Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › TUCSON › EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC

EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC

NPI: 1487602736 · TUCSON, AZ 85745 · Federally Qualified Health Center (FQHC) · NPI assigned 05/05/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KUNTZ, CLINTON controls 15+ related entities in our dataset. Read more

$360.32M
Total Medicaid Paid
4,351,444
Total Claims
3,636,486
Beneficiaries
347
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKUNTZ, CLINTON (CEO)
NPI Enumeration Date05/05/2006

Related Entities

Other providers sharing the same authorized official: KUNTZ, CLINTON

ProviderCityStateTotal Paid
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC TUCSON AZ $11.92M
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC TUCSON AZ $10.45M
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC TUCSON AZ $10.13M
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC TUCSON AZ $8.92M
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC TUCSON AZ $7.67M
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC TUCSON AZ $5.51M
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER TUCSON AZ $3.83M
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER TUCSON AZ $1.56M
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC TUCSON AZ $1.45M
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC TUCSON AZ $1.13M
EL RIO HEALTH CENTER (SOUTHWEST) TUCSON AZ $710K
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER TUCSON AZ $494K
MARANA HEALTH CENTER, INC TUCSON AZ $288K
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC TUCSON AZ $173K
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER TUCSON AZ $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 613,374 $40.25M
2019 643,299 $36.43M
2020 368,929 $29.03M
2021 466,311 $35.85M
2022 765,662 $64.50M
2023 792,297 $74.26M
2024 701,572 $80.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,241,179 957,066 $357.76M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 398,770 343,100 $472K
99238 Hospital discharge day management, 30 minutes or less 5,622 5,509 $336K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 288 282 $240K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 406,359 349,683 $222K
99460 3,303 3,208 $214K
T1016 Case management, each 15 minutes 16,664 12,768 $194K
99233 Prolong inpt eval add15 m 3,403 1,295 $192K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,999 3,145 $130K
99232 Subsequent hospital care, per day, moderate complexity 2,644 1,067 $103K
99239 Hospital discharge day management, more than 30 minutes 750 701 $38K
59514 26 26 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 123,559 111,285 $23K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,310 5,123 $21K
H0031 Mental health assessment, by non-physician 6,058 5,820 $21K
90837 Psychotherapy, 53 minutes with patient 14,251 9,373 $20K
90750 7,338 6,982 $19K
99215 Prolong outpt/office vis 10,556 9,719 $14K
90792 Psychiatric diagnostic evaluation with medical services 3,670 3,593 $14K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 41,279 34,830 $14K
96156 17,171 15,779 $12K
90834 Psychotherapy, 45 minutes with patient 10,417 7,953 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 20,045 18,003 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 17,855 16,163 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 30,581 26,388 $9K
H0004 Behavioral health counseling and therapy, per 15 minutes 11,359 6,470 $8K
99385 2,845 2,523 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,320 5,854 $8K
90686 60,336 52,774 $7K
0124A 5,989 5,552 $6K
90670 20,883 17,834 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43,272 32,757 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 60,332 55,545 $6K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 13,165 7,703 $5K
90715 19,562 18,002 $5K
99000 2,829 2,732 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 30,169 26,052 $5K
90461 30,795 27,672 $4K
90791 Psychiatric diagnostic evaluation 1,734 1,683 $4K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 14,600 11,610 $4K
99221 68 64 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 20,464 17,261 $4K
97803 5,833 5,115 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,687 4,474 $3K
0072A 2,964 2,740 $3K
90472 Immunization administration, each additional vaccine (list separately) 40,371 35,581 $3K
80061 Lipid panel 6,751 6,576 $3K
90651 11,414 9,965 $3K
99381 3,945 3,620 $3K
97802 5,851 5,654 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3,354 3,218 $2K
0071A 1,379 1,273 $2K
99223 Prolong inpt eval add15 m 26 25 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,353 3,188 $2K
99462 76 67 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,515 2,146 $2K
77067 Screening mammography, bilateral, including computer-aided detection 3,187 3,110 $2K
99386 1,215 1,115 $2K
