Clinic
El Rio Santa Cruz Neighborhood Health Center, INC
El Rio Santa Cruz Neighborhood Health Center, INC was paid $7.67M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoEL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
TUCSON, AZ 85730
TUCSON, AZ 85730
33aNPI1033400205assigned 04/22/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.67M
24GClaims78,819
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arizona
Rank by total paid#36 of 126
Median peer was paid$1.45M
This provider vs. median5.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KUNTZ, CLINTON controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,229 | $649K | |
| 2019 | 18,401 | $1.33M | |
| 2020 | 24,701 | $2.88M | |
| 2021 | 23,087 | $2.80M | |
| 2022 | 2,911 | $4K | |
| 2023 | 1,485 | $1K | |
| 2024incomplete | 2,005 | $109.38 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 35,204 | 27,005 | $7.67M |
| 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% | 5,559 | 4,660 | $2K |
| 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% | 5,936 | 4,868 | $730.95 |
| 0001A | <1% | 103 | 102 | $400.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,975 | 2,506 | $281.03 |
| 0002A | <1% | 96 | 96 | $240.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 804 | 444 | $190.48 |
| 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 | <1% | 594 | 539 | $102.61 |
| 90686 | <1% | 942 | 818 | $88.24 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,364 | 1,147 | $82.78 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 403 | 292 | $78.23 |
| 90688 | <1% | 477 | 360 | $67.80 |
60 more codes
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 555 | $48.47 |
| 0012A | <1% | 13 | $40.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 137 | $34.30 |
| 90670 | <1% | 379 | $32.47 | |
| 1220F | <1% | 915 | $0.01 | |
| 1159F | <1% | 1,842 | $0.01 | |
| 1036F | 0% | 1,792 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 2,410 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 2,154 | $0.00 |
| D1330 | 0% | 451 | $0.00 | |
| 90723 | 0% | 181 | $0.00 | |
| 92551 | 0% | 469 | $0.00 | |
| 1125F | 0% | 222 | $0.00 | |
| 96127 | 0% | 204 | $0.00 | |
| 1126F | 0% | 564 | $0.00 | |
| 90647 | 0% | 206 | $0.00 | |
| 91301 | 0% | 80 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 406 | $0.00 |
| 96156 | 0% | 230 | $0.00 | |
| 0011A | 0% | 68 | $0.00 | |
| 90651 | 0% | 31 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 48 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 14 | $0.00 |
| D1310 | 0% | 451 | $0.00 | |
| 90474 | 0% | 57 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 89 | $0.00 |
| D0603 | 0% | 121 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| 97162 | 0% | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 99051 | 0% | 282 | $0.00 | |
| 1158F | 0% | 609 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 103 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 94 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 639 | $0.00 |
| 90715 | 0% | 178 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,183 | $0.00 |
| 81003 | 0% | 579 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 155 | $0.00 |
| 90633 | 0% | 17 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 554 | $0.00 |
| D0190 | 0% | 2,936 | $0.00 | |
| 99173 | 0% | 201 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 314 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 549 | $0.00 |
| 81002 | 0% | 15 | $0.00 | |
| D0270 | 0% | 61 | $0.00 | |
| 81025 | 0% | 101 | $0.00 | |
| 96152 | 0% | 104 | $0.00 | |
| 99177 | 0% | 118 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 96 | $0.00 |
| 90734 | 0% | 16 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 14 | $0.00 |
| 90681 | 0% | 37 | $0.00 | |
| 91300 | 0% | 196 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 14 | $0.00 |
| 1160F | 0% | 21 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 17 | $0.00 |
| 90707 | 0% | 15 | $0.00 | |
| 90750 | 0% | 15 | $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 officialKUNTZ, CLINTON (CEO)
Parent organizationEL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $360.32M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $11.92M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $10.45M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $10.13M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $8.92M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $5.51M |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $3.83M |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $1.56M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $1.45M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $1.13M |
| El Rio Health Center (Southwest) | Tucson, AZ | $710K |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $494K |
| Marana Health Center, INC | Tucson, AZ | $288K |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $173K |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.