Clinic
El Rio Santa Cruz Neighborhood Health Center, INC
El Rio Santa Cruz Neighborhood Health Center, INC was paid $11.92M by Medicaid between Feb 2019 and Dec 2024, across 98 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoEL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
TUCSON, AZ 85713
TUCSON, AZ 85713
33aNPI1790249837assigned 01/23/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.92M
24GClaims142,693
24DCodes billed98
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arizona
Rank by total paid#27 of 126
Median peer was paid$1.45M
This provider vs. median8.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KUNTZ, CLINTON controls 15+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 54,609 | $2.83M | |
| 2020 | 43,824 | $4.40M | |
| 2021 | 39,903 | $4.45M | |
| 2022 | 1,766 | $67K | |
| 2023 | 1,337 | $88K | |
| 2024incomplete | 1,254 | $92K |
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 | 100% | 58,140 | 42,826 | $11.88M |
| 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% | 17,887 | 15,001 | $21K |
| 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% | 11,225 | 9,616 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,112 | 3,719 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 583 | 514 | $1K |
| 96158 | <1% | 823 | 776 | $887.84 | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 599 | 488 | $823.49 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 373 | 344 | $801.14 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,286 | 1,167 | $765.63 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,096 | 1,070 | $665.05 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 448 | 389 | $634.10 |
| 0031A | <1% | 165 | 163 | $600.00 |
86 more codes
| 99385 | <1% | 183 | $582.36 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 232 | $527.65 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 733 | $496.44 |
| 90715 | <1% | 623 | $429.03 | |
| 90670 | <1% | 194 | $422.17 | |
| 0001A | <1% | 278 | $400.00 | |
| 96156 | <1% | 722 | $399.02 | |
| 90732 | <1% | 108 | $316.00 | |
| 90651 | <1% | 196 | $315.84 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 156 | $311.88 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,553 | $305.68 |
| 0002A | <1% | 227 | $280.00 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 232 | $238.18 |
| 96152 | <1% | 1,007 | $236.73 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,480 | $220.08 |
| 90746 | <1% | 73 | $123.72 | |
| 0012A | <1% | 19 | $120.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 447 | $116.70 |
| 90837 | Psychotherapy session, about an hour | <1% | 1,589 | $116.01 |
| 90750 | <1% | 388 | $115.56 | |
| 99386 | <1% | 66 | $112.75 | |
| 96154 | <1% | 16 | $97.60 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 185 | $92.19 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,399 | $89.11 |
| 81025 | <1% | 215 | $86.16 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 120 | $77.17 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 399 | $67.70 |
| 90688 | <1% | 969 | $32.20 | |
| 82962 | <1% | 218 | $24.09 | |
| 99177 | <1% | 223 | $22.32 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 59 | $20.96 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,459 | $13.84 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 496 | $12.60 |
| 81003 | <1% | 287 | $5.10 | |
| 96153 | <1% | 32 | $4.06 | |
| 99173 | <1% | 331 | $2.73 | |
| 90686 | <1% | 1,221 | $0.74 | |
| 1159F | <1% | 5,403 | $0.04 | |
| 1036F | <1% | 4,662 | $0.03 | |
| 1125F | <1% | 2,027 | $0.01 | |
| 1220F | <1% | 3,275 | $0.01 | |
| 99051 | 0% | 1,886 | $0.00 | |
| 1158F | 0% | 2,152 | $0.00 | |
| H0031 | Mental health assessment, by non-physician | 0% | 1,107 | $0.00 |
| D0270 | 0% | 118 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 103 | $0.00 |
| 0003A | 0% | 23 | $0.00 | |
| 1160F | 0% | 183 | $0.00 | |
| 91300 | 0% | 236 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 198 | $0.00 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 0% | 160 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 21 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 12 | $0.00 |
| 1003F | 0% | 94 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 49 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 17 | $0.00 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 0% | 25 | $0.00 |
| 2024F | 0% | 63 | $0.00 | |
| 90734 | 0% | 91 | $0.00 | |
| 90707 | 0% | 29 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 16 | $0.00 |
| 90633 | 0% | 15 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 12 | $0.00 |
| 1126F | 0% | 1,234 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 25 | $0.00 |
| 1157F | 0% | 641 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 108 | $0.00 |
| 92551 | 0% | 227 | $0.00 | |
| 96127 | 0% | 1,570 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,586 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 49 | $0.00 |
| 91303 | 0% | 90 | $0.00 | |
| 99383 | 0% | 23 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 39 | $0.00 |
| 90716 | 0% | 29 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 13 | $0.00 |
| 86580 | 0% | 15 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 19 | $0.00 |
| 0011A | 0% | 20 | $0.00 | |
| 76830 | Ultrasound, transvaginal | 0% | 24 | $0.00 |
| 92227 | 0% | 65 | $0.00 | |
| 90620 | 0% | 15 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 14 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 13 | $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 officialKUNTZ, CLINTON (CEO)
Parent organizationEL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $360.32M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $10.45M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $10.13M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $8.92M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $7.67M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $5.51M |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $3.83M |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $1.56M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $1.45M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $1.13M |
| El Rio Health Center (Southwest) | Tucson, AZ | $710K |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $494K |
| Marana Health Center, INC | Tucson, AZ | $288K |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $173K |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.