Clinic
El Rio Santa Cruz Neighborhood Health Center, INC
El Rio Santa Cruz Neighborhood Health Center, INC was paid $560K by Medicaid between Jan 2018 and Apr 2020, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoEL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
TUCSON, AZ 85712
TUCSON, AZ 85712
33aNPI1255518528assigned 01/29/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$560K
24GClaims2,730
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arizona
Rank by total paid#82 of 126
Median peer was paid$1.45M
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 | 535 | $120K | |
| 2019 | 1,521 | $294K | |
| 2020 | 674 | $146K |
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 | 100% | 1,918 | 1,394 | $560K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 185 | 151 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 582 | 435 | $0.00 |
| 1220F | 0% | 14 | 12 | $0.00 | |
| 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 | 0% | 31 | 30 | $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 officialJOHNSON, NANCY (CEO)
Parent organizationEL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $4.43M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.