Clinic
El Rio Santa Cruz Neighborhood Health Center, INC
El Rio Santa Cruz Neighborhood Health Center, INC was paid $2.27M by Medicaid between Feb 2020 and Aug 2022, across 33 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 85705
TUCSON, AZ 85705
33aNPI1457982647assigned 01/28/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.27M
24GClaims21,041
24DCodes billed33
24AFirst – last monthFeb 2020 – Aug 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arizona
Rank by total paid#55 of 126
Median peer was paid$1.45M
This provider vs. median1.6×
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 | 5,598 | $612K | |
| 2021 | 15,415 | $1.66M | |
| 2022 | 28 | $0.00 |
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% | 9,645 | 7,849 | $2.27M |
| 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% | 2,094 | 1,881 | $934.70 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 73 | 69 | $587.73 |
| 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% | 2,082 | 1,888 | $521.50 |
| 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% | 131 | 121 | $454.86 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 322 | 304 | $126.20 |
| 96127 | <1% | 85 | 77 | $40.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 638 | 613 | $37.75 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | 26 | $34.30 |
| 90686 | <1% | 330 | 320 | $21.88 | |
| 90688 | <1% | 14 | 14 | $16.94 | |
| 1036F | 0% | 963 | 850 | $0.00 |
21 more codes
| 90834 | Psychotherapy session, about 45 minutes | 0% | 181 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 33 | $0.00 |
| 1220F | 0% | 881 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 512 | $0.00 |
| 1125F | 0% | 414 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 28 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 184 | $0.00 |
| 1157F | 0% | 18 | $0.00 | |
| 1126F | 0% | 35 | $0.00 | |
| 0001A | 0% | 13 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 14 | $0.00 |
| 1158F | 0% | 445 | $0.00 | |
| 81003 | 0% | 227 | $0.00 | |
| 90715 | 0% | 135 | $0.00 | |
| 1159F | 0% | 863 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 64 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 39 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 15 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 43 | $0.00 |
| 91300 | 0% | 14 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 480 | $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 officialCRUCE, CECILIA (REVENUE CYCLE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.