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 1669982237)

Field	Value
Entity Type	Organization
Organization	Wellspace Health
Address	216 N Lincoln Way Ste 10
City	Galt
State	CA
ZIP	95632
Taxonomy	Dental Clinic/Center
NPI Enumerated	October 9, 2017

Payer Source	Total Paid
Medicaid	$42.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

143 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	136,800	$290	$40.1M
00003	N/A	4,110	$300	$1.2M
D1120	Prophylaxis–child	19,620	$10	$176.6K
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…	8,030	$20	$168.7K
D1208	Topical application of fluoride - excluding varnish	19,280	$10	$96.4K
D0230	Intraoral - periapical each additional radiographic image	90,830	$1	$90.8K
D1351	Sealant - per tooth	13,010	$10	$78K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	21,570	$1	$64.7K
D0120	Periodic oral evaluation - established patient	20,530	$1	$61.6K
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…	29,250	$1	$58.5K

Showing 1–10 of 143

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 — 8 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

143 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	251	1,550	38,050	$190	$14.1M
00003	N/A	541	690	14,940	$260	$7.7M
0120	N/A	31	40	110	$6,750	$3.9M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,156	4,290	780	$140	$400.1K
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…	753	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…	683	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…	1,182	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…	1,508	13,300	640	$40	$169.6K
D0120	Periodic oral evaluation - established patient	155	5,640	800	$50	$163.8K
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…	122	160	190	$180	$141.3K

Showing 1–10 of 143

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	Federally Qualified Health Center (FQHC)	$0	$28.3M
Nosheen Khan	NY	Podiatrist	$7.7M	$0
Ravneel Singh	AZ	Physician Assistant	$35.7K	$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

Frequently Asked Questions

References