Clinic
San Jose Foothill Family Community Clinic, INC.
San Jose Foothill Family Community Clinic, INC. was paid $11.28M by Medicaid between Jan 2018 and Nov 2020, across 83 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoSAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
SAN JOSE, CA 95127
SAN JOSE, CA 95127
33aNPI1538508015assigned 06/18/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.28M
24GClaims166,736
24DCodes billed83
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#275 of 826
Median peer was paid$4.05M
This provider vs. median2.8×
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 | 58,558 | $5.25M | |
| 2019 | 76,802 | $4.51M | |
| 2020 | 31,376 | $1.52M |
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 | 86% | 70,397 | 57,147 | $9.70M |
| 98940 | 6.4% | 4,953 | 2,660 | $727K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 36,096 | 27,011 | $370K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 1.1% | 273 | 267 | $121K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 4,510 | 4,003 | $82K |
| 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% | 7,482 | 5,973 | $59K |
| 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% | 605 | 574 | $57K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,825 | 4,303 | $41K |
| 92552 | <1% | 2,615 | 2,183 | $21K | |
| J3490 | Unclassified drugs | <1% | 190 | 190 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 482 | 359 | $11K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 121 | 75 | $5K |
71 more codes
| 90715 | <1% | 511 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 296 | $5K |
| 90688 | <1% | 426 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 986 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 435 | $4K |
| 90660 | <1% | 1,133 | $4K | |
| 82962 | <1% | 2,614 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 616 | $3K |
| 85018 | <1% | 4,463 | $3K | |
| 90658 | <1% | 392 | $3K | |
| 90686 | <1% | 996 | $2K | |
| 90651 | <1% | 335 | $2K | |
| 81025 | <1% | 1,504 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,681 | $2K |
| 99384 | <1% | 98 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 62 | $2K |
| 99401 | <1% | 170 | $2K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 14 | $1K |
| 90656 | <1% | 72 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 22 | $1K |
| 97803 | <1% | 97 | $807.64 | |
| 85027 | <1% | 516 | $665.16 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 24 | $640.40 |
| 93000 | <1% | 182 | $634.34 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 48 | $604.44 |
| 90716 | <1% | 220 | $525.08 | |
| 90734 | <1% | 211 | $521.24 | |
| 96151 | <1% | 59 | $497.14 | |
| 90662 | <1% | 37 | $450.00 | |
| 90707 | <1% | 141 | $447.89 | |
| 90633 | <1% | 367 | $446.40 | |
| 82274 | <1% | 42 | $405.75 | |
| G0467 | Community health center visit, returning patient | <1% | 1,268 | $389.70 |
| 81002 | <1% | 848 | $373.67 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 73 | $340.62 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 21 | $284.71 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 42 | $268.50 |
| 76801 | <1% | 18 | $259.38 | |
| 90713 | <1% | 236 | $178.56 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 25 | $174.41 |
| 86580 | <1% | 226 | $168.50 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 95 | $143.44 |
| 96156 | <1% | 19 | $142.97 | |
| 90744 | <1% | 107 | $99.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 568 | $66.90 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 112 | $52.91 |
| 90670 | <1% | 35 | $39.68 | |
| 85007 | <1% | 20 | $17.66 | |
| 90710 | <1% | 14 | $9.92 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 397 | $0.00 |
| 99442 | 0% | 153 | $0.00 | |
| V2020 | Frames, purchases | 0% | 1,066 | $0.00 |
| 92015 | Determination of refractive state | 0% | 4,061 | $0.00 |
| 99173 | 0% | 1,922 | $0.00 | |
| Z6400 | 0% | 214 | $0.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 949 | $0.00 |
| Z6500 | 0% | 144 | $0.00 | |
| 92341 | 0% | 33 | $0.00 | |
| Z6304 | 0% | 136 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 27 | $0.00 |
| 99383 | 0% | 19 | $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% | 132 | $0.00 |
| Z6404 | 0% | 47 | $0.00 | |
| 97014 | 0% | 922 | $0.00 | |
| Z6406 | 0% | 109 | $0.00 | |
| Z6204 | 0% | 136 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 40 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 42 | $0.00 |
| 99443 | 0% | 31 | $0.00 | |
| 99441 | 0% | 24 | $0.00 | |
| Z1032 | 0% | 86 | $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 officialCHAVARIN, SALVADOR (CHIEF EXECUTIVE OFFICER)
Parent organizationSAN JOSE FOOTHILL FAMILY COMMUNITY CLINI
| Provider | Location | 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 | $10.95M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $9.98M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.