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.

Health And Life Organization, Inc (NPI 1144600248)

Field	Value
Entity Type	Organization
Organization	Health And Life Organization, Inc
Address	3030 Explorer Dr
City	Sacramento
State	CA
ZIP	95827
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 3, 2015

Payer Source	Total Paid
Medicaid	$35.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

141 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	252,070	$130	$33.5M
G9012	Other specified case management service not elsewhere classified	4,940	$70	$350.5K
00003	N/A	1,270	$200	$251.7K
D2392	Post 2 surface resin‑based composite	5,910	$30	$165.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	11,400	$10	$159.6K
D1120	Prophylaxis–child	5,370	$30	$145K
97810	The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by hand during an initial 15 minute…	7,720	$20	$139K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	13,510	$10	$108.1K
D0210	Intraoral - complete series of radiographic images	8,840	$10	$106K
D2391	Resin‑based composite – one surface, posterior	4,590	$20	$105.5K

Showing 1–10 of 141

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

Health And Life Organization, Inc — 9 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

141 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	89	1,550	38,050	$190	$14.1M
00003	N/A	617	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	145	720	1,110	$110	$651.3K
G9008	Coordinated care fee, physician coordinated care oversight services	270	490	660	$70	$396.7K
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…	539	1,030	1,050	$70	$219.7K
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…	1,548	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…	785	13,300	640	$40	$169.6K
D2740	N/A	318	570	120	$470	$169.1K
D0120	Periodic oral evaluation - established patient	283	5,640	800	$50	$163.8K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	988	1,040	660	$60	$147.7K

Showing 1–10 of 141

Related Providers

Other providers that share a Tax Identification Number (TIN) with Health And Life Organization, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health And Life Organization, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$38.2M
Health And Life Organization, Inc	CA	General Practice Dentistry	$0	$23.9M

Nearby Providers

Other providers in the same ZIP code as Health And Life Organization, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alphaone Ambulance Medical Services Inc	CA	Ambulance	$4.7M	$15.5M

Health And Life Organization, Inc — Billing Profile & Reimbursement Data

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Health And Life Organization, Inc — 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