Wellspace Health
Wellspace Health was paid $14.61M by Medicaid between Jan 2018 and May 2024, across 80 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoWELLSPACE HEALTH
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
33aNPI1811302045assigned 06/26/2014
33bProvider typeCase Manager/Care Coordinator
28Total paid$14.61M
24GClaims262,300
24DCodes billed80
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#122 of 435
Median peer was paid$2.89M
This provider vs. median5.1×
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 | 48,827 | $6.14M | |
| 2019 | 93,331 | $5.36M | |
| 2020 | 74,905 | $3.04M | |
| 2021 | 22,784 | $38K | |
| 2022 | 21,607 | $19K | |
| 2023 | 834 | $2K | |
| 2024incomplete | 12 | $288.00 |
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 | 99% | 99,077 | 57,510 | $14.43M |
| 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% | 11,572 | 9,348 | $84K |
| 0502F | <1% | 13,105 | 8,550 | $44K | |
| 59425 | <1% | 4,726 | 3,537 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,424 | 1,166 | $8K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 2,936 | 2,125 | $8K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 2,935 | 1,789 | $6K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 2,622 | 1,678 | $3K |
| 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% | 979 | 956 | $2K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 47 | 47 | $2K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 364 | 329 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,121 | 983 | $2K |
68 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,777 | $1K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 512 | $1K |
| 87590 | <1% | 1,670 | $1K | |
| 81025 | <1% | 1,007 | $832.42 | |
| 87490 | <1% | 1,669 | $738.31 | |
| 99385 | <1% | 255 | $573.35 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 453 | $564.60 |
| 0500F | <1% | 671 | $520.44 | |
| 96156 | <1% | 464 | $413.81 | |
| 99401 | <1% | 205 | $411.80 | |
| J3490 | Unclassified drugs | <1% | 71 | $396.69 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 851 | $387.43 |
| 0503F | <1% | 237 | $62.30 | |
| 1036F | <1% | 12,873 | $62.29 | |
| 96151 | <1% | 138 | $62.25 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 79 | $60.36 |
| 97803 | <1% | 96 | $60.29 | |
| 59430 | <1% | 16 | $59.88 | |
| 96152 | <1% | 14 | $8.33 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 14 | $8.33 |
| 99000 | <1% | 61 | $3.63 | |
| Z6500 | 0% | 785 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 92 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 13,093 | $0.00 |
| 3078F | 0% | 9,215 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 45 | $0.00 |
| 3077F | 0% | 472 | $0.00 | |
| 90670 | 0% | 44 | $0.00 | |
| Z6300 | 0% | 301 | $0.00 | |
| Z6400 | 0% | 804 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 472 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 54 | $0.00 |
| Z6304 | 0% | 410 | $0.00 | |
| 90715 | 0% | 213 | $0.00 | |
| Z6308 | 0% | 103 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 86 | $0.00 |
| 90648 | 0% | 31 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 25 | $0.00 |
| Z6208 | 0% | 115 | $0.00 | |
| A4550 | Surgical trays | 0% | 99 | $0.00 |
| Z6414 | 0% | 48 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 17 | $0.00 |
| 84439 | 0% | 45 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 2001F | 0% | 14,134 | $0.00 | |
| 3079F | 0% | 3,574 | $0.00 | |
| 3074F | 0% | 11,214 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 232 | $0.00 |
| 3008F | 0% | 14,136 | $0.00 | |
| 3075F | 0% | 982 | $0.00 | |
| Z1032 | 0% | 619 | $0.00 | |
| Z1038 | 0% | 205 | $0.00 | |
| Z1034 | 0% | 7,882 | $0.00 | |
| Z6204 | 0% | 370 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 95 | $0.00 |
| 99386 | 0% | 23 | $0.00 | |
| 3048F | 0% | 231 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 454 | $0.00 |
| 85018 | 0% | 34 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13,461 | $0.00 |
| 90674 | 0% | 114 | $0.00 | |
| Z6410 | 0% | 3,180 | $0.00 | |
| Z6406 | 0% | 392 | $0.00 | |
| 3049F | 0% | 100 | $0.00 | |
| 3080F | 0% | 172 | $0.00 | |
| 90688 | 0% | 28 | $0.00 | |
| 59514 | 0% | 30 | $0.00 | |
| 99383 | 0% | 15 | $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 | $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 | Roseville, CA | $3.03M |
| 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.