Clinic
Indian Health Center of Santa Clara Valley
Indian Health Center of Santa Clara Valley was paid $16.44M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoINDIAN HEALTH CENTER OF SANTA CLARA VALLEY
SAN JOSE, CA 95121
SAN JOSE, CA 95121
33aNPI1881997963assigned 12/13/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$16.44M
24GClaims212,099
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#210 of 826
Median peer was paid$4.05M
This provider vs. median4.1×
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 | 22,731 | $2.55M | |
| 2019 | 28,708 | $1.84M | |
| 2020 | 34,848 | $2.58M | |
| 2021 | 32,171 | $2.56M | |
| 2022 | 25,548 | $1.79M | |
| 2023 | 34,759 | $2.44M | |
| 2024incomplete | 33,334 | $2.68M |
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 | 94% | 74,642 | 66,529 | $15.49M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 58,775 | 36,717 | $537K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25,862 | 14,433 | $120K |
| 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% | 6,497 | 4,085 | $57K |
| 90746 | <1% | 1,769 | 1,547 | $31K | |
| 91320 | <1% | 698 | 608 | $17K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,553 | 2,803 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,029 | 661 | $12K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,080 | 574 | $11K |
| 90480 | <1% | 810 | 711 | $11K | |
| 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% | 2,363 | 1,750 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 836 | 691 | $8K |
66 more codes
| 90715 | <1% | 962 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 873 | $8K |
| 92552 | <1% | 2,259 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 652 | $7K |
| G9920 | Screening performed and negative | <1% | 1,096 | $7K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 56 | $6K |
| 90686 | <1% | 4,456 | $6K | |
| 0124A | <1% | 100 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 213 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 228 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 372 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 715 | $4K |
| 99490 | Ccm add 20min | <1% | 360 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 137 | $3K |
| 90632 | <1% | 251 | $3K | |
| 90651 | <1% | 291 | $3K | |
| 99385 | <1% | 52 | $3K | |
| 90662 | <1% | 790 | $3K | |
| 99386 | <1% | 36 | $3K | |
| 90714 | <1% | 359 | $2K | |
| 90688 | <1% | 1,233 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,565 | $2K |
| 90656 | <1% | 747 | $2K | |
| 90677 | <1% | 50 | $2K | |
| 85018 | <1% | 3,471 | $1K | |
| 81002 | <1% | 1,808 | $1K | |
| 91319 | <1% | 16 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 135 | $898.18 |
| 90649 | <1% | 111 | $882.00 | |
| 92227 | <1% | 27 | $724.00 | |
| 90674 | <1% | 152 | $555.00 | |
| 82948 | <1% | 1,297 | $391.29 | |
| 59425 | <1% | 130 | $333.40 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 22 | $322.68 |
| 99173 | <1% | 2,020 | $217.20 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 77 | $210.00 |
| 90732 | <1% | 37 | $200.00 | |
| 99384 | <1% | 20 | $118.10 | |
| 81025 | <1% | 83 | $100.58 | |
| 83655 | <1% | 42 | $70.00 | |
| 99397 | <1% | 22 | $69.98 | |
| G0008 | Administration of influenza virus vaccine | <1% | 406 | $54.09 |
| 86580 | <1% | 53 | $46.90 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 18 | $41.80 |
| 90707 | <1% | 20 | $40.00 | |
| 86403 | <1% | 13 | $35.20 | |
| 93000 | <1% | 15 | $25.77 | |
| 90670 | <1% | 162 | $15.00 | |
| 90697 | <1% | 38 | $15.00 | |
| 90680 | <1% | 20 | $15.00 | |
| 2028F | 0% | 443 | $0.00 | |
| 99442 | 0% | 1,485 | $0.00 | |
| 90734 | 0% | 40 | $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% | 245 | $0.00 |
| 90633 | 0% | 178 | $0.00 | |
| 90685 | 0% | 40 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| Z1034 | 0% | 668 | $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% | 1,402 | $0.00 |
| 99441 | 0% | 401 | $0.00 | |
| 99443 | 0% | 46 | $0.00 | |
| 90698 | 0% | 46 | $0.00 | |
| 90620 | 0% | 28 | $0.00 | |
| 90696 | 0% | 18 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 18 | $0.00 |
| A4467 | Belt, strap, sleeve, garment, or covering, any type | 0% | 43 | $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 officialSCOTT, ALDON (DIRECTOR OF OPERATIONS)
Parent organizationINDIAN HEALTH CENTER OF SANTA CLARA VALLEY
| Provider | Location | Paid |
|---|---|---|
| Indian Health Center of Santa Clara Valley | San Jose, CA | $50.20M |
| Indian Health Center of Santa Clara Valley | San Jose, CA | $21.74M |
| Indian Health Center of Santa Clara Valley | San Jose, CA | $12.76M |
| Indian Health Center of Santa Clara Valley | San Jose, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.