Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN JOSE › SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.

SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.

NPI: 1063658029 · SAN JOSE, CA 95127 · Federally Qualified Health Center (FQHC) · NPI assigned 12/22/2008

$7.23M
Total Medicaid Paid
76,720
Total Claims
57,952
Beneficiaries
56
Codes Billed
2018-01
First Month
2020-05
Last Month

Provider Details

Authorized OfficialCHAVARIN, SALVADOR (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date12/22/2008

Related Entities

Other providers sharing the same authorized official: CHAVARIN, SALVADOR

ProviderCityStateTotal Paid
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC SAN JOSE CA $20.65M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. GILROY CA $16.53M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. SAN JOSE CA $13.46M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. SAN JOSE CA $11.28M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. SAN JOSE CA $10.95M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. SAN JOSE CA $9.98M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. SAN JOSE CA $2.83M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. SAN JOSE CA $368K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31,456 $3.81M
2019 33,961 $2.75M
2020 11,303 $668K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 37,999 29,233 $6.74M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,217 13,723 $288K
J3490 Unclassified drugs 363 254 $26K
92552 2,454 2,029 $19K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 101 71 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,645 1,141 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 179 168 $13K
90834 Psychotherapy, 45 minutes with patient 275 162 $13K
90832 Psychotherapy, 30 minutes with patient 782 319 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 502 429 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 362 297 $11K
90791 Psychiatric diagnostic evaluation 105 72 $11K
90837 Psychotherapy, 53 minutes with patient 207 130 $8K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 14 13 $8K
99384 240 202 $5K
85018 3,358 2,769 $3K
90686 646 539 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 457 332 $3K
90688 386 257 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 81 55 $2K
81025 854 839 $2K
90660 711 418 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 51 51 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 512 341 $2K
90670 179 139 $1K
87806 56 56 $1K
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 293 201 $1K
90651 244 182 $681.68
90633 271 209 $634.88
90648 100 81 $505.92
90746 13 13 $433.16
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 467 247 $380.72
90658 57 57 $373.47
82962 244 197 $281.51
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 686 589 $263.14
83036 Hemoglobin; glycosylated (A1C) 79 59 $211.38
90715 66 53 $198.36
A4268 Contraceptive supply, condom, female, each 12 12 $179.88
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 59 33 $170.22
90649 15 15 $138.88
90716 120 92 $128.96
90472 Immunization administration, each additional vaccine (list separately) 172 149 $126.00
90723 12 12 $119.04
90647 13 13 $119.04
85025 Blood count; complete (CBC), automated, and automated differential WBC count 181 131 $104.39
86580 98 90 $81.02
90707 35 28 $49.60
87086 Culture, bacterial; quantitative colony count, urine 16 12 $39.40
90713 61 54 $29.76
90744 30 27 $19.84
90655 14 12 $9.92
90734 33 25 $9.92
81002 67 52 $8.60
99173 1,474 1,233 $2.09
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 32 19 $0.00
99441 20 16 $0.00