Clinic
Indian Health Center of Santa Clara Valley
Indian Health Center of Santa Clara Valley was paid $21.74M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoINDIAN HEALTH CENTER OF SANTA CLARA VALLEY
SAN JOSE, CA 95128
SAN JOSE, CA 95128
33aNPI1114290780assigned 02/13/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$21.74M
24GClaims214,625
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#167 of 826
Median peer was paid$4.05M
This provider vs. median5.4×
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 | 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 | |
| 2024incomplete | 31,456 | $2.72M |
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 | 95% | 88,597 | 84,990 | $20.69M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 80,244 | 51,947 | $685K |
| 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% | 11,936 | 7,247 | $97K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12,098 | 7,183 | $40K |
| 90746 | <1% | 380 | 361 | $27K | |
| 90686 | <1% | 3,555 | 2,600 | $26K | |
| 59425 | <1% | 357 | 269 | $23K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 626 | 291 | $22K |
| 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% | 678 | 616 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 329 | 221 | $11K |
| 92552 | <1% | 1,332 | 932 | $10K | |
| 90688 | <1% | 676 | 568 | $10K |
48 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,424 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 241 | $8K |
| 90649 | <1% | 195 | $8K | |
| 91320 | <1% | 224 | $6K | |
| 90480 | <1% | 338 | $6K | |
| 90651 | <1% | 159 | $5K | |
| 99490 | Ccm add 20min | <1% | 1,201 | $5K |
| 80306 | <1% | 1,114 | $5K | |
| 90656 | <1% | 413 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 130 | $4K |
| 0124A | <1% | 76 | $4K | |
| 90715 | <1% | 157 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 15 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 40 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 322 | $2K |
| 90714 | <1% | 62 | $1K | |
| 85018 | <1% | 1,651 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $1K |
| 90662 | <1% | 55 | $1K | |
| 99454 | <1% | 89 | $1K | |
| 90632 | <1% | 24 | $970.72 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 18 | $930.78 |
| 81002 | <1% | 2,132 | $798.92 | |
| 90674 | <1% | 79 | $789.92 | |
| 97811 | <1% | 62 | $576.58 | |
| 97810 | <1% | 65 | $576.58 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 23 | $550.00 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 103 | $490.45 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $381.37 |
| 90685 | <1% | 62 | $337.28 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 55 | $280.47 |
| 99173 | <1% | 732 | $244.82 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 34 | $235.98 |
| 90734 | <1% | 32 | $168.64 | |
| 90670 | <1% | 50 | $158.72 | |
| 90633 | <1% | 37 | $138.88 | |
| 90744 | <1% | 24 | $89.28 | |
| 92227 | <1% | 14 | $67.84 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 20 | $63.06 |
| 86580 | <1% | 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 | <1% | 330 | $31.09 |
| Z1034 | 0% | 682 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 195 | $0.00 |
| 99443 | 0% | 37 | $0.00 | |
| 99441 | 0% | 17 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 285 | $0.00 |
| 99442 | 0% | 631 | $0.00 | |
| 2028F | 0% | 72 | $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 officialSCOTT, ALDON (DIRECTOR OF OPERATIONS)
Parent organizationINDIAN HEALTH CENTER OF SANTA CLARA VALLEY
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.