Clinic
Santa Rosa Community Health Centers
Santa Rosa Community Health Centers was paid $95.02M by Medicaid between Apr 2018 and Dec 2024, across 171 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.
33Billing provider infoSANTA ROSA COMMUNITY HEALTH CENTERS
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
33aNPI1780195255assigned 10/23/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$95.02M
24GClaims1,332,412
24DCodes billed171
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#29 of 826
Median peer was paid$4.05M
This provider vs. median23×
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 | 28,977 | $2.52M | |
| 2019 | 122,921 | $12.39M | |
| 2020 | 166,447 | $16.48M | |
| 2021 | 186,396 | $19.14M | |
| 2022 | 163,806 | $14.64M | |
| 2023 | 191,972 | $10.86M | |
| 2024incomplete | 471,893 | $18.99M |
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 | 62% | 283,236 | 234,689 | $58.53M |
| 00003 | Internal/system code - not a standard HCPCS code | 36% | 132,347 | 80,138 | $34.28M |
| 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% | 300,128 | 176,731 | $565K |
| 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 | <1% | 28,534 | 18,198 | $163K |
| 87428 | <1% | 4,224 | 2,629 | $145K | |
| 0001A | <1% | 1,869 | 1,853 | $105K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 1,666 | 1,315 | $101K |
| 0002A | <1% | 1,571 | 1,571 | $99K | |
| 80305 | <1% | 11,163 | 5,844 | $96K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 7,835 | 4,402 | $92K |
| 90686 | <1% | 14,346 | 11,017 | $85K | |
| G9920 | Screening performed and negative | <1% | 5,571 | 4,417 | $85K |
159 more codes
| 0012A | <1% | 1,194 | $68K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,671 | $48K |
| 0011A | <1% | 1,114 | $44K | |
| 97810 | <1% | 4,596 | $38K | |
| 0004A | <1% | 488 | $33K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,634 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24,699 | $22K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 2,734 | $21K |
| 90837 | Psychotherapy session, about an hour | <1% | 830 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 9,321 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,921 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 5,678 | $14K |
| 0072A | <1% | 183 | $12K | |
| 97811 | <1% | 2,395 | $12K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,955 | $12K |
| 90649 | <1% | 2,551 | $12K | |
| 0031A | <1% | 184 | $12K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 21 | $11K |
| 0071A | <1% | 156 | $10K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 148 | $9K |
| 90656 | <1% | 1,766 | $9K | |
| 90715 | <1% | 1,410 | $9K | |
| 90633 | <1% | 2,275 | $8K | |
| 59514 | <1% | 15 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,264 | $8K |
| 90670 | <1% | 2,160 | $8K | |
| 0134A | <1% | 111 | $7K | |
| 0064A | <1% | 104 | $7K | |
| 92551 | <1% | 15,292 | $6K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,112 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,644 | $6K |
| 90620 | <1% | 253 | $6K | |
| 90647 | <1% | 1,756 | $6K | |
| 11721 | <1% | 1,709 | $5K | |
| 90723 | <1% | 1,616 | $5K | |
| 11056 | <1% | 783 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 497 | $5K |
| 95251 | <1% | 265 | $5K | |
| 90651 | <1% | 631 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 595 | $4K |
| 90619 | <1% | 580 | $4K | |
| 90734 | <1% | 1,149 | $4K | |
| 11720 | <1% | 1,180 | $4K | |
| 90710 | <1% | 820 | $3K | |
| 0112A | <1% | 46 | $3K | |
| 81025 | <1% | 1,857 | $3K | |
| 97803 | <1% | 114 | $3K | |
| 90696 | <1% | 745 | $3K | |
| J3490 | Unclassified drugs | <1% | 72 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 168 | $2K |
| 90716 | <1% | 636 | $2K | |
| 99460 | <1% | 41 | $2K | |
| 0082A | <1% | 31 | $2K | |
| H0049 | Alcohol and/or drug screening | <1% | 86 | $2K |
| 90677 | <1% | 475 | $2K | |
| 97597 | <1% | 97 | $2K | |
| 0013A | <1% | 29 | $2K | |
| 0111A | <1% | 29 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 46 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 798 | $2K |
| 90680 | <1% | 747 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 55 | $2K |
| 92081 | <1% | 6,658 | $2K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 55 | $2K |
| 96156 | <1% | 156 | $2K | |
| 96160 | <1% | 5,006 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 113 | $1K |
| 90662 | <1% | 88 | $1K | |
| 90461 | <1% | 199 | $1K | |
| 90707 | <1% | 363 | $1K | |
