Is HEALTH AND LIFE ORGANIZATION, INC flagged for Medicaid fraud?

HEALTH AND LIFE ORGANIZATION, INC (NPI: 1144600248) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does HEALTH AND LIFE ORGANIZATION, INC bill Medicaid?

HEALTH AND LIFE ORGANIZATION, INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Federally Qualified Health Center (FQHC) provider. Located in SACRAMENTO, CA.

What is NPI 1144600248?

NPI 1144600248 is the National Provider Identifier for HEALTH AND LIFE ORGANIZATION, INC. They are a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in SACRAMENTO, CA. This NPI is registered with the CMS NPI Registry.

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HEALTH AND LIFE ORGANIZATION, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·SACRAMENTO, CA·NPI: 1144600248Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.8M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$35.8M

$35,849,890

Total Claims

851K

Beneficiaries

652K

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018

$2.6M

-10%

2019

$2.3M

+170%

2020

$6.3M

+25%

2021

$7.9M

-18%

2022

$6.5M

+0%

2023

$6.5M

-40%

2024

$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 94% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$33.5M

252K claims

$132.98

$121.16

1.1×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$33.5M

252K claims · 93.5%

Your Cost: $132.98/claim|Median: $121.16

1.1× median

G9012Other specified case management service, per 15 minutesSee all providers →

$352K

4,936 claims

$71.24

$137.85

0.5×

Normal range

G9012Normal range

Other specified case management service, per 15 minutes

$352K

4,936 claims · 1.0%

Your Cost: $71.24/claim|Median: $137.85

0.5× median

00003Anesthesia servicesSee all providers →

$252K

1,271 claims

$198.29

$223.77

0.9×

Normal range

00003Normal range

Anesthesia services

$252K

1,271 claims · 0.7%

Your Cost: $198.29/claim|Median: $223.77

0.9× median

D2392Resin-based composite, two surfaces, posteriorSee all providers →

$168K

5,905 claims

$28.38

$71.00

0.4×

Normal range

D2392Normal range

Resin-based composite, two surfaces, posterior

$168K

5,905 claims · 0.5%

Your Cost: $28.38/claim|Median: $71.00

0.4× median

D1110Prophylaxis, adult cleaningSee all providers →

$164K

11K claims

$14.42

$43.38

0.3×

Normal range

D1110Normal range

Prophylaxis, adult cleaning

$164K

11K claims · 0.5%

Your Cost: $14.42/claim|Median: $43.38

0.3× median

D1120Prophylaxis, adultSee all providers →

$146K

5,371 claims

$27.26

$33.86

0.8×

Normal range

D1120Normal range

Prophylaxis, adult

$146K

5,371 claims · 0.4%

Your Cost: $27.26/claim|Median: $33.86

0.8× median

97810 See all providers →

$142K

7,722 claims

$18.32

$23.92

0.8×

Normal range

97810Normal range

$142K

7,722 claims · 0.4%

Your Cost: $18.32/claim|Median: $23.92

0.8× median

D1206Topical application of fluoride varnishSee all providers →

$109K

14K claims

$8.06

$18.12

0.4×

Normal range

D1206Normal range

Topical application of fluoride varnish

$109K

14K claims · 0.3%

Your Cost: $8.06/claim|Median: $18.12

0.4× median

D2391Resin-based composite, one surface, posteriorSee all providers →

$104K

4,589 claims

$22.77

$54.60

0.4×

Normal range

D2391Normal range

Resin-based composite, one surface, posterior

$104K

4,589 claims · 0.3%

Your Cost: $22.77/claim|Median: $54.60

0.4× median

D0210Intraoral, complete series of radiographic imagesSee all providers →

$102K

8,835 claims

$11.53

$46.33

0.2×

Normal range

D0210Normal range

Intraoral, complete series of radiographic images

$102K

8,835 claims · 0.3%

Your Cost: $11.53/claim|Median: $46.33

0.2× median

D0150Comprehensive oral evaluation, new or established patientSee all providers →

