Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN JOSE › INDIAN HEALTH CENTER OF SANTA CLARA VALLEY

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY

NPI: 1114290780 · SAN JOSE, CA 95128 · Federally Qualified Health Center (FQHC) · NPI assigned 02/13/2012

$21.74M
Total Medicaid Paid
214,625
Total Claims
167,757
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCOTT, ALDON (DIRECTOR OF OPERATIONS)
Parent OrganizationINDIAN HEALTH CENTER OF SANTA CLARA VALLEY
NPI Enumeration Date02/13/2012

Related Entities

Other providers sharing the same authorized official: SCOTT, ALDON

ProviderCityStateTotal Paid
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY SAN JOSE CA $50.20M
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY SAN JOSE CA $16.44M
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY SAN JOSE CA $12.76M
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY SAN JOSE CA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,999 $3.73M
2019 28,348 $2.94M
2020 35,647 $3.37M
2021 39,391 $3.75M
2022 23,348 $2.19M
2023 31,436 $3.04M
2024 31,456 $2.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 88,597 84,990 $20.69M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80,244 51,947 $685K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,936 7,247 $97K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,098 7,183 $40K
90746 380 361 $27K
90686 3,555 2,600 $26K
59425 357 269 $23K
90834 Psychotherapy, 45 minutes with patient 626 291 $22K
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 678 616 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 329 221 $11K
92552 1,332 932 $10K
90688 676 568 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,424 1,198 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 241 152 $8K
90649 195 180 $8K
91320 224 202 $6K
90480 338 309 $6K
90651 159 130 $5K
99490 Ccm add 20min 1,201 1,201 $5K
80306 1,114 577 $5K
90656 413 287 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 130 73 $4K
0124A 76 76 $4K
90715 157 121 $4K
90791 Psychiatric diagnostic evaluation 15 15 $2K
90837 Psychotherapy, 53 minutes with patient 40 31 $2K
83036 Hemoglobin; glycosylated (A1C) 322 239 $2K
90714 62 51 $1K
85018 1,651 1,066 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 24 12 $1K
90662 55 55 $1K
99454 89 89 $1K
90632 24 24 $970.72
H1001 Prenatal care, at-risk enhanced service; antepartum management 18 14 $930.78
81002 2,132 1,216 $798.92
90674 79 67 $789.92
97811 62 28 $576.58
97810 65 29 $576.58
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 23 12 $550.00
99215 Prolong outpt/office vis 103 59 $490.45
90472 Immunization administration, each additional vaccine (list separately) 26 26 $381.37
90685 62 50 $337.28
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 55 29 $280.47
99173 732 634 $244.82
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 34 27 $235.98
90734 32 18 $168.64
90670 50 28 $158.72
90633 37 26 $138.88
90744 24 14 $89.28
92227 14 13 $67.84
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20 12 $63.06
86580 46 46 $56.27
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 330 330 $31.09
Z1034 682 557 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 195 178 $0.00
99443 37 37 $0.00
99441 17 17 $0.00
G9920 Screening performed and negative 285 285 $0.00
99442 631 625 $0.00
2028F 72 67 $0.00