K
90651		<1%	8,484	$15K
99354		<1%	484	$15K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,264	$15K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	131	$14K
D2930	Prefabricated stainless steel crown - primary tooth	<1%	181	$13K
90715		<1%	2,754	$13K
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%	724	$11K
90656		<1%	3,584	$11K
82962		<1%	5,395	$10K
98940		<1%	548	$9K
85018		<1%	4,517	$8K
99383		<1%	76	$7K
99381		<1%	156	$7K
90837	Psychotherapy session, about an hour	<1%	61	$5K
90834	Psychotherapy session, about 45 minutes	<1%	408	$4K
90670		<1%	24,893	$4K
90472	Immunization administration, each additional vaccine (list separately)	<1%	266	$3K
D1208	Topical application of fluoride, excluding varnish	<1%	167	$3K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	99	$2K
D2394		<1%	43	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	109	$2K
S4993	Contraceptive pills for birth control	<1%	339	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	434	$2K
99463		<1%	30	$2K
90619		<1%	2,353	$1K
86580		<1%	568	$976.59
90480		<1%	37	$895.85
92552		<1%	50	$657.82
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	<1%	61	$600.00
90710		<1%	1,448	$595.28
J8499	Prescription drug, oral, non chemotherapeutic, nos	<1%	334	$580.57
90723		<1%	14,941	$489.24
90734		<1%	3,265	$467.93
D2940		<1%	12	$461.92
0072A		<1%	14	$446.52
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%	140	$378.02
90620		<1%	882	$347.66
90632		<1%	25	$319.73
58300		<1%	117	$257.51
90716		<1%	1,063	$237.60
88720		<1%	175	$230.36
57454		<1%	146	$225.65
90633		<1%	12,522	$191.25
90707		<1%	1,009	$168.30
D0270		<1%	15	$164.27
90648		<1%	10,101	$158.82
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	85	$142.72
90647		<1%	8,053	$138.77
Q0144	Azithromycin dihydrate, oral, capsules/powder, 1 gram	<1%	353	$129.39
82044		<1%	192	$121.00
90688		<1%	430	$120.00
94664		<1%	12	$106.29
93000		<1%	194	$76.06
90732		<1%	95	$76.00
69210		<1%	68	$70.76
90696		<1%	1,210	$40.08
90698		<1%	4,449	$16.00
85610		<1%	15	$9.20
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	130	$8.20
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	87	$1.08
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	50	$0.08
90685		0%	570	$0.00
90681		0%	6,450	$0.00
91322		0%	159	$0.00
91321		0%	62	$0.00
90700		0%	379	$0.00
99173		0%	283	$0.00
D0190		0%	12	$0.00
D0191		0%	33	$0.00
11982		0%	49	$0.00
99442		0%	66	$0.00
11981		0%	30	$0.00
96160		0%	21	$0.00
D0602		0%	195	$0.00
90744		0%	1,907	$0.00
97010		0%	40	$0.00
D9310		0%	67	$0.00
A9150	Non-prescription drugs	0%	348	$0.00
CN006		0%	18	$0.00
D0603		0%	437	$0.00
89060		0%	18	$0.00
G0008	Administration of influenza virus vaccine	0%	110	$0.00
90381		0%	63	$0.00
96380		0%	61	$0.00
D0601		0%	102	$0.00
Q2036	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)	0%	26	$0.00
58301		0%	46	$0.00
58100		0%	14	$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 officialLACKEY, JOSEPH (CHIEF FINANCIAL OFFICER)