Clinic
Santa Rosa Community Health Centers
Santa Rosa Community Health Centers was paid $63.55M by Medicaid between Jan 2018 and Dec 2024, across 163 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoSANTA ROSA COMMUNITY HEALTH CENTERS
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
33aNPI1578631172assigned 12/01/2006
33bProvider typeClinic/Center
28Total paid$63.55M
24GClaims1,246,801
24DCodes billed163
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#6 of 504
Median peer was paid$102K
This provider vs. median625×
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 | 26,200 | $2.60M | |
| 2019 | 71,708 | $4.25M | |
| 2020 | 163,257 | $11.86M | |
| 2021 | 161,745 | $12.12M | |
| 2022 | 136,607 | $8.90M | |
| 2023 | 265,902 | $11.26M | |
| 2024incomplete | 421,382 | $12.56M |
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 | 96% | 299,410 | 260,120 | $61.12M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 319,259 | 187,194 | $761K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 3,032 | 2,370 | $191K |
| 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% | 35,014 | 21,706 | $185K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 9,091 | 4,730 | $144K |
| 80305 | <1% | 12,725 | 7,761 | $102K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 10,173 | 8,825 | $100K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 9,910 | 4,894 | $96K |
| 90686 | <1% | 10,211 | 7,024 | $80K | |
| 0004A | <1% | 697 | 696 | $47K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 6,030 | 3,911 | $44K |
| 59425 | <1% | 610 | 486 | $41K |
151 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 5,339 | $40K |
| 0071A | <1% | 459 | $31K | |
| G9920 | Screening performed and negative | <1% | 1,724 | $30K |
| 0072A | <1% | 426 | $29K | |
| 97810 | <1% | 2,112 | $28K | |
| 0064A | <1% | 355 | $24K | |
| 92015 | Determination of refractive state | <1% | 10,534 | $22K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 851 | $21K |
| 0002A | <1% | 364 | $20K | |
| 90715 | <1% | 1,646 | $20K | |
| 90837 | Psychotherapy session, about an hour | <1% | 494 | $20K |
| 90670 | <1% | 3,661 | $20K | |
| 0134A | <1% | 277 | $18K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,615 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,046 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,858 | $17K |
| 90723 | <1% | 3,254 | $16K | |
| 90647 | <1% | 3,103 | $15K | |
| 0001A | <1% | 373 | $15K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 112 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,929 | $14K |
| 96156 | <1% | 755 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,537 | $11K |
| 87428 | <1% | 402 | $11K | |
| 97811 | <1% | 664 | $10K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,121 | $10K |
| 99401 | <1% | 814 | $10K | |
| 90633 | <1% | 1,810 | $9K | |
| 98926 | <1% | 321 | $7K | |
| 90680 | <1% | 1,373 | $6K | |
| 90651 | <1% | 226 | $6K | |
| 81025 | <1% | 4,314 | $6K | |
| 92551 | <1% | 8,386 | $5K | |
| 90656 | <1% | 858 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,323 | $5K |
| 90649 | <1% | 873 | $5K | |
| 11750 | <1% | 180 | $5K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 272 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 567 | $4K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 449 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,133 | $4K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 217 | $3K |
| J3490 | Unclassified drugs | <1% | 96 | $3K |
| 90716 | <1% | 343 | $3K | |
| 90734 | <1% | 636 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 116 | $2K |
| 90677 | <1% | 559 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 922 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 285 | $2K |
| 90707 | <1% | 250 | $2K | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | <1% | 253 | $2K |
| 11976 | <1% | 60 | $2K | |
| 97803 | <1% | 182 | $2K | |
| 58300 | <1% | 42 | $2K | |
| 99381 | <1% | 85 | $2K | |
| 90710 | <1% | 307 | $2K | |
| 97802 | <1% | 69 | $2K | |
| 99402 | <1% | 67 | $2K | |
| 59430 | <1% | 24 | $1K | |
| 93000 | <1% | 909 | $1K | |
| 90461 | <1% | 286 | $1K | |
| 90700 | <1% | 214 | $1K | |
| H0049 | Alcohol and/or drug screening | <1% | 73 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,348 | $954.85 |