| 59425 | <1% | 76 | $1K | |
| 0081A | <1% | 15 | $1K | |
| 0144A | <1% | 14 | $938.00 | |
| 90700 | <1% | 400 | $900.00 | |
| 69209 | <1% | 142 | $880.68 | |
| 0074A | <1% | 13 | $871.00 | |
| 99283 | Emergency room visit (moderate) | <1% | 10,652 | $851.26 |
| 59430 | <1% | 14 | $846.72 | |
| 11055 | <1% | 174 | $829.75 | |
| 99401 | <1% | 75 | $824.18 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,209 | $719.39 |
| A4267 | Contraceptive supply, condom, male, each | <1% | 187 | $714.06 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 896 | $696.92 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 42 | $681.21 |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 70 | $639.16 |
| 93000 | <1% | 616 | $600.36 | |
| 59025 | Fetal non-stress test | <1% | 55 | $565.44 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 48 | $527.12 |
| 99462 | <1% | 19 | $526.68 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 170 | $411.60 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 23 | $327.99 |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 36 | $302.76 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 322 | $253.64 |
| 81003 | <1% | 605 | $197.02 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 292 | $181.79 |
| 83655 | <1% | 31 | $159.45 | |
| 90681 | <1% | 25 | $126.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 264 | $68.90 |
| 92015 | Determination of refractive state | <1% | 1,641 | $48.06 |
| 11057 | <1% | 17 | $35.00 | |
| 81005 | <1% | 450 | $31.42 | |
| S5199 | Personal care item, nos, each | <1% | 123 | $31.10 |
| 87430 | <1% | 846 | $16.36 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 40 | $1.33 |
| 3078F | 0% | 30,779 | $0.00 | |
| 4274F | 0% | 21,416 | $0.00 | |
| Z6208 | 0% | 97 | $0.00 | |
| 1159F | 0% | 37,667 | $0.00 | |
| Z6400 | 0% | 728 | $0.00 | |
| 11719 | 0% | 47 | $0.00 | |
| 1160F | 0% | 37,664 | $0.00 | |
| Z6200 | 0% | 188 | $0.00 | |
| 3077F | 0% | 1,340 | $0.00 | |
| 4040F | 0% | 2,137 | $0.00 | |
| Z6304 | 0% | 710 | $0.00 | |
| 99173 | 0% | 958 | $0.00 | |
| Z6300 | 0% | 187 | $0.00 | |
| Z6414 | 0% | 210 | $0.00 | |
| Z6206 | 0% | 164 | $0.00 | |
| 2028F | 0% | 63 | $0.00 | |
| Z6308 | 0% | 195 | $0.00 | |
| 91322 | 0% | 15 | $0.00 | |
| 4004F | 0% | 88 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 23 | $0.00 |
| 91321 | 0% | 28 | $0.00 | |
| 90785 | 0% | 16 | $0.00 | |
| 2000F | 0% | 39,038 | $0.00 | |
| 3008F | 0% | 40,366 | $0.00 | |
| 2010F | 0% | 49,003 | $0.00 | |
| 3079F | 0% | 2,431 | $0.00 | |
| 2001F | 0% | 42,585 | $0.00 | |
| 3074F | 0% | 28,839 | $0.00 | |
| 1036F | 0% | 10,059 | $0.00 | |
| 3351F | 0% | 3,567 | $0.00 | |
| 4010F | 0% | 3,229 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 12,976 | $0.00 |
| 3075F | 0% | 2,393 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 6,142 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 44 | $0.00 |
| Z1034 | 0% | 2,236 | $0.00 | |
| Z6406 | 0% | 800 | $0.00 | |
| 2023F | 0% | 214 | $0.00 | |
| 4037F | 0% | 1,639 | $0.00 | |
| Z6410 | 0% | 1,965 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 207 | $0.00 |
| Z6404 | 0% | 12 | $0.00 | |
| 1125F | 0% | 110 | $0.00 | |
| Z6402 | 0% | 149 | $0.00 | |
| 1034F | 0% | 267 | $0.00 | |
| 3352F | 0% | 106 | $0.00 | |
| Z6204 | 0% | 289 | $0.00 | |
| 3044F | 0% | 99 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 83 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 77 | $0.00 |
| T1014 | Telehealth transmission, per minute, professional services bill separately | 0% | 195 | $0.00 |
| 3353F | 0% | 16 | $0.00 | |
| 3080F | 0% | 152 | $0.00 | |
| 96127 | 0% | 42 | $0.00 | |
| 1126F | 0% | 100 | $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 officialBERNAL-LEROI, GABRIELA (DIRECTOR OF REVENUE CYCLE)
Parent organizationSANTA ROSA COMMUNITY HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Santa Rosa Community Health Centers | Santa Rosa, CA | $63.55M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $45.47M |
| Santa Rosa Community Healt Centers | Santa Rosa, CA | $11.20M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $1.93M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $1.66M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $1.30M |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $277K |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $59K |
| Santa Rosa Community Health Centers | Santa Rosa, CA | $264.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.