36415 Collection of venous blood by venipuncture 61,933 57,944 $2K
80053 Comprehensive metabolic panel 6,060 5,831 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,281 1,244 $2K
0012A 1,914 1,901 $2K
90716 11,092 9,531 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 457 445 $2K
99383 1,307 1,108 $2K
90734 6,536 5,528 $2K
90677 5,291 5,028 $2K
76830 Ultrasound, transvaginal 1,068 1,038 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,212 6,943 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 10,964 6,209 $1K
96158 3,200 2,900 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,653 2,740 $1K
90688 16,595 13,975 $1K
90620 5,900 5,029 $1K
96152 6,139 4,939 $1K
90732 827 709 $1K
H0038 Self-help/peer services, per 15 minutes 735 398 $1K
83036 Hemoglobin; glycosylated (A1C) 6,944 6,779 $1K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 3,182 3,093 $1K
0011A 1,914 1,871 $1K
99382 189 167 $1K
90723 15,250 13,078 $1K
99463 14 14 $1K
99384 644 544 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,552 7,712 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,198 3,325 $1K
98927 373 332 $974.43
90707 10,687 9,176 $972.65
0001A 3,719 3,545 $880.00
90746 1,211 1,111 $866.89
76642 1,099 1,067 $842.90
0054A 1,008 919 $840.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 938 824 $828.71
90681 9,489 8,128 $815.56
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 377 260 $783.91
84443 Thyroid stimulating hormone (TSH) 2,738 2,662 $696.97
77066 Tomosynthesis, mammo 256 251 $690.05
0051A 868 788 $680.00
80050 General health panel 1,194 1,177 $666.36
71046 Radiologic examination, chest; 2 views 4,036 3,879 $630.28
0004A 4,590 4,143 $588.60
90647 20,192 17,322 $558.56
0002A 3,530 3,427 $520.00
0052A 19 18 $520.00
0031A 514 509 $517.95
99441 106 101 $501.20
99442 186 165 $490.26
90632 424 386 $465.96
86803 1,946 1,888 $423.13
92227 1,470 1,409 $390.24
76536 37 36 $388.10
59025 Fetal non-stress test 2,949 1,298 $378.57
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,287 3,130 $363.14
81003 23,438 19,083 $350.79
H2011 Crisis intervention service, per 15 minutes 155 138 $347.40
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 712 624 $331.74
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,210 1,801 $325.96
91303 204 200 $317.95
77063 Screening digital breast tomosynthesis, bilateral 3,379 3,157 $312.38
96167 92 79 $303.62
99244 Office or other outpatient consultation, moderate to high complexity 139 130 $288.42
1159F 95,217 80,373 $284.24
G0008 Administration of influenza virus vaccine 4,245 3,890 $265.33
99177 27,810 24,014 $263.40
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2,003 1,204 $232.88
90633 11,262 9,692 $219.00
76705 Ultrasound, abdominal, real time with image documentation; limited 70 68 $218.04
92551 30,468 26,336 $216.58
96154 4,813 3,877 $179.31
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 29 27 $171.98
82247 569 454 $169.69
D0140 Limited oral evaluation - problem focused 16,152 13,364 $162.00
90832 Psychotherapy, 30 minutes with patient 2,886 2,355 $161.58
81025 16,194 14,879 $154.44
90853 Group psychotherapy (other than of a multiple-family group) 38 12 $148.96
73564 197 181 $140.56
86592 2,009 1,915 $139.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,119 1,019 $134.60
82248 459 394 $129.87
90662 2,618 2,379 $124.00
99051 28,737 25,915 $115.22
36416 1,171 1,143 $104.10
73030 395 355 $103.88
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 307 283 $97.41
90696 3,345 2,803 $88.88
80048 Basic metabolic panel (calcium, ionized) 2,285 2,201 $87.60
81001 2,312 2,215 $84.84
99173 23,113 19,897 $71.50
H0002 Behavioral health screening to determine eligibility for admission to treatment program 228 221 $68.07
87088 1,671 1,603 $66.23
73630 128 119 $66.13
99397 511 403 $64.94
96150 2,132 1,823 $64.85
73610 31 28 $63.86
D0220 Intraoral - periapical first radiographic image 18,483 15,606 $62.00
85610 2,052 1,261 $61.64
82962 2,915 2,543 $61.64
58300 1,359 1,295 $58.26
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,359 2,974 $53.42
86580 1,677 1,430 $46.18
87800 526 507 $45.57
93000 1,757 1,644 $44.70
20610 185 166 $34.30
90474 3,421 3,035 $31.07
82043 1,667 1,625 $26.80
86706 392 378 $25.40
84436 600 588 $23.81
87480 874 863 $23.71
87340 619 603 $22.50
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 346 322 $22.14
87070 1,155 1,126 $21.04
87186 480 459 $20.04
80076 387 365 $19.32
82728 477 468 $15.48
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,603 8,955 $14.88
85652 475 460 $9.63
83540 482 475 $7.35
82950 399 392 $5.61
J1885 Injection, ketorolac tromethamine, per 15 mg 1,205 1,105 $4.88
J1100 Injection, dexamethasone sodium phosphate, 1 mg 490 415 $1.35
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 916 778 $0.14
1036F 311,568 258,607 $0.09
1220F 134,296 118,185 $0.06
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 412 343 $0.04
96127 11,052 9,498 $0.02
1158F 14,019 12,518 $0.01
