Clinic
Santa Rosa Community Health Centers
Santa Rosa Community Health Centers was paid $45.47M by Medicaid between Jan 2018 and Nov 2024, across 143 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoSANTA ROSA COMMUNITY HEALTH CENTERS
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
33aNPI1386712065assigned 12/01/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$45.47M
24GClaims647,372
24DCodes billed143
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#76 of 826
Median peer was paid$4.05M
This provider vs. median11×
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 | 66,415 | $8.50M | |
| 2019 | 87,079 | $7.52M | |
| 2020 | 108,744 | $8.00M | |
| 2021 | 94,401 | $7.37M | |
| 2022 | 95,945 | $6.19M | |
| 2023 | 130,257 | $6.05M | |
| 2024incomplete | 64,531 | $1.85M |
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 | 91% | 205,232 | 165,591 | $41.33M |
| 00003 | Internal/system code - not a standard HCPCS code | 3.9% | 7,597 | 7,376 | $1.78M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 175,181 | 108,561 | $961K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 5,243 | 3,316 | $375K |
| 59425 | <1% | 2,340 | 1,702 | $158K | |
| 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% | 12,122 | 8,092 | $72K |
| 90686 | <1% | 8,595 | 5,826 | $67K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 7,719 | 4,300 | $63K |
| 96156 | <1% | 4,991 | 3,846 | $55K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,251 | 552 | $47K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 2,999 | 2,408 | $47K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 3,795 | 2,586 | $41K |
131 more codes
| 99401 | <1% | 3,064 | $34K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,863 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16,286 | $30K |
| 87428 | <1% | 784 | $27K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,869 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,709 | $18K |
| 0004A | <1% | 265 | $18K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,202 | $17K |
| 97803 | <1% | 1,426 | $16K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 1,589 | $15K |
| 80305 | <1% | 2,557 | $15K | |
| 97802 | <1% | 567 | $12K | |
| 0134A | <1% | 167 | $11K | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 1,137 | $10K |
| 0071A | <1% | 153 | $10K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 349 | $9K |
| 99402 | <1% | 464 | $8K | |
| 0072A | <1% | 125 | $8K | |
| 0064A | <1% | 124 | $8K | |
| 81025 | <1% | 4,313 | $8K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 223 | $8K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 14 | $8K |
| 97810 | <1% | 1,471 | $7K | |
| 97811 | <1% | 1,467 | $7K | |
| 90649 | <1% | 1,277 | $7K | |
| 90715 | <1% | 793 | $6K | |
| 90670 | <1% | 1,755 | $6K | |
| 90656 | <1% | 540 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 296 | $4K |
| 90647 | <1% | 1,428 | $4K | |
| 90723 | <1% | 1,330 | $4K | |
| 95250 | <1% | 43 | $4K | |
| 0012A | <1% | 59 | $4K | |
| 0001A | <1% | 67 | $4K | |
| 90680 | <1% | 858 | $3K | |
| 0002A | <1% | 47 | $3K | |
| 0011A | <1% | 110 | $3K | |
| 90633 | <1% | 885 | $3K | |
| H0049 | Alcohol and/or drug screening | <1% | 167 | $3K |
| 59025 | Fetal non-stress test | <1% | 467 | $3K |
| 0124A | <1% | 41 | $3K | |
| 90734 | <1% | 653 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,466 | $3K |
| 95251 | <1% | 109 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,205 | $2K |
| 59430 | <1% | 34 | $2K | |
| 97597 | <1% | 58 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,486 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,911 | $2K |
