SANTA ROSA COMMUNITY HEALTH CENTERS
NPI: 1578766085
· SANTA ROSA, CA 95407
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/11/2007
$277K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BERNAL-LEROI, GABRIELA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
916 |
$52K |
| 2019 |
802 |
$53K |
| 2020 |
397 |
$36K |
| 2021 |
234 |
$31K |
| 2022 |
467 |
$51K |
| 2023 |
473 |
$49K |
| 2024 |
33 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,671 |
1,615 |
$236K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
78 |
$18K |
| J3490 |
Unclassified drugs |
207 |
163 |
$13K |
| 81025 |
|
1,052 |
1,037 |
$3K |
| 99403 |
|
60 |
60 |
$3K |
| 99401 |
|
108 |
107 |
$2K |
| 11981 |
|
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$1K |
| A4267 |
Contraceptive supply, condom, male, each |
76 |
76 |
$650.92 |
| S5199 |
Personal care item, nos, each |
45 |
42 |
$29.65 |