Clinic
Indian Health Center of Santa Clara Valley
Indian Health Center of Santa Clara Valley was paid $12.76M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoINDIAN HEALTH CENTER OF SANTA CLARA VALLEY
SAN JOSE, CA 95128
SAN JOSE, CA 95128
33aNPI1629462312assigned 03/20/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.76M
24GClaims228,304
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#258 of 826
Median peer was paid$4.05M
This provider vs. median3.2×
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 | 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 | |
| 2024incomplete | 20,829 | $1.85M |
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 | 94% | 70,697 | 63,159 | $11.94M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 10,727 | 6,907 | $179K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 8,080 | 5,263 | $152K |
| 92552 | 1.0% | 16,486 | 11,007 | $131K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,801 | 3,332 | $73K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,063 | 1,965 | $70K |
| 90686 | <1% | 11,119 | 7,991 | $56K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,422 | 1,570 | $40K |
| 90670 | <1% | 4,415 | 3,002 | $19K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 2,465 | 2,158 | $19K |
| G9920 | Screening performed and negative | <1% | 10,358 | 6,756 | $18K |
| 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% | 33,088 | 21,346 | $10K |
42 more codes
| 90698 | <1% | 2,065 | $9K | |
| 90633 | <1% | 1,438 | $7K | |
| 90685 | <1% | 1,250 | $6K | |
| 90680 | <1% | 1,392 | $5K | |
| 90744 | <1% | 924 | $4K | |
| 90480 | <1% | 125 | $3K | |
| 90697 | <1% | 447 | $3K | |
| 90656 | <1% | 385 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19,132 | $2K |
| 83655 | <1% | 858 | $2K | |
| 90649 | <1% | 287 | $2K | |
| 90651 | <1% | 231 | $1K | |
| 90688 | <1% | 184 | $973.36 | |
| 90681 | <1% | 156 | $833.28 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 738 | $780.55 |
| 90734 | <1% | 138 | $655.44 | |
| 85018 | <1% | 1,752 | $585.43 | |
| 90716 | <1% | 114 | $496.00 | |
| 96127 | <1% | 179 | $492.90 | |
| 90707 | <1% | 110 | $486.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,379 | $470.23 |
| 99381 | <1% | 19 | $395.19 | |
| 90710 | <1% | 72 | $386.88 | |
| 90696 | <1% | 54 | $287.68 | |
| 90647 | <1% | 38 | $218.24 | |
| 90700 | <1% | 36 | $188.48 | |
| 90677 | <1% | 36 | $168.64 | |
| 90715 | <1% | 22 | $119.04 | |
| 86580 | <1% | 41 | $107.30 | |
| 90620 | <1% | 14 | $99.20 | |
| 99173 | <1% | 10,399 | $36.04 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 3,591 | $0.00 |
| 99443 | 0% | 85 | $0.00 | |
| 86403 | 0% | 330 | $0.00 | |
| 99441 | 0% | 206 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 51 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 20 | $0.00 |
| 87807 | 0% | 87 | $0.00 | |
| 97802 | 0% | 17 | $0.00 | |
| 81002 | 0% | 45 | $0.00 | |
| 99442 | 0% | 628 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 508 | $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 officialSCOTT, ALDON (DIRECTOR OF OPERATIONS)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.