Clinic
Santa Rosa Community Health Centers
Santa Rosa Community Health Centers was paid $1.66M by Medicaid between Jan 2018 and Nov 2022, across 12 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 infoSANTA ROSA COMMUNITY HEALTH CENTERS
SANTA ROSA, CA 95404
SANTA ROSA, CA 95404
33aNPI1184909103assigned 10/21/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.66M
24GClaims29,376
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#509 of 826
Median peer was paid$4.05M
This provider vs. median0.4×
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 | 13,069 | $1.10M | |
| 2019 | 10,847 | $529K | |
| 2020 | 5,219 | $23K | |
| 2021 | 140 | $7K | |
| 2022 | 101 | $283.64 |
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% | 10,606 | 9,204 | $1.58M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 12,795 | 10,514 | $49K |
| 80305 | 1.3% | 990 | 780 | $22K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 295 | 295 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 649 | 604 | $2K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 3,481 | 3,023 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 17 | 15 | $653.31 |
| 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% | 276 | 259 | $574.42 |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | <1% | 17 | 16 | $280.50 |
| A4267 | Contraceptive supply, condom, male, each | <1% | 34 | 32 | $66.64 |
| 86580 | <1% | 34 | 34 | $13.44 | |
| 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 | 0% | 182 | 156 | $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 officialBERNAL-LEROI, GABRIELA (CHIEF EXECUTIVE OFFICER)
Parent organizationSANTA ROSA COMMUNITY HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Santa Rosa Community Health Centers | Santa Rosa, CA | $95.02M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $63.55M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $45.47M |
| Santa Rosa Community Healt Centers | Santa Rosa, CA | $11.20M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $1.93M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $1.30M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $277K |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $59K |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $264.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.