| 90681 | <1% | 183 | $922.67 | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 85 | $891.46 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 29 | $841.00 |
| 90619 | <1% | 131 | $720.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 36 | $706.60 |
| 92081 | <1% | 3,218 | $695.97 | |
| 11721 | <1% | 159 | $668.47 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 90 | $657.80 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 237 | $597.90 |
| 0011A | <1% | 35 | $592.90 | |
| 99283 | Emergency room visit (moderate) | <1% | 8,773 | $554.53 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 92 | $538.66 |
| 90662 | <1% | 51 | $490.00 | |
| 90696 | <1% | 77 | $441.00 | |
| 69209 | <1% | 70 | $383.72 | |
| 81003 | <1% | 710 | $382.74 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 238 | $291.82 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 57 | $258.21 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 277 | $255.56 |
| 97597 | <1% | 53 | $252.66 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 30 | $252.30 |
| 81005 | <1% | 1,019 | $249.36 | |
| 90674 | <1% | 12 | $108.00 | |
| 96151 | <1% | 12 | $100.92 | |
| 90746 | <1% | 14 | $70.00 | |
| 83986 | <1% | 845 | $68.05 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 38 | $50.96 |
| 11055 | <1% | 18 | $50.26 | |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 14 | $27.96 |
| 94150 | <1% | 16 | $10.02 | |
| 88720 | <1% | 14 | $8.60 | |
| 87430 | <1% | 195 | $3.28 | |
| A4208 | Syringe with needle, sterile 3 cc, each | <1% | 78 | $2.00 |
| S5199 | Personal care item, nos, each | <1% | 33 | $1.83 |
| 1159F | 0% | 39,643 | $0.00 | |
| 3078F | 0% | 31,093 | $0.00 | |
| 96160 | 0% | 1,784 | $0.00 | |
| 1160F | 0% | 39,641 | $0.00 | |
| 4274F | 0% | 16,184 | $0.00 | |
| Z6304 | 0% | 191 | $0.00 | |
| 99173 | 0% | 514 | $0.00 | |
| 4004F | 0% | 491 | $0.00 | |
| 3077F | 0% | 2,958 | $0.00 | |
| 2028F | 0% | 172 | $0.00 | |
| 4040F | 0% | 1,399 | $0.00 | |
| Z6400 | 0% | 432 | $0.00 | |
| Z6300 | 0% | 262 | $0.00 | |
| Z6200 | 0% | 250 | $0.00 | |
| 82948 | 0% | 34 | $0.00 | |
| A4614 | Peak expiratory flow rate meter, hand held | 0% | 14 | $0.00 |
| 99201 | 0% | 14 | $0.00 | |
| J0741 | Injection, cabotegravir and rilpivirine, 2mg/3mg | 0% | 26 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| 2001F | 0% | 44,979 | $0.00 | |
| 3008F | 0% | 41,764 | $0.00 | |
| Z1034 | 0% | 5,076 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 11,994 | $0.00 |
| 3079F | 0% | 4,105 | $0.00 | |
| 2010F | 0% | 51,481 | $0.00 | |
| 2000F | 0% | 43,943 | $0.00 | |
| 3074F | 0% | 27,812 | $0.00 | |
| 1036F | 0% | 14,672 | $0.00 | |
| 3075F | 0% | 3,630 | $0.00 | |
| 4010F | 0% | 5,140 | $0.00 | |
| 3353F | 0% | 108 | $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% | 9,549 | $0.00 |
| 3351F | 0% | 2,966 | $0.00 | |
| Z6410 | 0% | 317 | $0.00 | |
| 4037F | 0% | 1,155 | $0.00 | |
| 3352F | 0% | 213 | $0.00 | |
| 2023F | 0% | 406 | $0.00 | |
| 1126F | 0% | 743 | $0.00 | |
| 3080F | 0% | 750 | $0.00 | |
| 1034F | 0% | 2,014 | $0.00 | |
| 1125F | 0% | 373 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 48 | $0.00 |
| 3044F | 0% | 98 | $0.00 | |
| Z6204 | 0% | 208 | $0.00 | |
| Z6406 | 0% | 830 | $0.00 | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | 0% | 185 | $0.00 |
| Z6402 | 0% | 247 | $0.00 | |
| 92325 | Contact lens gas impermeable | 0% | 36 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 0% | 185 | $0.00 |
| Z1032 | 0% | 245 | $0.00 | |
| Z1038 | 0% | 13 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 35 | $0.00 |
| 90632 | 0% | 12 | $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 officialBERNAL-LEROI, GABRIELA (CHIEF EXECUTIVE OFFICER)
Parent organizationSANTA ROSA COMMUNITY HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Santa Rosa Community Health Centers | Santa Rosa, CA | $95.02M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $45.47M |
| Santa Rosa Community Healt Centers | Santa Rosa, CA | $11.20M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $1.93M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $1.66M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $1.30M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $277K |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $59K |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $264.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.