Clinic
El Rio Santa Cruz Neighborhood Health Center, INC
El Rio Santa Cruz Neighborhood Health Center, INC was paid $1.45M by Medicaid between Jan 2018 and Aug 2022, across 19 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 85701
TUCSON, AZ 85701
33aNPI1912440975assigned 11/23/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.45M
24GClaims11,781
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arizona
Rank by total paid#64 of 126
Median peer was paid$1.45M
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 2,539 | $278K | |
| 2019 | 4,296 | $496K | |
| 2020 | 1,711 | $261K | |
| 2021 | 3,186 | $417K | |
| 2022 | 49 | $0.00 |
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% | 5,562 | 4,293 | $1.45M |
| 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% | 1,498 | 1,302 | $299.52 |
| 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% | 1,524 | 1,318 | $49.78 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 541 | 277 | $37.32 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 198 | 174 | $3.32 |
| 1159F | 0% | 565 | 525 | $0.00 | |
| 1158F | 0% | 188 | 185 | $0.00 | |
| 81003 | 0% | 42 | 41 | $0.00 | |
| 99051 | 0% | 327 | 286 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 24 | 24 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 26 | 25 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 17 | 15 | $0.00 |
7 more codes
| 1125F | 0% | 234 | $0.00 | |
| 1036F | 0% | 451 | $0.00 | |
| 1220F | 0% | 161 | $0.00 | |
| 90688 | 0% | 74 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 35 | $0.00 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 295 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 19 | $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)
| 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 | $11.92M |
| 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 | $1.13M |
| 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.