SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.

NPI: 1487165544 · SAN JOSE, CA 95121 · Federally Qualified Health Center (FQHC) · NPI assigned 10/17/2017

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

100% of spending on code 00003 with only 1 total codes billed. Highly concentrated billing profile.

$9.98M

Total Medicaid Paid

49,539

Total Claims

28,456

Beneficiaries

Codes Billed

2018-03

First Month

2020-05

Last Month

Provider Details

Authorized Official	CHAVARIN, SALVADOR (CHIEF EXECUTIVE OFFICER)
Parent Organization	SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
NPI Enumeration Date	10/17/2017

Other providers sharing the same authorized official: CHAVARIN, SALVADOR

Provider	City	State	Total Paid
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC	SAN JOSE	CA	$20.65M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.	GILROY	CA	$16.53M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.	SAN JOSE	CA	$13.46M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.	SAN JOSE	CA	$11.28M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.	SAN JOSE	CA	$10.95M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.	SAN JOSE	CA	$7.23M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.	SAN JOSE	CA	$2.83M
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.	SAN JOSE	CA	$368K

Code	Description	Claims	Beneficiaries	Total Paid
00003	Internal/system code - not a standard HCPCS code	49,539	28,456	$9.98M