Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN JOSE › SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.

SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.

NPI: 1538508015 · SAN JOSE, CA 95127 · Federally Qualified Health Center (FQHC) · NPI assigned 06/18/2013

$11.28M
Total Medicaid Paid
166,736
Total Claims
132,236
Beneficiaries
83
Codes Billed
2018-01
First Month
2020-11
Last Month

Provider Details

Authorized OfficialCHAVARIN, SALVADOR (CHIEF EXECUTIVE OFFICER)
Parent OrganizationSAN JOSE FOOTHILL FAMILY COMMUNITY CLINI
NPI Enumeration Date06/18/2013

Related Entities

Other providers sharing the same authorized official: CHAVARIN, SALVADOR

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58,558 $5.25M
2019 76,802 $4.51M
2020 31,376 $1.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 70,397 57,147 $9.70M
98940 4,953 2,660 $727K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,096 27,011 $370K
G9008 Coordinated care fee, physician coordinated care oversight services 273 267 $121K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4,510 4,003 $82K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,482 5,973 $59K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 605 574 $57K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,825 4,303 $41K
92552 2,615 2,183 $21K
J3490 Unclassified drugs 190 190 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 482 359 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 121 75 $5K
90715 511 449 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 296 211 $5K
90688 426 325 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 986 816 $4K
99215 Prolong outpt/office vis 435 383 $4K
90660 1,133 822 $4K
82962 2,614 2,152 $4K
83036 Hemoglobin; glycosylated (A1C) 616 543 $3K
85018 4,463 3,716 $3K
90658 392 391 $3K
90686 996 726 $2K
90651 335 267 $2K
81025 1,504 1,354 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,681 961 $2K
99384 98 79 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 62 60 $2K
99401 170 159 $2K
H2000 Comprehensive multidisciplinary evaluation 14 13 $1K
90656 72 65 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 22 14 $1K
97803 97 88 $807.64
85027 516 360 $665.16
90791 Psychiatric diagnostic evaluation 24 15 $640.40
93000 182 149 $634.34
90834 Psychotherapy, 45 minutes with patient 48 30 $604.44
90716 220 185 $525.08
90734 211 175 $521.24
96151 59 56 $497.14
90662 37 27 $450.00
90707 141 119 $447.89
90633 367 294 $446.40
82274 42 38 $405.75
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 1,268 1,066 $389.70
81002 848 740 $373.67
84443 Thyroid stimulating hormone (TSH) 73 73 $340.62
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 21 12 $284.71
87086 Culture, bacterial; quantitative colony count, urine 42 42 $268.50
76801 18 12 $259.38
90713 236 200 $178.56
H1003 Prenatal care, at-risk enhanced service; education 25 25 $174.41
86580 226 183 $168.50
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 95 81 $143.44
96156 19 14 $142.97
90744 107 95 $99.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 568 523 $66.90
85025 Blood count; complete (CBC), automated, and automated differential WBC count 112 82 $52.91
90670 35 25 $39.68
85007 20 13 $17.66
90710 14 13 $9.92
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 397 308 $0.00
99442 153 128 $0.00
V2020 Frames, purchases 1,066 876 $0.00
92015 Determination of refractive state 4,061 3,617 $0.00
99173 1,922 1,749 $0.00
Z6400 214 199 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 949 784 $0.00
Z6500 144 141 $0.00
92341 33 26 $0.00
Z6304 136 124 $0.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27 24 $0.00
99383 19 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 132 121 $0.00
Z6404 47 46 $0.00
97014 922 654 $0.00
Z6406 109 99 $0.00
Z6204 136 124 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 40 40 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 42 42 $0.00
99443 31 24 $0.00
99441 24 19 $0.00
Z1032 86 86 $0.00