SANTA ROSA COMMUNITY HEALTH CENTERS
NPI: 1568665073
· SANTA ROSA, CA 95407
· 261QF0400X
$252K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,657 |
$107K |
| 2019 |
970 |
$75K |
| 2021 |
76 |
$7K |
| 2022 |
778 |
$41K |
| 2023 |
290 |
$18K |
| 2024 |
73 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,231 |
1,163 |
$178K |
| J7307 |
Etonogestrel implant system |
38 |
38 |
$33K |
| J3490 |
Drugs unclassified injection |
273 |
225 |
$15K |
| 11981 |
|
37 |
37 |
$6K |
| S4993 |
Contraceptive pills for bc |
91 |
91 |
$5K |
| A4267 |
Male condom |
519 |
515 |
$5K |
| 99203 |
|
12 |
12 |
$4K |
| 99401 |
|
141 |
139 |
$3K |
| 81025 |
|
891 |
864 |
$2K |
| 99402 |
|
27 |
27 |
$858.33 |
| S5199 |
Personal care item nos each |
542 |
528 |
$337.62 |
| S5001 |
Prescription drug,brand name |
27 |
27 |
$221.26 |
| Q0111 |
Wet mounts/ w preparations |
15 |
15 |
$41.75 |