Physician
San Jose Health Clinic, LLC
San Jose Health Clinic, LLC was paid $91K by Medicaid between Jan 2018 and Aug 2018, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoSAN JOSE HEALTH CLINIC, LLC
SAN LUIS, AZ 85349
SAN LUIS, AZ 85349
33aNPI1770753162assigned 03/03/2008
33bProvider typeFamily Medicine Physician
28Total paid$91K
24GClaims6,299
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#208 of 442
Median peer was paid$77K
This provider vs. median1.2×
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 | 6,299 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 77% | 1,442 | 1,024 | $70K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 295 | 224 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.3% | 606 | 516 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.9% | 43 | 40 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 29 | 29 | $2K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 736 | 609 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 44 | 41 | $835.83 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 12 | $696.96 |
| 93922 | <1% | 56 | 53 | $634.02 | |
| 93000 | <1% | 60 | 56 | $482.98 | |
| 1170F | 0% | 50 | 42 | $0.00 | |
| 1126F | 0% | 112 | 93 | $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 officialPISCOYA, JOSE (PRESIDENT)