| 99283 | Emergency room visit (moderate) | <1% | 6,826 | $2K |
| 92551 | <1% | 4,203 | $2K | |
| 92015 | Determination of refractive state | <1% | 271 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 493 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 132 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 117 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,504 | $1K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 162 | $1K |
| 90677 | <1% | 183 | $936.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 349 | $920.79 |
| 90700 | <1% | 254 | $819.00 | |
| J3490 | Unclassified drugs | <1% | 24 | $781.40 |
| 96151 | <1% | 83 | $706.44 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $688.08 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 41 | $686.81 |
| 90707 | <1% | 145 | $610.00 | |
| 90716 | <1% | 191 | $603.00 | |
| 99381 | <1% | 19 | $498.63 | |
| 90710 | <1% | 138 | $414.00 | |
| 92081 | <1% | 2,240 | $402.04 | |
| 69210 | <1% | 35 | $400.41 | |
| 81005 | <1% | 1,069 | $374.32 | |
| 90651 | <1% | 17 | $304.00 | |
| 90696 | <1% | 99 | $297.00 | |
| 81003 | <1% | 655 | $290.62 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 65 | $264.04 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 71 | $260.03 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 30 | $249.43 |
| 94150 | <1% | 97 | $243.04 | |
| 83986 | <1% | 3,695 | $214.01 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 70 | $207.85 |
| 90681 | <1% | 41 | $207.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 62 | $166.12 |
| 90461 | <1% | 44 | $152.92 | |
| 97804 | <1% | 35 | $109.27 | |
| 93000 | <1% | 181 | $91.88 | |
| 11721 | <1% | 40 | $33.13 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 21 | $32.76 |
| 82948 | <1% | 69 | $19.74 | |
| 87430 | <1% | 219 | $12.78 | |
| S5199 | Personal care item, nos, each | <1% | 45 | $6.78 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 21 | $0.55 |
| 1159F | 0% | 9,193 | $0.00 | |
| 1160F | 0% | 9,191 | $0.00 | |
| 3078F | 0% | 7,372 | $0.00 | |
| Z6304 | 0% | 3,204 | $0.00 | |
| Z6208 | 0% | 690 | $0.00 | |
| 4274F | 0% | 5,501 | $0.00 | |
| Z6200 | 0% | 1,071 | $0.00 | |
| Z6300 | 0% | 1,039 | $0.00 | |
| Z6414 | 0% | 1,301 | $0.00 | |
| Z6400 | 0% | 3,647 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 366 | $0.00 |
| Z6206 | 0% | 44 | $0.00 | |
| 4040F | 0% | 273 | $0.00 | |
| Z6308 | 0% | 1,077 | $0.00 | |
| 99173 | 0% | 464 | $0.00 | |
| A4208 | Syringe with needle, sterile 3 cc, each | 0% | 28 | $0.00 |
| 3077F | 0% | 160 | $0.00 | |
| A4614 | Peak expiratory flow rate meter, hand held | 0% | 29 | $0.00 |
| Z1036 | 0% | 88 | $0.00 | |
| 4037F | 0% | 487 | $0.00 | |
| 3008F | 0% | 10,216 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 4,689 | $0.00 |
| 3074F | 0% | 6,609 | $0.00 | |
| 2001F | 0% | 10,790 | $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% | 3,563 | $0.00 |
| Z1034 | 0% | 8,041 | $0.00 | |
| Z6410 | 0% | 2,489 | $0.00 | |
| 3351F | 0% | 777 | $0.00 | |
| Z6406 | 0% | 3,794 | $0.00 | |
| 2010F | 0% | 11,083 | $0.00 | |
| Z6204 | 0% | 1,912 | $0.00 | |
| 2000F | 0% | 9,160 | $0.00 | |
| Z6402 | 0% | 1,056 | $0.00 | |
| 3075F | 0% | 476 | $0.00 | |
| 3079F | 0% | 375 | $0.00 | |
| 1036F | 0% | 2,375 | $0.00 | |
| 4010F | 0% | 278 | $0.00 | |
| Z1038 | 0% | 13 | $0.00 | |
| 3080F | 0% | 14 | $0.00 | |
| 99383 | 0% | 26 | $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)
| 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 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 | $1.66M |
| 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.