1003F 1,585 1,429 $0.01
91300 7,635 6,894 $0.01
1125F 27,478 23,892 $0.01
1101F 5,375 4,781 $0.01
1126F 30,272 25,901 $0.01
1157F 7,926 6,746 $0.01
91320 5,659 5,520 $0.00
90682 332 268 $0.00
3077F 11,715 10,829 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 989 917 $0.00
D2930 Prefabricated stainless steel crown - primary tooth 1,524 699 $0.00
90713 1,835 1,647 $0.00
87481 138 134 $0.00
84460 131 130 $0.00
91312 3,585 3,413 $0.00
D0190 15,379 13,590 $0.00
D0330 Panoramic radiographic image 2,968 2,721 $0.00
3078F 24,738 22,691 $0.00
90473 1,620 1,285 $0.00
1160F 26,721 23,396 $0.00
D0274 Bitewings - four radiographic images 3,114 2,912 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 113 105 $0.00
11982 167 158 $0.00
2028F 750 696 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,638 2,576 $0.00
D1120 Prophylaxis - child 11,859 10,855 $0.00
86705 182 176 $0.00
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 477 289 $0.00
98968 538 488 $0.00
97161 1,121 1,115 $0.00
90700 5,459 4,745 $0.00
D0270 4,054 3,216 $0.00
91308 660 590 $0.00
4004F 1,264 1,130 $0.00
80305 207 155 $0.00
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 726 679 $0.00
81002 7,019 5,201 $0.00
2024F 1,348 1,314 $0.00
96153 632 287 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2,275 1,810 $0.00
D1110 Prophylaxis - adult 2,479 2,290 $0.00
90678 77 77 $0.00
87660 789 779 $0.00
1090F 95 76 $0.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 357 314 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,078 1,311 $0.00
D0145 Oral evaluation for a patient under three years of age 946 875 $0.00
D1354 4,384 1,381 $0.00
11981 498 476 $0.00
0003A 180 154 $0.00
1100F 152 125 $0.00
72100 258 248 $0.00
90685 1,175 1,161 $0.00
70355 53 53 $0.00
90648 103 86 $0.00
3046F 140 104 $0.00
77062 132 125 $0.00
3051F 76 68 $0.00
84450 118 117 $0.00
73130 28 26 $0.00
0073A 35 32 $0.00
0502F 212 161 $0.00
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 61 58 $0.00
82947 74 72 $0.00
73562 45 40 $0.00
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 51 50 $0.00
77065 Tomosynthesis, mammo 59 57 $0.00
99201 85 77 $0.00
80074 13 13 $0.00
0053A 147 134 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 27 27 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 124 105 $0.00
87210 32 31 $0.00
86431 174 171 $0.00
82565 12 12 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 13 13 $0.00
4040F 17 17 $0.00
73110 14 12 $0.00
95004 Percutaneous tests with allergenic extracts, immediate type reaction 49 33 $0.00
76770 16 15 $0.00
84550 14 14 $0.00
82570 14 12 $0.00
98926 30 26 $0.00
D2740 Crown - porcelain/ceramic 23 13 $0.00
97039 19 18 $0.00
92228 671 637 $0.00
D0272 Bitewings - two radiographic images 6,941 6,334 $0.00
D1206 Topical application of fluoride varnish 24,664 22,140 $0.00
D0230 Intraoral - periapical each additional radiographic image 3,798 2,592 $0.00
3075F 12,972 12,378 $0.00
3074F 24,588 22,690 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 99 93 $0.00
90480 8,378 8,194 $0.00
58100 360 349 $0.00
D0150 Comprehensive oral evaluation - new or established patient 2,910 2,617 $0.00
0154A 559 516 $0.00
3079F 18,447 17,356 $0.00
D0120 Periodic oral evaluation - established patient 9,929 9,128 $0.00
D0603 1,529 1,482 $0.00
91301 997 968 $0.00
90619 1,080 1,035 $0.00
90656 5,092 4,999 $0.00
D0240 5,010 1,727 $0.00
3080F 5,203 4,865 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,980 1,246 $0.00
D7140 Extraction, erupted tooth or exposed root 8,285 4,510 $0.00
0081A 579 492 $0.00
91319 147 144 $0.00
87081 1,149 1,116 $0.00
D1351 Sealant - per tooth 6,346 1,691 $0.00
99417 Prolong home eval add 15m 241 223 $0.00
88720 609 488 $0.00
D1310 2,125 1,991 $0.00
96151 130 98 $0.00
98967 56 54 $0.00
90674 15 14 $0.00
91315 187 177 $0.00
91307 2,901 2,573 $0.00
D1330 2,182 2,043 $0.00
97162 151 145 $0.00
87807 125 118 $0.00
G0009 Administration of pneumococcal vaccine 331 275 $0.00
58301 265 257 $0.00
0082A 397 365 $0.00
91305 718 673 $0.00
87510 765 756 $0.00
3044F 186 154 $0.00
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 38 37 $0.00
83735 220 216 $0.00
94010 47 32 $0.00
76801 398 383 $0.00
85027 93 92 $0.00
84153 104 103 $0.00
96164 87 77 $0.00
3008F 399 345 $0.00
90739 302 297 $0.00
83550 185 177 $0.00
80055 177 172 $0.00
4037F 92 82 $0.00
87511 152 148 $0.00
83001 51 51 $0.00
90744 30 25 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 568 539 $0.00
0173A 124 119 $0.00
57454 96 88 $0.00
80081 175 175 $0.00
D0602 197 196 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 39 39 $0.00
91318 72 69 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 33 30 $0.00
3052F 17 16 $0.00
D0210 Intraoral - complete series of radiographic images 104 95 $0.00
82550 14 14 $0.00
D0601 198 193 $0.00
97016 12 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 31 26 $0.00
82150 12 12 $0.00
96161 12 12 $0.00
73502 15 15 $0.00
97014 19 12 $0.00
82040 13 12 $0.00