Supplier
Active Life Wound Clinic a Professional Nursing Corporation
Active Life Wound Clinic a Professional Nursing Corporation was paid $608K by Medicaid between Jan 2018 and Oct 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoACTIVE LIFE WOUND CLINIC A PROFESSIONAL NURSING CORPORATION
SACRAMENTO, CA 95825
SACRAMENTO, CA 95825
33aNPI1801253323assigned 01/28/2016
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$608K
24GClaims94,668
24DCodes billed40
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#234 of 946
Median peer was paid$15K
This provider vs. median40×
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 | 2,534 | $155K | |
| 2019 | 9,812 | $12K | |
| 2020 | 14,776 | $26K | |
| 2021 | 17,725 | $17K | |
| 2022 | 20,621 | $150K | |
| 2023 | 21,161 | $157K | |
| 2024incomplete | 8,039 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 21,489 | 8,520 | $222K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 22% | 12,560 | 5,128 | $134K |
| 11043 | 17% | 8,437 | 3,108 | $101K | |
| S5110 | Home care training, family; per 15 minutes | 14% | 20,292 | 7,813 | $84K |
| 29581 | 5.3% | 6,017 | 1,905 | $32K | |
| 11045 | 2.4% | 2,266 | 876 | $15K | |
| 99245 | 1.0% | 872 | 864 | $6K | |
| 97597 | <1% | 2,880 | 1,195 | $5K | |
| 11046 | <1% | 708 | 260 | $2K | |
| 99199 | Unlisted special service, procedure or report | <1% | 7,351 | 2,950 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 263 | 84 | $2K |
| 94760 | <1% | 1,120 | 613 | $1K |
28 more codes
| 29580 | <1% | 1,025 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 430 | $459.81 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 163 | $306.64 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 20 | $86.40 |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 227 | $42.84 |
| A6252 | Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 964 | $12.00 |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 1,067 | $4.77 |
| 97139 | <1% | 119 | $1.00 | |
| 99499 | 0% | 1,679 | $0.00 | |
| A6248 | Hydrogel dressing, wound filler, gel, per fluid ounce | 0% | 266 | $0.00 |
| A6253 | Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing | 0% | 226 | $0.00 |
| A6210 | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | 0% | 652 | $0.00 |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 0% | 545 | $0.00 |
| 99072 | 0% | 1,284 | $0.00 | |
| A6266 | Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard | 0% | 323 | $0.00 |
| A6457 | Tubular dressing with or without elastic, any width, per linear yard | 0% | 28 | $0.00 |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 0% | 36 | $0.00 |
| S5111 | Home care training, family; per session | 0% | 68 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 18 | $0.00 |
| A4450 | Tape, non-waterproof, per 18 square inches | 0% | 165 | $0.00 |
| A5120 | Skin barrier, wipes or swabs, each | 0% | 87 | $0.00 |
| A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 0% | 742 | $0.00 |
| A6450 | Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard | 0% | 25 | $0.00 |
| A6223 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing | 0% | 88 | $0.00 |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | 0% | 28 | $0.00 |
| A6454 | Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard | 0% | 73 | $0.00 |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | 0% | 41 | $0.00 |
| S5100 | Day care services, adult; per 15 minutes | 0% | 24 | $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 officialSOUZA, JEFF (PRESIDENT)