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SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
NPI: 1063658029
· SAN JOSE, CA 95127
· 261QF0400X
$7.23M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31,456 |
$3.81M |
| 2019 |
33,961 |
$2.75M |
| 2020 |
11,303 |
$668K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
37,999 |
29,233 |
$6.74M |
| 99213 |
|
19,217 |
13,723 |
$288K |
| J3490 |
Drugs unclassified injection |
363 |
254 |
$26K |
| 92552 |
|
2,454 |
2,029 |
$19K |
| 98941 |
|
101 |
71 |
$18K |
| 99212 |
|
1,645 |
1,141 |
$14K |
| 99203 |
|
179 |
168 |
$13K |
| 90834 |
|
275 |
162 |
$13K |
| 90832 |
|
782 |
319 |
$13K |
| 99394 |
|
502 |
429 |
$11K |
| 99392 |
|
362 |
297 |
$11K |
| 90791 |
|
105 |
72 |
$11K |
| 90837 |
|
207 |
130 |
$8K |
| J7307 |
Etonogestrel implant system |
14 |
13 |
$8K |
| 99384 |
|
240 |
202 |
$5K |
| 85018 |
|
3,358 |
2,769 |
$3K |
| 90686 |
|
646 |
539 |
$3K |
| 99214 |
|
457 |
332 |
$3K |
| 90688 |
|
386 |
257 |
$2K |
| 99393 |
|
81 |
55 |
$2K |
| 81025 |
|
854 |
839 |
$2K |
| 90660 |
|
711 |
418 |
$2K |
| 99391 |
|
51 |
51 |
$2K |
| 87880 |
|
512 |
341 |
$2K |
| 90670 |
|
179 |
139 |
$1K |
| 87806 |
|
56 |
56 |
$1K |
| G0467 |
Fqhc visit, estab pt |
293 |
201 |
$1K |
| 90651 |
|
244 |
182 |
$681.68 |
| 90633 |
|
271 |
209 |
$634.88 |
| 90648 |
|
100 |
81 |
$505.92 |
| 90746 |
|
13 |
13 |
$433.16 |
| 99211 |
|
467 |
247 |
$380.72 |
| 90658 |
|
57 |
57 |
$373.47 |
| 82962 |
|
244 |
197 |
$281.51 |
| 90471 |
|
686 |
589 |
$263.14 |
| 83036 |
|
79 |
59 |
$211.38 |
| 90715 |
|
66 |
53 |
$198.36 |
| A4268 |
Female condom |
12 |
12 |
$179.88 |
| 87804 |
|
59 |
33 |
$170.22 |
| 90649 |
|
15 |
15 |
$138.88 |
| 90716 |
|
120 |
92 |
$128.96 |
| 90472 |
|
172 |
149 |
$126.00 |
| 90723 |
|
12 |
12 |
$119.04 |
| 90647 |
|
13 |
13 |
$119.04 |
| 85025 |
|
181 |
131 |
$104.39 |
| 86580 |
|
98 |
90 |
$81.02 |
| 90707 |
|
35 |
28 |
$49.60 |
| 87086 |
|
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 |
Dis site tele svcs rhc/fqhc |
32 |
19 |
$0.00 |
| 99441 |
|
20 |
16 |
$0.00 |