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.

Wellspace Health (NPI 1548789050)

Field	Value
Entity Type	Organization
Organization	Wellspace Health
Address	2433 Marconi Ave
City	Sacramento
State	CA
ZIP	95821
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 15, 2017

Payer Source	Total Paid
Medicaid	$28.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

124 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	209,970	$130	$28.1M
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…	3,410	$20	$64.7K
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…	10,230	$1	$40.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,900	$10	$19K
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…	10,340	$1	$10.3K
H0043	Supported housing, per diem	30	$320	$9.7K
G0468	Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle…	320	$20	$7.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	600	$1	$1.8K
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…	130	$10	$1.4K
99381	The provider performs a well–baby visit for a child under the age of one.	750	$1	$750

Showing 1–10 of 124

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

Wellspace Health — 0 of 12 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

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	134	1,550	38,050	$190	$14.1M
H0043	Supported housing, per diem	208	230	580	$250	$665.6K
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…	257	1,030	1,050	$70	$219.7K
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…	1,258	13,300	640	$40	$169.6K
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…	91	160	190	$180	$141.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,149	4,230	210	$110	$135K
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…	324	14,520	760	$10	$122.8K
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…	115	1,430	640	$30	$93.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	197	770	190	$130	$93.2K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	188	430	240	$50	$88.9K

Showing 1–10 of 124

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Healthcare Services	TN	Community/Behavioral Health Agency	$0	$154.6M
Wellspace Health	CA	Federally Qualified Health Center (FQHC)	$0	$77M
Wellspace Health	CA	Federally Qualified Health Center (FQHC)	$0	$64.4M
Wellspace Health	CA	Dental Clinic/Center	$0	$42.6M
Nosheen Khan	NY	Podiatrist	$7.7M	$0
Ravneel Singh	AZ	Physician Assistant	$35.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greg Wilkinson	CA	Physician Assistant	$102.4K	$0
Richard Juarez	CA	Anesthesiology Physician	$69.4K	$0
Steven Hur	CA	Anesthesiology Physician	$64.7K	$0
Norman Brooksby	CA	Anesthesiology Physician	$64K	$0
Joseph Holecko	CA	Anesthesiology Physician	$63.6K	$0
Gurleen Sidhu	CA	Anesthesiology Physician	$63.5K	$0
Lee Snook	CA	Interventional Pain Medicine Physician	$53.7K	$0
Nathaniel Simon	CA	Anesthesiology Physician	$50.5K	$0
Michael Calarco	CA	Anesthesiology Physician	$47.7K	$0
David Ruderman	CA	Anesthesiology Physician	$39.8K	$0

Wellspace Health — Billing Profile & Reimbursement Data

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Wellspace Health — 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