Wellspace Health
Wellspace Health was paid $3.03M by Medicaid between Jan 2018 and Dec 2023, across 49 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoWELLSPACE HEALTH
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
33aNPI1811262348assigned 03/16/2012
33bProvider typeCase Manager/Care Coordinator
28Total paid$3.03M
24GClaims163,592
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#215 of 435
Median peer was paid$2.89M
This provider vs. median1.0×
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.
Entity ProliferationAuthorized official PORTEUS, ALASDAIR controls 20+ related entities in our dataset. Read more
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 | 23,142 | $1.63M | |
| 2019 | 50,985 | $1.19M | |
| 2020 | 10,253 | $84K | |
| 2021 | 16,002 | $35K | |
| 2022 | 37,105 | $45K | |
| 2023 | 26,105 | $39K |
Box 24 · Service lines
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 | 88% | 28,697 | 24,551 | $2.67M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 25,250 | 21,589 | $184K |
| 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 | 1.7% | 5,664 | 5,270 | $52K |
| 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 | <1% | 1,141 | 1,018 | $28K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 365 | 306 | $28K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 790 | 468 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,353 | 1,330 | $9K |
| 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% | 638 | 579 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 61 | 61 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 676 | 675 | $6K |
| 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% | 207 | 207 | $3K |
| 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% | 72 | 71 | $2K |
37 more codes
| G0467 | Community health center visit, returning patient | <1% | 408 | $1K |
| 99397 | <1% | 86 | $675.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 209 | $653.40 |
| 84439 | <1% | 68 | $476.29 | |
| 90686 | <1% | 69 | $258.39 | |
| 90674 | <1% | 65 | $256.59 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 17 | $150.00 |
| 92551 | <1% | 27 | $144.69 | |
| 99201 | <1% | 29 | $91.60 | |
| 80305 | <1% | 28 | $80.64 | |
| 99173 | <1% | 68 | $50.60 | |
| 3080F | 0% | 1,517 | $0.00 | |
| 3008F | 0% | 13,062 | $0.00 | |
| 3048F | 0% | 3,016 | $0.00 | |
| 3049F | 0% | 2,333 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 1,750 | $0.00 |
| 3079F | 0% | 4,383 | $0.00 | |
| 3044F | 0% | 257 | $0.00 | |
| 3074F | 0% | 7,226 | $0.00 | |
| 3075F | 0% | 2,186 | $0.00 | |
| 1036F | 0% | 11,685 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 11,309 | $0.00 |
| 2001F | 0% | 13,069 | $0.00 | |
| 1111F | 0% | 18 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 98 | $0.00 |
| 91301 | 0% | 95 | $0.00 | |
| 0012A | 0% | 23 | $0.00 | |
| 1034F | 0% | 54 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 12 | $0.00 |
| 0011A | 0% | 28 | $0.00 | |
| 3077F | 0% | 3,549 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 3,549 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 9,500 | $0.00 |
| 3078F | 0% | 6,978 | $0.00 | |
| 3046F | 0% | 82 | $0.00 | |
| 3050F | 0% | 1,729 | $0.00 | |
| 3045F | 0% | 96 | $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 officialPORTEUS, ALASDAIR (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Wellspace Health | Sacramento, CA | $76.86M |
| Wellspace Health | Sacramento, CA | $64.16M |
| Wellspace Health | Galt, CA | $42.54M |
| Wellspace Health | Sacramento, CA | $28.23M |
| Wellspace Health | Sacramento, CA | $18.86M |
| Wellspace Health | Sacramento, CA | $14.61M |
| Wellspace Health | Sacramento, CA | $13.57M |
| Wellspace Health | North Highlands, CA | $7.20M |
| Wellspace Health | Sacramento, CA | $5.34M |
| Wellspace Health | Citrus Heights, CA | $5.07M |
| Wellspace Health | Sacramento, CA | $3.67M |
| Wellspace Health | Martell, CA | $2.95M |
| Wellspace Health | Sacramento, CA | $1.02M |
| Wellspace Health | Citrus Heights, CA | $647K |
| Wellspace Health | Sacramento, CA | $318K |
| Wellspace Health | Sacramento, CA | $29K |
| Wellspace Health | Sacramento, CA | $20K |
| Wellspace Health | Sacramento, CA | $10K |
| Wellspace Health | Sacramento, CA | $3K |
| Wellspace Health | Sacramento, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.