Clinic
LA Red Health Center INC
LA Red Health Center INC was paid $3.10M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is G0467, community health center visit, returning patient — 67% of everything it billed.
33Billing provider infoLA RED HEALTH CENTER INC
GEORGETOWN, DE 19947
GEORGETOWN, DE 19947
33aNPI1811171978assigned 12/26/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.10M
24GClaims34,930
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Delaware
Rank by total paid#3 of 10
Median peer was paid$14K
This provider vs. median226×
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 | 3,471 | $19K | |
| 2019 | 4,853 | $311K | |
| 2020 | 6,642 | $697K | |
| 2021 | 6,380 | $686K | |
| 2022 | 5,746 | $531K | |
| 2023 | 5,197 | $476K | |
| 2024incomplete | 2,641 | $376K |
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 | 67% | 12,645 | 9,992 | $2.06M |
| 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 | 32% | 7,826 | 5,018 | $1.01M |
| 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% | 75 | 69 | $18K |
| 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 | <1% | 21 | 18 | $3K |
| 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% | 5,914 | 5,040 | $3K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 374 | 316 | $1K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,058 | 676 | $719.68 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 533 | 470 | $564.96 |
| 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% | 454 | 337 | $489.10 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,409 | 985 | $321.52 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 569 | 422 | $180.69 |
| 81002 | <1% | 2,070 | 1,209 | $134.47 |
7 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 420 | $129.32 |
| 99442 | <1% | 461 | $27.91 | |
| 81025 | <1% | 45 | $0.05 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 635 | $0.02 |
| 90863 | 0% | 183 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 158 | $0.00 |
| 99443 | 0% | 80 | $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. | Milford, DE | $2.74M |
| 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.