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    OpenPayerNPI Medicare & MedicaidOle Health
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    Ole Health — Billing Profile & Reimbursement Data

    NPI 1700976503 · Napa, CA · Federally Qualified Health Center (FQHC)

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    Ole Health is a federally qualified health center (fqhc) provider located in Napa, California. This profile covers 0 Medicare and 122 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOle Health
    Address1141 Pear Tree Ln
    CityNapa
    StateCA
    ZIP94558
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedOctober 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$36.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    122 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive181,690$120$22.3M
    00003N/A52,260$230$11.8M
    99213The 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…157,940$1$473.8K
    97803The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…3,930$70$275.3K
    97802The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…1,110$140$154.3K
    90832In 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…8,360$10$83.6K
    99214The 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…16,130$10$80.6K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…5,980$10$77.7K
    G9012Other specified case management service not elsewhere classified360$190$68.8K
    90651This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…1,230$50$61.6K

    Showing 1–10 of 122

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    122 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1661,55038,050$190$14.1M
    00003N/A10569014,940$260$7.7M
    99283The 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.3481,570680$110$1.1M
    G9012Other specified case management service not elsewhere classified4987201,110$110$651.3K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies232250120$850$378K
    Z7500N/A167180620$20$237.4K
    G0467Federally 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…1031,0301,050$70$219.7K
    90834In 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…7541,950500$80$179K
    99214The 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…82213,300640$40$169.6K
    59425This 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…6841,040660$60$147.7K

    Showing 1–10 of 122

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ole HealthCAFederally Qualified Health Center (FQHC)$0$31.5M
    Ole HealthCAFederally Qualified Health Center (FQHC)$0$31.1M
    Ole HealthCAFederally Qualified Health Center (FQHC)$0$30.5M
    Ole HealthCAFederally Qualified Health Center (FQHC)$0$26.2M
    Ole HealthCAFederally Qualified Health Center (FQHC)$0$22.6M
    Tamara BradyCAMedical Physician Assistant$94.1K$0
    Brooke ChangCAOptometrist$87.7K$0
    Marcia NearingCAOptometrist$52.1K$0
    Lauren GuajardoCAOptometrist$41.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Napa CountyCACommunity/Behavioral Health Agency$0$61.2M
    American Medical Response WestCAAmbulance$5.4M$17.9M
    St. Joseph Health Northern California, LLCCAGeneral Acute Care Hospital$0$22.3M
    Lawrence GoldsteinCAVascular Surgery Physician$2.5M$0
    David KimCAOphthalmology Physician$1.8M$0
    Brittany GossCARheumatology Physician$826.7K$0
    Jason HuffmanCAOrthopaedic Surgery of the Spine Physician$771.2K$0
    Jacqueline WeisbeinCAPain Medicine (Physical Medicine & Rehabilitation) Physician$513K$0
    Sam AhnCAAllergy & Immunology (Internal Medicine) Physician$504K$0
    Edmund SchumacherCAPodiatrist$274.5K$184.3K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Ole Health — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California