Clinic
Gardner Family Health Network INC
Gardner Family Health Network INC was paid $20.94M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoGARDNER FAMILY HEALTH NETWORK INC
ATHERTON, CA 94027
ATHERTON, CA 94027
33aNPI1922366186assigned 04/25/2012
33bProvider typeClinic/Center
28Total paid$20.94M
24GClaims253,286
24DCodes billed101
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#30 of 504
Median peer was paid$102K
This provider vs. median206×
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 | 30,318 | $3.91M | |
| 2019 | 37,260 | $3.36M | |
| 2020 | 29,546 | $2.43M | |
| 2021 | 38,292 | $3.25M | |
| 2022 | 38,094 | $2.25M | |
| 2023 | 38,337 | $2.82M | |
| 2024incomplete | 41,439 | $2.92M |
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 | 79% | 68,280 | 60,415 | $16.58M |
| 00003 | Internal/system code - not a standard HCPCS code | 16% | 11,490 | 7,333 | $3.30M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,381 | 4,843 | $98K |
| 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% | 25,516 | 15,644 | $82K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,366 | 933 | $74K |
| 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% | 11,061 | 7,273 | $71K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,652 | 811 | $70K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,323 | 4,676 | $65K |
| D1351 | Sealant - per tooth | <1% | 2,301 | 655 | $62K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 2,087 | 1,327 | $58K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,591 | 3,394 | $45K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,922 | 3,052 | $45K |
89 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 447 | $37K |
| D1206 | Topical application of fluoride varnish | <1% | 2,357 | $28K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,580 | $26K |
| 92015 | Determination of refractive state | <1% | 4,549 | $24K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 612 | $24K |
| 90686 | <1% | 8,863 | $20K | |
| 83655 | <1% | 2,295 | $17K | |
| D0120 | Dental checkup, returning patient | <1% | 1,720 | $17K |
| 92551 | <1% | 10,823 | $16K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,069 | $14K |
| 99383 | <1% | 314 | $12K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 213 | $11K |
| 90670 | <1% | 3,106 | $10K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 410 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,097 | $9K |
| 90633 | <1% | 3,020 | $8K | |
| 90651 | <1% | 2,803 | $8K | |
| 90647 | <1% | 2,212 | $7K | |
| 90723 | <1% | 1,886 | $7K | |
| 90680 | <1% | 2,538 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,994 | $6K |
| 90734 | <1% | 1,218 | $5K | |
| 99382 | <1% | 143 | $5K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 195 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 309 | $5K |
| 99381 | <1% | 579 | $4K | |
| 90688 | <1% | 368 | $4K | |
| 90716 | <1% | 1,465 | $3K | |
| D1352 | <1% | 161 | $3K | |
| 90620 | <1% | 1,336 | $3K | |
| 99384 | <1% | 53 | $3K | |
| 90710 | <1% | 972 | $3K | |
| 90696 | <1% | 749 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 206 | $3K |
| 90715 | <1% | 1,328 | $3K | |
| 90707 | <1% | 1,129 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,010 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 318 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 128 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,079 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 256 | $2K |
| 90700 | <1% | 656 | $2K | |
| 90685 | <1% | 86 | $984.33 | |
| 85018 | <1% | 2,737 | $870.31 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 168 | $870.13 |
| 87428 | <1% | 23 | $635.90 | |
| D9430 | <1% | 39 | $572.00 | |
| 92081 | <1% | 12 | $481.68 | |
| D0240 | <1% | 35 | $299.00 | |
| 90671 | <1% | 611 | $204.57 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 69 | $198.86 |
| 86580 | <1% | 194 | $185.85 | |
| D0272 | Bitewings - two radiographic images | <1% | 27 | $182.00 |
| 88720 | <1% | 38 | $95.22 | |
| 90480 | <1% | 396 | $40.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,613 | $30.00 |
| 81002 | <1% | 124 | $15.84 | |
| 90697 | <1% | 1,033 | $11.07 | |
| 90656 | 0% | 597 | $0.00 | |
| 3008F | 0% | 563 | $0.00 | |
| 90619 | 0% | 624 | $0.00 | |
| D1330 | 0% | 910 | $0.00 | |
| D1310 | 0% | 877 | $0.00 | |
| D0603 | 0% | 735 | $0.00 | |
| 91319 | 0% | 115 | $0.00 | |
| 90744 | 0% | 143 | $0.00 | |
| 90474 | 0% | 701 | $0.00 | |
| 2001F | 0% | 205 | $0.00 | |
| 2010F | 0% | 219 | $0.00 | |
| 96380 | 0% | 42 | $0.00 | |
| 4037F | 0% | 133 | $0.00 | |
| 1036F | 0% | 18 | $0.00 | |
| 91318 | 0% | 42 | $0.00 | |
| 1126F | 0% | 46 | $0.00 | |
| 3074F | 0% | 100 | $0.00 | |
| 90381 | 0% | 38 | $0.00 | |
| D0601 | 0% | 14 | $0.00 | |
| D0602 | 0% | 13 | $0.00 | |
| 90461 | 0% | 2,746 | $0.00 | |
| 90473 | 0% | 490 | $0.00 | |
| 1160F | 0% | 70 | $0.00 | |
| 99173 | 0% | 4,141 | $0.00 | |
| 1159F | 0% | 70 | $0.00 | |
| 91320 | 0% | 131 | $0.00 | |
| 90713 | 0% | 165 | $0.00 | |
| 4040F | 0% | 129 | $0.00 | |
| 4274F | 0% | 336 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 32 | $0.00 |
| 3078F | 0% | 100 | $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 officialRUIZ, OFELIA (DIRECTOR)
Parent organizationGARDNER FAMILY HEALTH NETWORK, INC.
| Provider | Location | Paid |
|---|---|---|
| Gardner Family Health Network INC | San Jose, CA | $23.68M |
| Gardner Family Health Network INC | Gilroy, CA | $22.21M |
| Gardner Family Health Network INC | San Jose, CA | $12.96M |
| Gardner Family Health Network INC | San Jose, CA | $4.48M |
| Gardner Family Health Network INC | Alviso, CA | $2.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.