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SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
NPI: 1689950248
· SAN JOSE, CA 95116
· Federally Qualified Health Center (FQHC)
· NPI assigned 10/27/2011
$13.46M
Total Medicaid Paid
Provider Details
| Authorized Official | CHAVARIN, SALVADOR (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 10/27/2011 |
Related Entities
Other providers sharing the same authorized official: CHAVARIN, SALVADOR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
51,287 |
$6.78M |
| 2019 |
43,367 |
$5.89M |
| 2020 |
5,788 |
$788K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
96,378 |
38,903 |
$13.03M |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,049 |
2,211 |
$420K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
952 |
804 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
47 |
$712.48 |
| 90660 |
|
12 |
12 |
$89.28 |