Clinic
El Rio Santa Cruz Neighborhood Health Center, INC
El Rio Santa Cruz Neighborhood Health Center, INC was paid $10.13M by Medicaid between Jan 2018 and Jul 2023, across 71 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 85705
TUCSON, AZ 85705
33aNPI1114218385assigned 04/22/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.13M
24GClaims90,731
24DCodes billed71
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arizona
Rank by total paid#30 of 126
Median peer was paid$1.45M
This provider vs. median7.0×
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 | 15,292 | $1.29M | |
| 2019 | 25,114 | $2.11M | |
| 2020 | 25,688 | $3.47M | |
| 2021 | 22,947 | $3.26M | |
| 2022 | 736 | $141.30 | |
| 2023 | 954 | $58.35 |
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% | 35,848 | 28,979 | $10.13M |
| 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% | 8,583 | 7,447 | $4K |
| 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% | 8,175 | 7,150 | $616.21 |
| 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% | 775 | 681 | $491.27 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,145 | 919 | $406.69 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 988 | 751 | $295.57 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,386 | 1,153 | $293.08 |
| 0002A | <1% | 160 | 160 | $280.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,269 | 1,022 | $233.91 |
| 0001A | <1% | 162 | 161 | $200.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,720 | 1,280 | $181.64 |
| 90686 | <1% | 2,081 | 1,808 | $119.03 |
59 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 176 | $97.25 |
| 99383 | <1% | 20 | $88.67 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,894 | $77.15 |
| 36415 | Collection of venous blood by venipuncture | <1% | 54 | $71.76 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 205 | $67.78 |
| 90461 | <1% | 692 | $61.72 | |
| 92551 | <1% | 868 | $59.22 | |
| 96152 | <1% | 231 | $54.63 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,361 | $46.29 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,461 | $46.29 |
| 0031A | <1% | 12 | $40.00 | |
| 90688 | <1% | 703 | $37.00 | |
| 81003 | <1% | 716 | $26.55 | |
| 90620 | <1% | 131 | $2.06 | |
| 90633 | <1% | 271 | $0.37 | |
| 90707 | <1% | 274 | $0.37 | |
| 1036F | <1% | 3,039 | $0.02 | |
| 1159F | <1% | 1,941 | $0.01 | |
| 90647 | 0% | 791 | $0.00 | |
| 90651 | 0% | 383 | $0.00 | |
| 1220F | 0% | 1,863 | $0.00 | |
| 90723 | 0% | 341 | $0.00 | |
| 96156 | 0% | 176 | $0.00 | |
| 96127 | 0% | 138 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 43 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 18 | $0.00 |
| 1125F | 0% | 989 | $0.00 | |
| 90474 | 0% | 17 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 209 | $0.00 |
| 90716 | 0% | 266 | $0.00 | |
| 99381 | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | $0.00 |
| 1126F | 0% | 80 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 25 | $0.00 |
| 93000 | 0% | 13 | $0.00 | |
| 82962 | 0% | 16 | $0.00 | |
| 90681 | 0% | 197 | $0.00 | |
| 90670 | 0% | 888 | $0.00 | |
| 81002 | 0% | 165 | $0.00 | |
| 99173 | 0% | 1,065 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 376 | $0.00 |
| 1158F | 0% | 1,626 | $0.00 | |
| 99177 | 0% | 581 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 255 | $0.00 |
| 81025 | 0% | 224 | $0.00 | |
| 90734 | 0% | 182 | $0.00 | |
| 99051 | 0% | 567 | $0.00 | |
| 90700 | 0% | 143 | $0.00 | |
| 91300 | 0% | 303 | $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% | 57 | $0.00 |
| 90715 | 0% | 146 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 17 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 25 | $0.00 |
| 90685 | 0% | 49 | $0.00 | |
| 4004F | 0% | 14 | $0.00 | |
| 2028F | 0% | 12 | $0.00 | |
| 90750 | 0% | 26 | $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% | 38 | $0.00 |
| 1160F | 0% | 37 | $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
| 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 | $8.92M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $7.67M |
| 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.