Clinic
Gardner Family Health Network INC
Gardner Family Health Network INC was paid $2.97M by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 73% of everything it billed.
33Billing provider infoGARDNER FAMILY HEALTH NETWORK INC
ALVISO, CA 95002
ALVISO, CA 95002
33aNPI1083654545assigned 06/06/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$2.97M
24GClaims77,480
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#127 of 288
Median peer was paid$2.15M
This provider vs. median1.4×
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
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 | 9,769 | $107K | |
| 2019 | 12,594 | $130K | |
| 2020 | 12,584 | $129K | |
| 2021 | 15,549 | $157K | |
| 2022 | 15,572 | $1.33M | |
| 2023 | 6,128 | $1.10M | |
| 2024incomplete | 5,284 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 73% | 7,246 | 5,158 | $2.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 11,264 | 10,308 | $226K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 7,255 | 6,535 | $127K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.1% | 3,222 | 2,227 | $61K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 1.8% | 6,402 | 2,817 | $53K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.3% | 1,041 | 1,040 | $38K |
| 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% | 998 | 938 | $34K |
| 59425 | <1% | 497 | 334 | $27K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 392 | 271 | $23K |
| V2020 | Frames, purchases | <1% | 4,273 | 4,266 | $19K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 3,937 | 3,930 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,673 | 1,128 | $14K |
47 more codes
| 92551 | <1% | 2,478 | $14K | |
| D1120 | Dental cleaning, child | <1% | 234 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,443 | $12K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,060 | $9K |
| D1351 | Sealant - per tooth | <1% | 215 | $8K |
| 92015 | Determination of refractive state | <1% | 4,520 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,311 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 567 | $7K |
| 85018 | <1% | 3,479 | $7K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 134 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 309 | $5K |
| 81002 | <1% | 2,308 | $5K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 75 | $5K |
| D0120 | Dental checkup, returning patient | <1% | 156 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 148 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 722 | $3K |
| 90686 | <1% | 1,723 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 124 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 184 | $3K |
| 81025 | <1% | 990 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 59 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 47 | $2K |
| 90651 | <1% | 117 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 906 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 327 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 130 | $2K |
| D1352 | <1% | 37 | $1K | |
| 82948 | <1% | 588 | $1K | |
| 90688 | <1% | 203 | $1K | |
| 99173 | <1% | 1,946 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 33 | $1K |
| 90715 | <1% | 61 | $965.94 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 172 | $670.80 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $577.21 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 41 | $533.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 57 | $454.58 |
| 92341 | <1% | 29 | $257.58 | |
| 99401 | <1% | 17 | $193.45 | |
| 92133 | <1% | 13 | $128.60 | |
| 86580 | <1% | 37 | $107.33 | |
| 92002 | <1% | 13 | $88.56 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 14 | $70.42 |
| 98940 | <1% | 109 | $16.72 | |
| 90461 | 0% | 72 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 90734 | 0% | 27 | $0.00 | |
| 90656 | 0% | 18 | $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 officialRUIZ, OFELIA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Gardner Family Health Network INC | San Jose, CA | $23.68M |
| Gardner Family Health Network INC | Gilroy, CA | $22.21M |
| Gardner Family Health Network INC | Atherton, CA | $20.94M |
| Gardner Family Health Network INC | San Jose, CA | $12.96M |
| Gardner Family Health Network INC | San Jose, CA | $4.48M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.