Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Santa Rosa Community Healt Centers

Santa Rosa Community Healt Centers was paid $11.20M by Medicaid between Jan 2018 and Apr 2021, across 15 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 76% of everything it billed.

33Billing provider infoSANTA ROSA COMMUNITY HEALT CENTERS
SANTA ROSA, CA 95401
33aNPI1023439759assigned 12/24/2013
33bProvider typeDental Clinic/Center
28Total paid$11.20M
24GClaims73,565
24DCodes billed15
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers

Next to other Dental Clinic/Center providers in California

Rank by total paid#25 of 1,135
Median peer was paid$200K
This provider vs. median56×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201827,269$4.78M
201931,090$4.19M
202012,429$1.66M
20212,777$570K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
00003 Internal/system code - not a standard HCPCS code 76% 42,482 38,898 $8.48M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 24% 17,083 15,393 $2.70M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 8,273 6,469 $15K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 1,186 1,053 $5K
80305 <1% 181 139 $3K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 112 112 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,040 688 $754.77
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 35 35 $411.60
92081 <1% 16 14 $15.16
83036 Hemoglobin; glycosylated (A1C) <1% 22 22 $13.66
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 0% 609 473 $0.00
G0467 Community health center visit, returning patientFederally 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 time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 0% 904 814 $0.00
3 more codes
99283 Emergency room visit (moderate) 0% 1,480 $0.00
Z6410 0% 112 $0.00
92551 0% 30 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBERNAL-LEROI, GABRIELA (CHIEF EXECUTIVE OFFICER)
Same official

Other billing entities under BERNAL-LEROI, GABRIELA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.