Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY

NPI: 1629462312 · SAN JOSE, CA 95128 · Federally Qualified Health Center (FQHC) · NPI assigned 03/20/2015

$12.76M
Total Medicaid Paid
228,304
Total Claims
169,533
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCOTT, ALDON (DIRECTOR OF OPERATIONS)
NPI Enumeration Date03/20/2015

Related Entities

Other providers sharing the same authorized official: SCOTT, ALDON

ProviderCityStateTotal Paid
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY SAN JOSE CA $50.20M
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY SAN JOSE CA $21.74M
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY SAN JOSE CA $16.44M
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY SAN JOSE CA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,873 $1.47M
2019 37,590 $1.83M
2020 36,710 $1.97M
2021 37,744 $2.13M
2022 31,173 $1.45M
2023 38,385 $2.06M
2024 20,829 $1.85M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 70,697 63,159 $11.94M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,727 6,907 $179K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,080 5,263 $152K
92552 16,486 11,007 $131K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,801 3,332 $73K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,063 1,965 $70K
90686 11,119 7,991 $56K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,422 1,570 $40K
90670 4,415 3,002 $19K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,465 2,158 $19K
G9920 Screening performed and negative 10,358 6,756 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,088 21,346 $10K
90698 2,065 1,423 $9K
90633 1,438 996 $7K
90685 1,250 800 $6K
90680 1,392 849 $5K
90744 924 643 $4K
90480 125 120 $3K
90697 447 302 $3K
90656 385 359 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19,132 10,913 $2K
83655 858 640 $2K
90649 287 225 $2K
90651 231 164 $1K
90688 184 163 $973.36
90681 156 132 $833.28
90472 Immunization administration, each additional vaccine (list separately) 738 603 $780.55
90734 138 95 $655.44
85018 1,752 1,238 $585.43
90716 114 80 $496.00
96127 179 135 $492.90
90707 110 78 $486.08
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,379 1,991 $470.23
99381 19 12 $395.19
90710 72 54 $386.88
90696 54 38 $287.68
90647 38 38 $218.24
90700 36 24 $188.48
90677 36 32 $168.64
90715 22 12 $119.04
86580 41 37 $107.30
90620 14 14 $99.20
99173 10,399 9,187 $36.04
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,591 2,502 $0.00
99443 85 51 $0.00
86403 330 185 $0.00
99441 206 124 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 51 48 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 20 15 $0.00
87807 87 51 $0.00
97802 17 16 $0.00
81002 45 24 $0.00
99442 628 351 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 508 313 $0.00