Clinic
Indian Health Center of Santa Clara Valley
Indian Health Center of Santa Clara Valley was paid $50.20M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 58% of everything it billed.
33Billing provider infoINDIAN HEALTH CENTER OF SANTA CLARA VALLEY
SAN JOSE, CA 95125
SAN JOSE, CA 95125
33aNPI1164643862assigned 05/01/2007
28Total paid$50.20M
24GClaims468,402
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in California
Rank by total paid#20 of 369
Median peer was paid$1.25M
This provider vs. median40×
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 | 63,352 | $8.36M | |
| 2019 | 69,030 | $7.23M | |
| 2020 | 71,680 | $6.27M | |
| 2021 | 76,065 | $7.81M | |
| 2022 | 50,378 | $5.09M | |
| 2023 | 68,838 | $7.38M | |
| 2024incomplete | 69,059 | $8.05M |
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 | 58% | 141,780 | 125,277 | $29.19M |
| 00003 | Internal/system code - not a standard HCPCS code | 39% | 82,161 | 73,584 | $19.50M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 115,583 | 72,614 | $835K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37,278 | 21,744 | $149K |
| 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% | 13,574 | 8,958 | $112K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 563 | 422 | $38K |
| 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% | 6,174 | 4,714 | $35K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,015 | 1,352 | $34K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,606 | 928 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,956 | 1,252 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,344 | 871 | $21K |
| 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% | 1,235 | 931 | $20K |
73 more codes
| 91320 | <1% | 590 | $20K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,834 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,266 | $17K |
| 90746 | <1% | 1,296 | $17K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,618 | $17K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 614 | $15K |
| 59425 | <1% | 697 | $14K | |
| 92552 | <1% | 4,230 | $14K | |
| 90480 | <1% | 626 | $11K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,280 | $9K |
| 90686 | <1% | 6,984 | $7K | |
| 90715 | <1% | 1,055 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 676 | $7K |
| 99490 | Ccm add 20min | <1% | 616 | $6K |
| 90677 | <1% | 119 | $6K | |
| 90662 | <1% | 974 | $4K | |
| 90688 | <1% | 1,239 | $4K | |
| G9920 | Screening performed and negative | <1% | 476 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 151 | $3K |
| 85018 | <1% | 6,465 | $3K | |
| 90656 | <1% | 668 | $2K | |
| 99443 | <1% | 713 | $2K | |
| 90632 | <1% | 281 | $2K | |
| 90649 | <1% | 294 | $2K | |
| 81002 | <1% | 3,899 | $2K | |
| 99385 | <1% | 45 | $2K | |
| 99442 | <1% | 3,174 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 766 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 193 | $903.35 |
| 0124A | <1% | 12 | $737.00 | |
| 86580 | <1% | 288 | $645.14 | |
| 99454 | <1% | 77 | $484.90 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 29 | $484.02 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 35 | $476.00 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $308.10 |
| 81025 | <1% | 497 | $271.45 | |
| 90674 | <1% | 304 | $255.00 | |
| 99384 | <1% | 22 | $177.15 | |
| 90651 | <1% | 324 | $146.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 211 | $141.76 |
| 82948 | <1% | 339 | $107.01 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 72 | $91.96 |
| 99441 | <1% | 1,588 | $89.37 | |
| 86403 | <1% | 56 | $84.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 38 | $75.50 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 36 | $71.66 |
| 99173 | <1% | 3,631 | $70.30 | |
| 99401 | <1% | 12 | $67.28 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | $50.00 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 49 | $38.40 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12 | $30.00 |
| G0008 | Administration of influenza virus vaccine | <1% | 499 | $28.96 |
| 92227 | <1% | 274 | $28.86 | |
| 90714 | <1% | 16 | $23.29 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | $20.84 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 4,653 | $18.41 |
| 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% | 379 | $15.59 |
| 90734 | <1% | 281 | $15.00 | |
| Z1034 | 0% | 672 | $0.00 | |
| 90620 | 0% | 65 | $0.00 | |
| 99383 | 0% | 18 | $0.00 | |
| 90697 | 0% | 28 | $0.00 | |
| G9012 | Other specified case management service not elsewhere classified | 0% | 65 | $0.00 |
| 90698 | 0% | 57 | $0.00 | |
| 90744 | 0% | 32 | $0.00 | |
| 90680 | 0% | 32 | $0.00 | |
| 36416 | 0% | 19 | $0.00 | |
| 90670 | 0% | 304 | $0.00 | |
| 2028F | 0% | 943 | $0.00 | |
| 90685 | 0% | 166 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 36 | $0.00 |
| 90633 | 0% | 68 | $0.00 | |
| 99201 | 0% | 13 | $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)
| Provider | Location | Paid |
|---|---|---|
| Indian Health Center of Santa Clara Valley | San Jose, CA | $21.74M |
| 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.