$88K

9,663 claims

$9.15

$32.07

0.3×

Normal range

D0150Normal range

Comprehensive oral evaluation, new or established patient

$88K

9,663 claims · 0.2%

Your Cost: $9.15/claim|Median: $32.07

0.3× median

D0120Periodic oral evaluation, established patientSee all providers →

$81K

13K claims

$6.49

$24.34

0.3×

Normal range

D0120Normal range

Periodic oral evaluation, established patient

$81K

13K claims · 0.2%

Your Cost: $6.49/claim|Median: $24.34

0.3× median

G9008Coordination of long-term care services, per monthSee all providers →

$78K

502 claims

$155.39

$66.78

2.3×

Normal range

G9008Normal range

Coordination of long-term care services, per month

$78K

502 claims · 0.2%

Your Cost: $155.39/claim|Median: $66.78

2.3× median

G0467Federally qualified health center visit, mental healthSee all providers →

$64K

939 claims

$67.68

$21.91

3.1×

Top 25%

G0467Top 25%

Federally qualified health center visit, mental health

$64K

939 claims · 0.2%

Your Cost: $67.68/claim|Median: $21.91

3.1× median

D0230Intraoral, periapical radiographic image, first filmSee all providers →

$58K

38K claims

$1.54

$7.33

0.2×

Normal range

D0230Normal range

Intraoral, periapical radiographic image, first film

$58K

38K claims · 0.2%

Your Cost: $1.54/claim|Median: $7.33

0.2× median

D9999Unspecified adjunctive procedure, by reportSee all providers →

$54K

554 claims

$97.76

$37.60

2.6×

Normal range

D9999Normal range

Unspecified adjunctive procedure, by report

$54K

554 claims · 0.2%

Your Cost: $97.76/claim|Median: $37.60

2.6× median

D0220Intraoral periapical radiographic image, first filmSee all providers →

$51K

17K claims

$3.03

$10.51

0.3×

Normal range

D0220Normal range

Intraoral periapical radiographic image, first film

$51K

17K claims · 0.1%

Your Cost: $3.03/claim|Median: $10.51

0.3× median

D0274Bitewings, four radiographic imagesSee all providers →

$47K

9,377 claims

$5.04

$22.54

0.2×

Normal range

D0274Normal range

Bitewings, four radiographic images

$47K

9,377 claims · 0.1%

Your Cost: $5.04/claim|Median: $22.54

0.2× median

90832Psychotherapy, 30 minutesSee all providers →

$37K

4,564 claims

$8.10

$41.28

0.2×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$37K

4,564 claims · 0.1%

Your Cost: $8.10/claim|Median: $41.28

0.2× median

D9430 See all providers →

$36K

6,723 claims

$5.34

$31.69

0.2×

Normal range

D9430Normal range

$36K

6,723 claims · 0.1%

Your Cost: $5.34/claim|Median: $31.69

0.2× median

D1351Sealant, per toothSee all providers →

$33K

1,201 claims

$27.82

$26.10

1.1×

Normal range

D1351Normal range

Sealant, per tooth

$33K

1,201 claims · 0.1%

Your Cost: $27.82/claim|Median: $26.10

1.1× median

D1208Topical application of fluoride, excluding varnishSee all providers →

$28K

4,955 claims

$5.70

$14.36

0.4×

Normal range

D1208Normal range

Topical application of fluoride, excluding varnish

$28K

4,955 claims · 0.1%

Your Cost: $5.70/claim|Median: $14.36

0.4× median

D2740Crown, porcelain/ceramic substrateSee all providers →

$18K

84 claims

$210.61

$509.58

0.4×

Normal range

D2740Normal range

Crown, porcelain/ceramic substrate

$18K

84 claims · 0.0%

Your Cost: $210.61/claim|Median: $509.58

0.4× median

98940 See all providers →

$18K

15K claims

$1.15

$14.55

0.1×

Normal range

98940Normal range

$18K

15K claims · 0.0%

Your Cost: $1.15/claim|Median: $14.55

0.1× median

D2393Resin-based composite, three surfaces, posteriorSee all providers →

$16K

457 claims

$35.14

$84.26

0.4×

Normal range

D2393Normal range

Resin-based composite, three surfaces, posterior

$16K

457 claims · 0.0%

Your Cost: $35.14/claim|Median: $84.26

0.4× median

D4341Periodontal scaling, per quadrantSee all providers →

$9K

499 claims

$17.76

$70.00

0.3×

Normal range

D4341Normal range

Periodontal scaling, per quadrant

$9K

499 claims · 0.0%

Your Cost: $17.76/claim|Median: $70.00

0.3× median

H1001 See all providers →

$7K

4,503 claims

$1.67

$60.48

0.0×

Normal range

H1001Normal range

$7K

4,503 claims · 0.0%

Your Cost: $1.67/claim|Median: $60.48

0.0× median

97813 See all providers →

$7K

523 claims

$14.00

$26.35

0.5×

Normal range

97813Normal range

$7K

523 claims · 0.0%

Your Cost: $14.00/claim|Median: $26.35

0.5× median

98941Chiropractic manipulative treatment, 3-4 spinal regionsSee all providers →

$7K

5,321 claims

$1.32

$20.83

0.1×

Normal range

98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$7K

5,321 claims · 0.0%

Your Cost: $1.32/claim|Median: $20.83

0.1× median

97026 See all providers →

$5K

1,434 claims

