Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › EAST PALO ALTO › SOUTH COUNTY COMMUNITY HEALTH CENTER INC

SOUTH COUNTY COMMUNITY HEALTH CENTER INC

NPI: 1821170044 · EAST PALO ALTO, CA 94303 · Case Management Agency · NPI assigned 10/19/2006

$109.44M
Total Medicaid Paid
1,405,666
Total Claims
1,043,529
Beneficiaries
220
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACQUES, GRALYN (CFO)
NPI Enumeration Date10/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 78,698 $12.04M
2019 89,861 $10.09M
2020 105,928 $10.35M
2021 211,059 $18.59M
2022 247,122 $16.04M
2023 316,973 $20.77M
2024 356,025 $21.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 260,789 220,723 $94.54M
00003 Internal/system code - not a standard HCPCS code 14,742 11,545 $6.67M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 195,670 123,976 $1.31M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 56,865 39,098 $563K
G0467 Federally 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 9,143 7,982 $481K
D1120 Prophylaxis - child 15,925 9,118 $451K
D1310 15,926 10,627 $398K
G9012 Other specified case management service not elsewhere classified 3,121 1,476 $318K
90651 2,110 1,655 $317K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11,976 8,685 $315K
90834 Psychotherapy, 45 minutes with patient 5,814 2,310 $252K
D1206 Topical application of fluoride varnish 18,729 10,885 $198K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,852 2,507 $197K
D0120 Periodic oral evaluation - established patient 14,519 8,513 $166K
90746 3,167 2,583 $157K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 27,586 18,169 $136K
H0049 Alcohol and/or drug screening 18,015 12,616 $129K
D1351 Sealant - per tooth 4,191 1,191 $126K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,639 6,300 $117K
90791 Psychiatric diagnostic evaluation 928 641 $100K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,728 1,411 $99K
D0274 Bitewings - four radiographic images 6,713 4,161 $94K
99401 7,723 5,116 $81K
92015 Determination of refractive state 12,813 9,039 $76K
D1354 3,389 898 $75K
J3490 Unclassified drugs 1,960 1,682 $73K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 7,718 4,732 $73K
D0220 Intraoral - periapical first radiographic image 9,292 5,618 $71K
90750 995 813 $68K
D0230 Intraoral - periapical each additional radiographic image 24,551 9,814 $68K
D7140 Extraction, erupted tooth or exposed root 1,812 877 $65K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,594 4,966 $63K
D0140 Limited oral evaluation - problem focused 2,419 1,623 $62K
90677 2,046 1,346 $61K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 59,925 44,187 $57K
D0603 9,635 6,995 $56K
90837 Psychotherapy, 53 minutes with patient 719 354 $55K
D0272 Bitewings - two radiographic images 7,643 4,371 $54K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,875 2,661 $51K
D2940 1,222 515 $47K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,359 948 $43K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,022 3,168 $41K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,296 4,502 $39K
81025 13,624 10,710 $36K
D0150 Comprehensive oral evaluation - new or established patient 1,799 1,120 $36K
90847 Family psychotherapy with the patient present, 50 minutes 278 259 $34K
81002 27,115 15,651 $34K
90686 15,731 10,948 $32K
D4341 564 238 $31K
D4910 601 435 $30K
D9430 1,978 1,201 $30K
90756 1,496 1,108 $30K
90715 1,583 1,084 $28K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 48 48 $27K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,418 743 $27K
90688 4,096 3,426 $26K
D2930 Prefabricated stainless steel crown - primary tooth 411 179 $26K
11976 374 231 $26K
97803 1,944 1,875 $24K
D1320 1,805 1,246 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,674 4,976 $20K
90658 1,136 905 $20K
96156 1,500 1,493 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 818 699 $19K
H1003 Prenatal care, at-risk enhanced service; education 1,789 1,393 $19K
99000 48,429 37,431 $19K
96158 1,254 1,243 $18K
D0330 Panoramic radiographic image 873 539 $17K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,861 1,419 $17K
D1110 Prophylaxis - adult 477 338 $17K
90832 Psychotherapy, 30 minutes with patient 331 249 $17K
11981 72 72 $16K
D0145 Oral evaluation for a patient under three years of age 1,091 627 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 472 308 $15K
D1352 532 262 $13K
92250 419 313 $13K
97802 546 541 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,248 785 $13K
90670 3,134 2,334 $11K
