Clinic
San Jose Foothill Family Community Clinic, INC.
San Jose Foothill Family Community Clinic, INC. was paid $16.53M by Medicaid between Jan 2018 and May 2020, across 38 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 61% of everything it billed.
33Billing provider infoSAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
GILROY, CA 95020
GILROY, CA 95020
33aNPI1144626649assigned 11/10/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$16.53M
24GClaims145,770
24DCodes billed38
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#207 of 826
Median peer was paid$4.05M
This provider vs. median4.1×
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 | 64,471 | $7.82M | |
| 2019 | 63,144 | $7.07M | |
| 2020 | 18,155 | $1.64M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 61% | 71,003 | 32,113 | $10.02M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 37% | 41,725 | 27,536 | $6.08M |
| 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% | 19,427 | 13,239 | $164K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 896 | 381 | $125K |
| 98940 | <1% | 478 | 193 | $63K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 288 | 217 | $20K |
| 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% | 373 | 351 | $16K |
| 92552 | <1% | 1,077 | 901 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,512 | 2,057 | $9K |
| 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% | 1,403 | 1,050 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 475 | 393 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 124 | 90 | $2K |
26 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 458 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 72 | $2K |
| 90660 | <1% | 520 | $2K | |
| 85018 | <1% | 1,555 | $2K | |
| J3490 | Unclassified drugs | <1% | 12 | $960.00 |
| 90686 | <1% | 214 | $920.88 | |
| 90715 | <1% | 48 | $548.88 | |
| 81025 | <1% | 433 | $544.86 | |
| 82962 | <1% | 343 | $396.68 | |
| G0467 | Community health center visit, returning patient | <1% | 494 | $392.59 |
| 90656 | <1% | 18 | $349.74 | |
| 90658 | <1% | 41 | $327.36 | |
| 86580 | <1% | 179 | $268.02 | |
| 90651 | <1% | 31 | $128.96 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 27 | $122.69 |
| 90734 | <1% | 29 | $119.04 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 44 | $86.21 |
| 81002 | <1% | 206 | $82.38 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | $37.42 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 368 | $37.23 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 71 | $30.03 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 157 | $4.46 |
| 99173 | 0% | 472 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 131 | $0.00 |
| 11721 | 0% | 12 | $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% | 36 | $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 officialCHAVARIN, SALVADOR (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| San Jose Foothill Family Community Clinic, INC | San Jose, CA | $20.65M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $13.46M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $11.28M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $10.95M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $9.98M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $7.23M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $2.83M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $368K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.