Ampla Health
Ampla Health was paid $33.94M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 61% of everything it billed.
OLIVEHURST, CA 95961
Next to other Case Manager/Care Coordinator providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 64,894 | $6.09M | |
| 2019 | 57,419 | $4.23M | |
| 2020 | 70,807 | $4.06M | |
| 2021 | 87,179 | $4.81M | |
| 2022 | 84,699 | $4.36M | |
| 2023 | 98,017 | $5.37M | |
| 2024incomplete | 98,134 | $5.02M |
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 | 61% | 175,103 | 150,344 | $20.76M |
| 00003 | Internal/system code - not a standard HCPCS code | 32% | 77,906 | 47,488 | $10.91M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 128,763 | 80,917 | $1.01M |
| 98940 | <1% | 22,169 | 10,124 | $262K | |
| 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% | 29,662 | 16,666 | $260K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 38,060 | 26,480 | $193K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,861 | 2,755 | $129K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 841 | 686 | $70K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,037 | 694 | $59K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 2,374 | 1,364 | $46K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,608 | 1,040 | $32K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 929 | 572 | $17K |
86 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,471 | $16K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 560 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,762 | $15K |
| 92552 | <1% | 5,371 | $13K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,209 | $13K |
| 90686 | <1% | 3,978 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,559 | $9K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 954 | $9K |
| 97802 | <1% | 261 | $8K | |
| 97803 | <1% | 304 | $8K | |
| 81002 | <1% | 10,389 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 718 | $6K |
| J3490 | Unclassified drugs | <1% | 276 | $5K |
| 20600 | <1% | 491 | $5K | |
| 0012A | <1% | 317 | $5K | |
| 85018 | <1% | 9,412 | $3K | |
| 90656 | <1% | 440 | $3K | |
| 90715 | <1% | 625 | $3K | |
| 0011A | <1% | 408 | $3K | |
| 82962 | <1% | 3,647 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 320 | $3K |
| 90651 | <1% | 782 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 976 | $2K |
| 81025 | <1% | 2,030 | $2K | |
| 92551 | <1% | 501 | $2K | |
| 96156 | <1% | 146 | $2K | |
| 90619 | <1% | 483 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 79 | $1K |
| 90633 | <1% | 750 | $1K | |
| 90671 | <1% | 336 | $1K | |
| 90697 | <1% | 604 | $918.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 413 | $777.64 |
| 90680 | <1% | 546 | $531.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 405 | $463.66 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 91 | $433.65 |
| 90710 | <1% | 254 | $418.00 | |
| 90716 | <1% | 126 | $390.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 343 | $374.64 |
| 82948 | <1% | 1,226 | $352.30 | |
| 90696 | <1% | 164 | $313.00 | |
| 80305 | <1% | 62 | $299.56 | |
| 90707 | <1% | 57 | $288.00 | |
| 90620 | <1% | 51 | $234.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 51 | $135.00 |
| 99401 | <1% | 15 | $134.56 | |
| 90734 | <1% | 319 | $109.87 | |
| 99173 | <1% | 2,430 | $102.09 | |
| 90461 | <1% | 461 | $77.88 | |
| 90700 | <1% | 19 | $77.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 82 | $69.90 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 75 | $55.22 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 15 | $21.84 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 908 | $17.08 |
| 83037 | <1% | 2,379 | $7.20 | |
| 81005 | <1% | 18 | $5.19 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 309 | $0.70 |
| 3455F | 0% | 3,486 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 814 | $0.00 |
| 90670 | 0% | 1,097 | $0.00 | |
| 90648 | 0% | 570 | $0.00 | |
| 90649 | 0% | 109 | $0.00 | |
| Z6304 | 0% | 70 | $0.00 | |
| 99201 | 0% | 30 | $0.00 | |
| 2028F | 0% | 100 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 275 | $0.00 |
| 90662 | 0% | 29 | $0.00 | |
| 3077F | 0% | 19 | $0.00 | |
| 91300 | 0% | 99 | $0.00 | |
| Z6200 | 0% | 12 | $0.00 | |
| Z6400 | 0% | 27 | $0.00 | |
| 4004F | 0% | 28 | $0.00 | |
| 91301 | 0% | 667 | $0.00 | |
| 1000F | 0% | 1,873 | $0.00 | |
| 99172 | 0% | 1,725 | $0.00 | |
| 36416 | 0% | 137 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 1,421 | $0.00 |
| 90723 | 0% | 393 | $0.00 | |
| 94760 | 0% | 567 | $0.00 | |
| Z6406 | 0% | 70 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 12 | $0.00 |
| 20610 | 0% | 13 | $0.00 | |
| 87081 | 0% | 58 | $0.00 | |
| Z6204 | 0% | 31 | $0.00 | |
| 3044F | 0% | 97 | $0.00 | |
| 86580 | 0% | 17 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| United Health Centers of the San Joaquin Valley | Kerman, CA | $47.34M |
| United Health Centers of the San Joaquin Valley | Mendota, CA | $42.12M |
| Ampla Health | Chico, CA | $38.07M |
| Ampla Health | Yuba City, CA | $30.75M |
| Ampla Health | Oroville, CA | $26.30M |
| United Health Centers of the SJV | Parlier, CA | $17.68M |
| Ampla Health | Yuba City, CA | $17.09M |
| Ampla Health | Yuba City, CA | $15.40M |
| United Health Centers of the San Joaquin Valley | Orange Cove, CA | $12.85M |
| United Health Centers of the San Joaquin Valley | Earlimart, CA | $12.64M |
| Ampla Health | Orland, CA | $5.86M |
| Ampla Health | Colusa, CA | $5.09M |
| Ampla Health | Gridley, CA | $4.15M |
| Ampla Health | Arbuckle, CA | $4.13M |
| United Health Centers of the SJV | Sanger, CA | $2.66M |
| Ampla Health | Los Molinos, CA | $2.35M |
| Ampla Health | Hamilton City, CA | $1.61M |
| United Health Centers of the San Joaquin Valley | Parlier, CA | $162K |
| United Health Centers of the San Joaquin Valley | Mendota, CA | $118K |
| United Health Centers of the San Joaquin Valley | Parlier, CA | $57K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.