Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Elica Health Centers (NPI 1093974065)

Field	Value
Entity Type	Organization
Organization	Elica Health Centers
Address	3701 J St Ste 201
City	Sacramento
State	CA
ZIP	95816
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 5, 2008

Payer Source	Total Paid
Medicaid	$94.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

243 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	417,530	$210	$88.5M
00003	N/A	5,530	$240	$1.3M
G9012	Other specified case management service not elsewhere classified	11,760	$80	$941K
G0467	Federally 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…	24,760	$20	$470.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	406,730	$1	$406.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6,910	$40	$241.8K
D1120	Prophylaxis–child	11,240	$20	$224.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	20,160	$10	$221.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	13,340	$10	$186.7K
D0150	Comprehensive oral evaluation – new or established patient	12,080	$10	$145K

Showing 1–10 of 243

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Elica Health Centers — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

243 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	25	1,550	38,050	$190	$14.1M
00003	N/A	507	690	14,940	$260	$7.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1,039	1,570	680	$110	$1.1M
G9012	Other specified case management service not elsewhere classified	75	720	1,110	$110	$651.3K
G9008	Coordinated care fee, physician coordinated care oversight services	336	490	660	$70	$396.7K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	393	410	1,130	$70	$372K
G0467	Federally 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…	20	1,030	1,050	$70	$219.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	697	760	1,930	$20	$196K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	408	1,950	500	$80	$179K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	199	13,300	640	$40	$169.6K

Showing 1–10 of 243

Related Providers

Other providers that share a Tax Identification Number (TIN) with Elica Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elica Health Centers	CA	Federally Qualified Health Center (FQHC)	$0	$58.2M
Elica Health Centers	CA	Federally Qualified Health Center (FQHC)	$0	$42.7M
Mehran Moussavian	CA	Interventional Cardiology Physician	$3M	$67.3K
Steven Carlson	CA	Clinical Cardiac Electrophysiology Physician	$306.8K	$0
Nikki Love	CA	Family Nurse Practitioner	$83.6K	$0
Heather Newhard	MO	Foot & Ankle Surgery Podiatrist	$48.5K	$0

Nearby Providers

Other providers in the same ZIP code as Elica Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sutter Valley Hospitals	CA	General Acute Care Hospital	$0	$105.1M
City Of Sacramento	CA	Ambulance	$3.4M	$44.8M
Sutter Valley Medical Foundation	CA	Clinical Medical Laboratory	$4.4M	$3.8M
Fort Sutter Surgery Center A California Limited Partnership	CA	Ambulatory Surgical Clinic/Center	$5.2M	$152.6K
Northern California P.e.t. Imaging Center	CA	Radiology Clinic/Center	$1.2M	$473.5K
Elma Abella	CA	Nuclear Radiology Physician	$1.7M	$0
Simon Trubek	CA	Nuclear Medicine Physician	$1.5M	$0
Pain Diagnostic And Treatment Center LP	CA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Stephen Malutich	CA	Nuclear Medicine Physician	$1.4M	$0
C O R E Medical Clinic Inc	CA	Methadone Clinic	$869.9K	$231.4K

Elica Health Centers — Billing Profile & Reimbursement Data

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Elica Health Centers — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References