Behavioral
Santa Cruz Community Health Centers
Santa Cruz Community Health Centers was paid $17.20M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoSANTA CRUZ COMMUNITY HEALTH CENTERS
SANTA CRUZ, CA 95060
SANTA CRUZ, CA 95060
33aNPI1902923329assigned 03/22/2007
33bProvider typeMental Health Counselor
28Total paid$17.20M
24GClaims258,722
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in California
Rank by total paid#2 of 439
Median peer was paid$67K
This provider vs. median257×
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 | 30,228 | $2.57M | |
| 2019 | 28,163 | $2.02M | |
| 2020 | 40,929 | $2.58M | |
| 2021 | 41,559 | $2.61M | |
| 2022 | 41,165 | $2.41M | |
| 2023 | 44,764 | $2.73M | |
| 2024incomplete | 31,914 | $2.29M |
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 | 84% | 92,012 | 69,633 | $14.37M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 64,479 | 47,800 | $956K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.4% | 26,089 | 15,468 | $584K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,336 | 2,299 | $162K |
| 59425 | <1% | 2,590 | 1,945 | $157K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12,759 | 9,555 | $128K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 4,887 | 3,916 | $111K |
| 97810 | <1% | 10,929 | 5,444 | $108K | |
| 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% | 4,033 | 3,434 | $97K |
| 97811 | <1% | 9,497 | 4,986 | $94K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 766 | 742 | $49K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 398 | 396 | $46K |
82 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 540 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 542 | $28K |
| 90686 | <1% | 1,559 | $28K | |
| 92551 | <1% | 1,212 | $26K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 483 | $25K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 276 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 143 | $15K |
| 99401 | <1% | 1,097 | $14K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,486 | $13K |
| 90715 | <1% | 409 | $12K | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 537 | $8K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 367 | $8K |
| 99173 | <1% | 1,134 | $7K | |
| 0004A | <1% | 107 | $7K | |
| 90648 | <1% | 366 | $7K | |
| 90670 | <1% | 312 | $6K | |
| 81025 | <1% | 1,891 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 106 | $5K |
| 81003 | <1% | 2,467 | $5K | |
| 98940 | <1% | 358 | $4K | |
| 85018 | <1% | 1,861 | $4K | |
| 93000 | <1% | 118 | $3K | |
| 0054A | <1% | 48 | $3K | |
| 90677 | <1% | 42 | $3K | |
| G0467 | Community health center visit, returning patient | <1% | 2,627 | $3K |
| 90723 | <1% | 158 | $3K | |
| 90633 | <1% | 122 | $2K | |
| 90710 | <1% | 110 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 429 | $2K |
| 76801 | <1% | 54 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 98 | $2K |
| 90656 | <1% | 189 | $2K | |
| 90739 | <1% | 21 | $2K | |
| 90681 | <1% | 82 | $1K | |
| 96151 | <1% | 153 | $1K | |
| 97803 | <1% | 152 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 141 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 143 | $1K |
| 96156 | <1% | 79 | $1K | |
| 0124A | <1% | 17 | $1K | |
| J3490 | Unclassified drugs | <1% | 12 | $1K |
| 96158 | <1% | 114 | $975.56 | |
| 90688 | <1% | 55 | $895.53 | |
| 99188 | <1% | 35 | $875.00 | |
| 90651 | <1% | 27 | $820.74 | |
| 97814 | <1% | 41 | $650.00 | |
| Q3014 | Telehealth originating site facility fee | <1% | 26 | $650.00 |
| 97813 | <1% | 40 | $650.00 | |
| 90480 | <1% | 16 | $640.00 | |
| 97802 | <1% | 34 | $588.93 | |
| 90700 | <1% | 29 | $522.00 | |
| 90696 | <1% | 25 | $450.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 26 | $417.30 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 16 | $400.00 |
| 58300 | <1% | 17 | $261.47 | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 26 | $234.00 |
| 99000 | <1% | 59 | $218.89 | |
| 90685 | <1% | 12 | $216.00 | |
| 90649 | <1% | 12 | $216.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $126.42 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $118.96 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 744 | $58.11 |
| 86580 | <1% | 12 | $41.16 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 13 | $18.12 |
| A4267 | Contraceptive supply, condom, male, each | <1% | 41 | $11.48 |
| Z1034 | 0% | 2,770 | $0.00 | |
| 01 | Inj., retisert, 0.01 mg | 0% | 46 | $0.00 |
| Z6406 | 0% | 501 | $0.00 | |
| Z6402 | 0% | 128 | $0.00 | |
| 87428 | 0% | 67 | $0.00 | |
| Z6204 | 0% | 192 | $0.00 | |
| Z6410 | 0% | 19 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| Z6404 | 0% | 16 | $0.00 | |
| Z6304 | 0% | 329 | $0.00 | |
| Z6200 | 0% | 46 | $0.00 | |
| Z6300 | 0% | 72 | $0.00 | |
| Z6308 | 0% | 14 | $0.00 | |
| Z6414 | 0% | 29 | $0.00 | |
| Z6400 | 0% | 165 | $0.00 | |
| Z6208 | 0% | 14 | $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% | 17 | $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 officialJASSO, RUTH (BILLING MANAGER)
Parent organizationSANTA CRUZ COMMUNITY HEALTH CENTERS