NP / PA
San Jose Integrated Clinic LLC
San Jose Integrated Clinic LLC was paid $236K by Medicaid between Jan 2020 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoSAN JOSE INTEGRATED CLINIC LLC
SAN LUIS, AZ 85336
SAN LUIS, AZ 85336
33aNPI1386287753assigned 10/17/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$236K
24GClaims7,558
24DCodes billed20
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Arizona
Rank by total paid#13 of 191
Median peer was paid$9K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2020 | 1,315 | $50K | |
| 2021 | 1,087 | $47K | |
| 2022 | 1,893 | $58K | |
| 2023 | 1,841 | $47K | |
| 2024incomplete | 1,422 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 55% | 2,396 | 1,956 | $130K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 1,892 | 1,561 | $75K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.6% | 864 | 782 | $20K |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 1,287 | 1,187 | $3K |
| 86328 | <1% | 70 | 66 | $2K | |
| 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% | 45 | 42 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 153 | 135 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 12 | $861.27 |
| 99442 | <1% | 17 | 15 | $702.34 | |
| 99401 | <1% | 14 | 12 | $253.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | 13 | $152.44 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | 12 | $138.36 |
8 more codes
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 officialNGUEHANANA, CLARISSE (CEO)