Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SANTA ROSA COMMUNITY HEALT CENTERS

NPI: 1023439759 · SANTA ROSA, CA 95401 · Dental Clinic/Center · NPI assigned 12/24/2013

$11.20M
Total Medicaid Paid
73,565
Total Claims
65,504
Beneficiaries
15
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialBERNAL-LEROI, GABRIELA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date12/24/2013

Related Entities

Other providers sharing the same authorized official: BERNAL-LEROI, GABRIELA

ProviderCityStateTotal Paid
SANTA ROSA COMMUNITY HEALTH CENTERS SANTA ROSA CA $95.02M
SANTA ROSA COMMUNITY HEALTH CENTERS SANTA ROSA CA $63.55M
SANTA ROSA COMMUNITY HEALTH CENTERS SANTA ROSA CA $45.47M
SANTA ROSA COMMUNITY HEALTH CENTERS SANTA ROSA CA $1.93M
SANTA ROSA COMMUNITY HEALTH CENTERS SANTA ROSA CA $1.66M
SANTA ROSA COMMUNITY HEALTH CENTERS SANTA ROSA CA $1.30M
SANTA ROSA COMMUNITY HEALTH CENTERS SANTA ROSA CA $277K
SANTA ROSA COMMUNITY HEALTH CENTERS SANTA ROSA CA $59K
SANTA ROSA COMMUNITY HEALTH CENTERS SANTA ROSA CA $264.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,269 $4.78M
2019 31,090 $4.19M
2020 12,429 $1.66M
2021 2,777 $570K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00003 Internal/system code - not a standard HCPCS code 42,482 38,898 $8.48M
T1015 Clinic visit/encounter, all-inclusive 17,083 15,393 $2.70M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,273 6,469 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,186 1,053 $5K
80305 181 139 $3K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 112 112 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,040 688 $754.77
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 35 35 $411.60
92081 16 14 $15.16
83036 Hemoglobin; glycosylated (A1C) 22 22 $13.66
90834 Psychotherapy, 45 minutes with patient 609 473 $0.00
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 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 904 814 $0.00
99283 Emergency department visit for the evaluation and management, moderate severity 1,480 1,284 $0.00
Z6410 112 93 $0.00
92551 30 17 $0.00