Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Elica Health Centers

Case Manager/Care Coordinator

North Highlands, California

NPI: 1366051120

Risk Tier

Elevated

Total Paid

$58.2M

$58,219,930

Total Claims

882K

Beneficiaries

695K

Avg Cost/Claim

$65.99

Statistical Risk Flags (1)

Billing Swing

Experienced over 200% change in year-over-year billing with >$1M absolute change.

Billing changed from $4.9M (2022) to $21.1M (2023) — a 327% swing with $16.1M absolute change.

Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.

Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024