Clinic
Optimus Health Care
Optimus Health Care was paid $33.15M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoOPTIMUS HEALTH CARE
BRIDGEPORT, CT 06608
BRIDGEPORT, CT 06608
33aNPI1992871875assigned 11/24/2006
28Total paid$33.15M
24GClaims437,748
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Connecticut
Rank by total paid#5 of 103
Median peer was paid$184K
This provider vs. median180×
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 | 60,647 | $3.90M | |
| 2019 | 54,564 | $3.68M | |
| 2020 | 62,182 | $4.75M | |
| 2021 | 74,239 | $5.53M | |
| 2022 | 77,984 | $5.85M | |
| 2023 | 73,947 | $6.45M | |
| 2024incomplete | 34,185 | $2.99M |
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 | 97% | 212,084 | 112,919 | $32.23M |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 2.0% | 12,124 | 6,560 | $665K |
| 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 | <1% | 11,738 | 6,502 | $170K |
| 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% | 2,525 | 2,311 | $38K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 123,696 | 58,031 | $23K |
| 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% | 41,864 | 34,046 | $21K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 6,003 | 5,085 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 7,547 | 3,013 | $2K |
| 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% | 4,206 | 3,617 | $935.44 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,597 | 3,413 | $766.22 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 5,815 | 4,616 | $583.45 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 34 | 19 | $187.34 |
9 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 433 | $82.63 |
| 98968 | 0% | 1,269 | $0.00 | |
| 90863 | 0% | 484 | $0.00 | |
| 99442 | 0% | 428 | $0.00 | |
| S9480 | Intensive outpatient psychiatric services, per diem | 0% | 159 | $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% | 113 | $0.00 |
| 90838 | 0% | 22 | $0.00 | |
| 98967 | 0% | 552 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 55 | $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 officialSPINELLI, LUDWIG (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Optimus Health Care INC | Bridgeport, CT | $100.27M |
| Optimus Health Care | Bridgeport, CT | $8.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.