$3.69

$4.04

0.9×

Normal range

97026Normal range

$5K

1,434 claims · 0.0%

Your Cost: $3.69/claim|Median: $4.04

0.9× median

87426SARS-CoV-2 COVID-19 antigen detection, immunoassaySee all providers →

$5K

2,674 claims

$1.91

$30.04

0.1×

Normal range

87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$5K

2,674 claims · 0.0%

Your Cost: $1.91/claim|Median: $30.04

0.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$5K

763 claims

$6.59

$99.21

0.1×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$5K

763 claims · 0.0%

Your Cost: $6.59/claim|Median: $99.21

0.1× median

0064A See all providers →

$5K

174 claims

$25.90

$34.17

0.8×

Normal range

0064ANormal range

$5K

174 claims · 0.0%

Your Cost: $25.90/claim|Median: $34.17

0.8× median

D7140Extraction, erupted tooth or exposed rootSee all providers →

$4K

170 claims

$26.32

$57.39

0.5×

Normal range

D7140Normal range

Extraction, erupted tooth or exposed root

$4K

170 claims · 0.0%

Your Cost: $26.32/claim|Median: $57.39

0.5× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$4K

173K claims

$0.02

$37.81

0.0×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$4K

173K claims · 0.0%

Your Cost: $0.02/claim|Median: $37.81

0.0× median

D0270 See all providers →

$4K

2,823 claims

$1.40

$5.46

0.3×

Normal range

D0270Normal range

$4K

2,823 claims · 0.0%

Your Cost: $1.40/claim|Median: $5.46

0.3× median

90674 See all providers →

$3K

2,143 claims

$1.27

$15.16

0.1×

Normal range

90674Normal range

$3K

2,143 claims · 0.0%

Your Cost: $1.27/claim|Median: $15.16

0.1× median

90834Psychotherapy, 45 minutesSee all providers →

$2K

88 claims

$18.59

$63.65

0.3×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$2K

88 claims · 0.0%

Your Cost: $18.59/claim|Median: $63.65

0.3× median

D2140Amalgam, one surface, primary or permanentSee all providers →

$1K

94 claims

$15.54

$52.77

0.3×

Normal range

D2140Normal range

Amalgam, one surface, primary or permanent

$1K

94 claims · 0.0%

Your Cost: $15.54/claim|Median: $52.77

0.3× median

D0601 See all providers →

$1K

1,044 claims

$1.09

$7.50

0.1×

Normal range

D0601Normal range

$1K

1,044 claims · 0.0%

Your Cost: $1.09/claim|Median: $7.50

0.1× median

D0603 See all providers →

$1K

1,227 claims

$0.90

$6.54

0.1×

Normal range

D0603Normal range

$1K

1,227 claims · 0.0%

Your Cost: $0.90/claim|Median: $6.54

0.1× median

D2331Resin-based composite filling, two surfaces, anteriorSee all providers →

$1K

27 claims

$38.89

$73.58

0.5×

Normal range

D2331Normal range

Resin-based composite filling, two surfaces, anterior

$1K

27 claims · 0.0%

Your Cost: $38.89/claim|Median: $73.58

0.5× median

90480 See all providers →

$1K

39 claims

$26.67

$25.29

1.1×

Normal range

90480Normal range

$1K

39 claims · 0.0%

Your Cost: $26.67/claim|Median: $25.29

1.1× median

99212Office/outpatient visit, low complexitySee all providers →

$979

31K claims

$0.03

$25.06

0.0×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$979

31K claims · 0.0%

Your Cost: $0.03/claim|Median: $25.06

0.0× median

96110Developmental screening, per standardized instrumentSee all providers →

$789

13K claims

$0.06

$9.10

0.0×

Normal range

96110Normal range

Developmental screening, per standardized instrument

$789

13K claims · 0.0%

Your Cost: $0.06/claim|Median: $9.10

0.0× median

D0999Unspecified diagnostic procedure, by reportSee all providers →

$720

12 claims

$60.00

$101.33

0.6×

Normal range

D0999Normal range

Unspecified diagnostic procedure, by report

$720

12 claims · 0.0%

Your Cost: $60.00/claim|Median: $101.33

0.6× median

0012ACOVID-19 vaccine admin, Moderna, 2nd doseSee all providers →

$719

1,091 claims

$0.66

$33.85

0.0×

Normal range

0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$719

1,091 claims · 0.0%

Your Cost: $0.66/claim|Median: $33.85

0.0× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$697

10K claims

$0.07

$57.85

0.0×

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$697

10K claims · 0.0%

Your Cost: $0.07/claim|Median: $57.85

0.0× median

90686Influenza virus vaccine, quadrivalent, preservative-free, IMSee all providers →

$669

3,340 claims

$0.20

$7.18

0.0×

Normal range

90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$669

3,340 claims · 0.0%

Your Cost: $0.20/claim|Median: $7.18

0.0× median

0071A See all providers →

$600

54 claims

$11.11

$38.71

0.3×

Normal range

0071ANormal range

$600

54 claims · 0.0%

Your Cost: $11.11/claim|Median: $38.71

0.3× median

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