Ampla Health
Ampla Health was paid $30.75M by Medicaid between Jan 2018 and Nov 2024, across 100 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoAMPLA HEALTH
YUBA CITY, CA 95991
YUBA CITY, CA 95991
33aNPI1831115070assigned 07/14/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$30.75M
24GClaims579,524
24DCodes billed100
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#66 of 435
Median peer was paid$2.89M
This provider vs. median11×
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 FLORES, BENJAMIN 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 | 54,647 | $4.55M | |
| 2019 | 61,150 | $3.73M | |
| 2020 | 92,132 | $4.51M | |
| 2021 | 119,657 | $5.11M | |
| 2022 | 118,408 | $4.72M | |
| 2023 | 120,344 | $5.09M | |
| 2024incomplete | 13,186 | $3.03M |
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 | 80% | 225,329 | 189,783 | $24.74M |
| G9012 | Other specified case management service not elsewhere classified | 9.6% | 9,847 | 8,171 | $2.96M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 163,880 | 103,451 | $1.39M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 71,210 | 46,870 | $424K |
| 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% | 15,092 | 9,256 | $219K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 13,358 | 5,676 | $177K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 5,369 | 2,897 | $151K |
| 98940 | <1% | 10,306 | 4,483 | $131K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,646 | 1,101 | $94K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,815 | 934 | $58K |
| 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 | <1% | 1,462 | 562 | $53K |
| 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% | 2,121 | 1,559 | $43K |
88 more codes
| 90750 | <1% | 411 | $31K | |
| 99460 | <1% | 1,395 | $24K | |
| 90686 | <1% | 3,929 | $23K | |
| 20600 | <1% | 1,280 | $19K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,420 | $18K |
| 97802 | <1% | 507 | $18K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 954 | $15K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 4,796 | $13K |
| 97803 | <1% | 472 | $13K | |
| 93000 | <1% | 667 | $10K | |
| 90677 | <1% | 73 | $8K | |
| 99462 | <1% | 1,021 | $8K | |
| 92552 | <1% | 1,256 | $8K | |
| 90662 | <1% | 266 | $8K | |
| 90715 | <1% | 643 | $7K | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 83 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 686 | $7K |
| 90837 | Psychotherapy session, about an hour | <1% | 158 | $6K |
| 81002 | <1% | 6,100 | $6K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,004 | $5K |
| 11750 | <1% | 141 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 272 | $4K |
| 80305 | <1% | 1,520 | $4K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,683 | $4K |
| 90651 | <1% | 128 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 504 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 650 | $4K |
| 81025 | <1% | 2,594 | $3K | |
| 20610 | <1% | 810 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 832 | $3K |
| 11720 | <1% | 311 | $3K | |
| 90670 | <1% | 1,072 | $2K | |
| 0012A | <1% | 256 | $2K | |
| 85018 | <1% | 2,625 | $2K | |
| 17110 | <1% | 116 | $2K | |
| 90619 | <1% | 75 | $2K | |
| 0011A | <1% | 449 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 175 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 44 | $1K |
| 20550 | <1% | 45 | $824.22 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 358 | $812.74 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 560 | $745.90 |
| 85610 | <1% | 295 | $736.39 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 37 | $686.40 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 15 | $686.10 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 120 | $341.92 |
| 69210 | <1% | 15 | $335.83 | |
| 90648 | <1% | 295 | $252.04 | |
| 90723 | <1% | 374 | $249.93 | |
| 90633 | <1% | 205 | $230.02 | |
| 90461 | <1% | 280 | $227.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 282 | $206.25 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 39 | $185.85 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 663 | $165.52 |
| 90680 | <1% | 170 | $163.69 | |
| 86580 | <1% | 196 | $156.17 | |
| 90647 | <1% | 294 | $126.00 | |
| 82962 | <1% | 158 | $125.05 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 563 | $111.02 |
| 99173 | <1% | 448 | $103.20 | |
| 81005 | <1% | 199 | $102.20 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 17 | $60.36 |
| 82948 | <1% | 163 | $40.65 | |
| 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 | <1% | 341 | $23.78 |
| 83037 | <1% | 1,449 | $7.19 | |
| 91301 | 0% | 879 | $0.00 | |
| 99172 | 0% | 598 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 598 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 35 | $0.00 |
| 94760 | 0% | 1,206 | $0.00 | |
| 36416 | 0% | 68 | $0.00 | |
| 90697 | 0% | 42 | $0.00 | |
| 87081 | 0% | 316 | $0.00 | |
| 1000F | 0% | 976 | $0.00 | |
| 90732 | 0% | 45 | $0.00 | |
| 3044F | 0% | 19 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 150 | $0.00 |
| 99406 | 0% | 25 | $0.00 | |
| 90649 | 0% | 75 | $0.00 | |
| 2028F | 0% | 256 | $0.00 | |
| 3455F | 0% | 1,675 | $0.00 | |
| 91300 | 0% | 16 | $0.00 | |
| 3077F | 0% | 18 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 38 | $0.00 |
| 90734 | 0% | 40 | $0.00 | |
| 90671 | 0% | 18 | $0.00 | |
| 96160 | 0% | 15 | $0.00 | |
| 0013A | 0% | 22 | $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 officialFLORES, BENJAMIN (PRESIDENT, CHIEF EXECUTIVE OFFICER)
| 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 | Olivehurst, CA | $33.94M |
| 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.