92551 16,746 10,635 $11K
90648 2,737 2,066 $11K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 927 587 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 551 422 $9K
D0350 2,931 1,938 $9K
90472 Immunization administration, each additional vaccine (list separately) 18,947 14,453 $8K
92228 325 325 $8K
S9452 Nutrition classes, non-physician provider, per session 625 623 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 514 362 $7K
96159 491 489 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 629 394 $7K
90685 558 556 $6K
V2784 Lens, polycarbonate or equal, any index, per lens 190 95 $6K
90633 1,830 1,406 $6K
D0270 1,156 765 $5K
90480 775 719 $5K
V2020 Frames, purchases 219 214 $5K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 49 49 $4K
90723 994 753 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 250 158 $4K
96151 297 280 $4K
99215 Prolong outpt/office vis 408 234 $4K
99429 144 144 $4K
V2750 Anti-reflective coating, per lens 184 91 $3K
99188 387 232 $3K
D0602 1,190 1,001 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 138 76 $3K
90697 700 413 $3K
90680 968 677 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 318 215 $3K
90716 346 293 $3K
90656 1,287 865 $2K
83655 225 186 $2K
99385 60 44 $2K
D4342 58 27 $2K
D0210 Intraoral - complete series of radiographic images 54 40 $2K
96150 73 73 $2K
T1016 Case management, each 15 minutes 191 66 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 22 13 $2K
99406 216 133 $2K
90678 38 27 $2K
G9008 Coordinated care fee, physician coordinated care oversight services 19 14 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 68 38 $1K
85018 11,897 7,819 $1K
90734 203 179 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 139 108 $1K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 20 12 $1K
T1017 Targeted case management, each 15 minutes 72 39 $1K
76857 195 140 $917.21
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment 129 129 $889.20
11721 49 39 $826.23
A4267 Contraceptive supply, condom, male, each 138 137 $743.40
D2950 26 13 $732.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 80 80 $688.00
92134 43 24 $674.39
90619 136 90 $608.85
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 12 12 $581.63
82947 169 132 $507.50
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 52 31 $477.33
90707 43 43 $476.01
90700 77 66 $431.73
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 29 16 $382.67
H2000 Comprehensive multidisciplinary evaluation 46 28 $344.81
99070 140 136 $312.34
D0240 28 13 $312.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 73 72 $287.54
0071A 13 13 $268.00
0011A 29 25 $268.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,080 1,066 $263.90
90744 53 45 $231.32
S4993 Contraceptive pills for birth control 14 14 $201.12
92133 23 12 $158.68
90474 288 224 $156.24
83036 Hemoglobin; glycosylated (A1C) 14 14 $147.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 37 26 $140.32
90713 12 12 $132.84
99397 21 12 $129.17
99173 6,707 6,385 $127.50
86580 188 188 $122.70
88720 192 144 $64.81
99381 45 39 $55.76
92552 35 19 $33.38
90381 19 13 $18.00
G0008 Administration of influenza virus vaccine 583 581 $15.09
90698 188 138 $9.92
36415 Collection of venous blood by venipuncture 22,208 20,948 $9.38
96160 540 497 $2.56
91320 73 71 $0.06
91322 53 45 $0.01
3077F 3,958 3,405 $0.00
3078F 63,946 53,973 $0.00
Z6200 1,486 1,485 $0.00
Z6300 1,392 1,391 $0.00
99411 2,036 2,027 $0.00
Z6304 2,667 2,634 $0.00
Z6400 1,515 1,514 $0.00
Z6308 346 345 $0.00
Z6414 680 613 $0.00
D0191 3,031 2,791 $0.00
D0707 1,105 1,087 $0.00
Z6208 362 361 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 257 240 $0.00
3015F 59 59 $0.00
D0391 1,101 1,082 $0.00
D9996 1,969 1,730 $0.00
90662 315 284 $0.00
90710 34 25 $0.00
99408 32 32 $0.00
91312 12 12 $0.00
91300 12 12 $0.00
91313 45 45 $0.00
90473 32 25 $0.00
99442 24 23 $0.00
3008F 78,448 67,461 $0.00
Z6410 1,706 1,201 $0.00
3074F 66,058 55,272 $0.00
3075F 4,689 4,062 $0.00
Z6204 2,759 2,694 $0.00
3079F 12,385 10,413 $0.00
D1330 9,246 8,972 $0.00
36416 420 361 $0.00
Z6406 10,625 7,004 $0.00
90674 346 259 $0.00
G0009 Administration of pneumococcal vaccine 53 53 $0.00
90694 30 30 $0.00
Z7610 42 40 $0.00
3080F 234 163 $0.00
96161 31 31 $0.00
99174 26 26 $0.00
91306 13 13 $0.00
96380 37 29 $0.00
D0708 1,071 1,053 $0.00
91301 25 25 $0.00
99443 14 12 $0.00
3072F 38 38 $0.00
0134A 45 45 $0.00
D9920 48 41 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 69 66 $0.00
0064A 13 13 $0.00
9214 13 13 $0.00
Z1034 43 38 $0.00