Gardner Family Health Network INC
Gardner Family Health Network INC was paid $22.21M by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 61% of everything it billed.
33Billing provider infoGARDNER FAMILY HEALTH NETWORK INC
GILROY, CA 95020
GILROY, CA 95020
33aNPI1144358748assigned 03/02/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$22.21M
24GClaims271,699
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#92 of 435
Median peer was paid$2.89M
This provider vs. median7.7×
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 | 27,123 | $2.88M | |
| 2019 | 32,685 | $3.18M | |
| 2020 | 34,184 | $2.41M | |
| 2021 | 39,721 | $3.22M | |
| 2022 | 35,928 | $2.63M | |
| 2023 | 45,435 | $3.62M | |
| 2024incomplete | 56,623 | $4.26M |
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 | 61% | 73,565 | 62,794 | $13.55M |
| 00003 | Internal/system code - not a standard HCPCS code | 37% | 37,510 | 32,565 | $8.15M |
| 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% | 34,523 | 22,382 | $216K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33,312 | 19,484 | $130K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,258 | 1,187 | $32K |
| 98940 | <1% | 5,090 | 2,416 | $21K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,127 | 1,114 | $19K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,073 | 442 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,370 | 1,468 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,510 | 1,644 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 581 | 383 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,734 | 1,777 | $8K |
83 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 993 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 247 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,227 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,202 | $3K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 784 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 97 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,631 | $2K |
| 85018 | <1% | 13,217 | $2K | |
| 99383 | <1% | 99 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,447 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 63 | $1K |
| 81025 | <1% | 1,361 | $1K | |
| 90686 | <1% | 2,636 | $893.34 | |
| 81002 | <1% | 7,159 | $892.39 | |
| 90716 | <1% | 134 | $688.78 | |
| 90651 | <1% | 1,016 | $637.50 | |
| 90671 | <1% | 273 | $613.71 | |
| 90619 | <1% | 181 | $501.20 | |
| 97802 | <1% | 82 | $469.73 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 792 | $451.97 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 19 | $336.60 |
| 99384 | <1% | 81 | $335.64 | |
| 90715 | <1% | 665 | $317.44 | |
| 90656 | <1% | 326 | $257.78 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 37 | $234.00 |
| 90662 | <1% | 17 | $192.55 | |
| 99385 | <1% | 18 | $144.10 | |
| 92015 | Determination of refractive state | <1% | 4,823 | $136.17 |
| 97803 | <1% | 59 | $135.56 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 38 | $100.36 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $96.00 |
| 86580 | <1% | 301 | $90.15 | |
| 92551 | <1% | 3,638 | $64.14 | |
| 87428 | <1% | 52 | $63.59 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 681 | $37.15 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,441 | $9.00 |
| 82948 | <1% | 3,451 | $2.71 | |
| 98942 | 0% | 214 | $0.00 | |
| 99173 | 0% | 2,907 | $0.00 | |
| 90633 | 0% | 655 | $0.00 | |
| 90461 | 0% | 987 | $0.00 | |
| 90734 | 0% | 267 | $0.00 | |
| 90670 | 0% | 729 | $0.00 | |
| 4274F | 0% | 123 | $0.00 | |
| Z6400 | 0% | 37 | $0.00 | |
| 90707 | 0% | 22 | $0.00 | |
| 59425 | 0% | 259 | $0.00 | |
| 90473 | 0% | 62 | $0.00 | |
| 1159F | 0% | 290 | $0.00 | |
| 90710 | 0% | 290 | $0.00 | |
| 4040F | 0% | 77 | $0.00 | |
| 90700 | 0% | 19 | $0.00 | |
| 1160F | 0% | 290 | $0.00 | |
| 90713 | 0% | 39 | $0.00 | |
| 3077F | 0% | 13 | $0.00 | |
| 90681 | 0% | 17 | $0.00 | |
| 96160 | 0% | 16 | $0.00 | |
| 3078F | 0% | 47 | $0.00 | |
| 4004F | 0% | 16 | $0.00 | |
| 90688 | 0% | 124 | $0.00 | |
| 82962 | 0% | 3,820 | $0.00 | |
| 36416 | 0% | 872 | $0.00 | |
| 1036F | 0% | 381 | $0.00 | |
| 2010F | 0% | 413 | $0.00 | |
| 90723 | 0% | 208 | $0.00 | |
| 90647 | 0% | 214 | $0.00 | |
| 90680 | 0% | 235 | $0.00 | |
| 3008F | 0% | 566 | $0.00 | |
| 3074F | 0% | 51 | $0.00 | |
| 90697 | 0% | 345 | $0.00 | |
| 2001F | 0% | 365 | $0.00 | |
| 90474 | 0% | 59 | $0.00 | |
| 90620 | 0% | 97 | $0.00 | |
| Z1034 | 0% | 399 | $0.00 | |
| 90677 | 0% | 20 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| 90744 | 0% | 32 | $0.00 | |
| 90696 | 0% | 17 | $0.00 | |
| 4010F | 0% | 25 | $0.00 | |
| 4037F | 0% | 46 | $0.00 | |
| 92082 | 0% | 12 | $0.00 | |
| 92002 | 0% | 12 | $0.00 | |
| 1125F | 0% | 45 | $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)
Parent organizationGARDNER FAMILY HEALTH NETWORK INC
| Provider | Location | Paid |
|---|---|---|
| Gardner Family Health Network INC | San Jose, CA | $23.68M |
| 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 |
| Gardner Family Health Network INC | Alviso, CA | $2.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.