SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC
NPI: 1922485952
· SAN JOSE, CA 95138
· 261QF0400X
$20.65M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
81,799 |
$9.59M |
| 2019 |
87,011 |
$8.73M |
| 2020 |
32,944 |
$2.34M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
71,777 |
51,345 |
$10.29M |
| 00003 |
|
63,414 |
28,478 |
$8.64M |
| 98941 |
|
6,056 |
2,197 |
$813K |
| 99213 |
|
29,166 |
21,004 |
$279K |
| G9008 |
Mccd,phys coor-care ovrsght |
411 |
345 |
$154K |
| 92004 |
|
1,820 |
1,324 |
$143K |
| 98940 |
|
685 |
267 |
$90K |
| 99203 |
|
540 |
490 |
$58K |
| 98942 |
|
263 |
116 |
$36K |
| 99392 |
|
807 |
616 |
$21K |
| 92552 |
|
1,885 |
1,531 |
$18K |
| 99214 |
|
3,078 |
2,462 |
$13K |
| 99393 |
|
466 |
348 |
$12K |
| 59425 |
|
187 |
130 |
$10K |
| 99394 |
|
335 |
238 |
$8K |
| 99391 |
|
427 |
311 |
$8K |
| 90686 |
|
1,867 |
1,271 |
$7K |
| 99395 |
|
134 |
113 |
$7K |
| 83036 |
|
922 |
772 |
$6K |
| 99212 |
|
1,743 |
1,284 |
$4K |
| 85018 |
|
3,784 |
3,155 |
$4K |
| 90670 |
|
531 |
401 |
$3K |
| 90837 |
|
69 |
43 |
$3K |
| 90648 |
|
452 |
316 |
$2K |
| 90633 |
|
416 |
308 |
$2K |
| 90715 |
|
146 |
131 |
$2K |
| 90834 |
|
144 |
71 |
$2K |
| 87880 |
|
456 |
350 |
$2K |
| 90658 |
|
198 |
198 |
$1K |
| 82962 |
|
980 |
840 |
$1K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$1K |
| 90651 |
|
174 |
145 |
$1K |
| 90656 |
|
48 |
48 |
$953.34 |
| 90746 |
|
15 |
15 |
$924.26 |
| J3490 |
Drugs unclassified injection |
13 |
13 |
$921.83 |
| 99383 |
|
26 |
26 |
$785.85 |
| 90723 |
|
260 |
172 |
$783.68 |
| 90680 |
|
227 |
150 |
$714.24 |
| 90710 |
|
180 |
117 |
$644.80 |
| 81025 |
|
402 |
362 |
$588.98 |
| 90734 |
|
117 |
101 |
$560.92 |
| 99211 |
|
1,726 |
887 |
$455.18 |
| 84443 |
|
210 |
156 |
$427.60 |
| 90657 |
|
56 |
56 |
$416.64 |
| 90688 |
|
21 |
19 |
$391.00 |
| 90649 |
|
47 |
47 |
$367.04 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
12 |
12 |
$297.12 |
| 99384 |
|
20 |
20 |
$290.08 |
| G0467 |
Fqhc visit, estab pt |
473 |
375 |
$277.74 |
| 87806 |
|
18 |
13 |
$262.20 |
| 85025 |
|
484 |
357 |
$250.25 |
| 90655 |
|
25 |
25 |
$238.08 |
| 99401 |
|
28 |
25 |
$225.73 |
| 90471 |
|
783 |
670 |
$210.62 |
| 90647 |
|
12 |
12 |
$119.04 |
| 86580 |
|
80 |
75 |
$116.34 |
| 97803 |
|
14 |
13 |
$100.25 |
| 90696 |
|
24 |
13 |
$79.36 |
| 81002 |
|
163 |
145 |
$64.84 |
| 90674 |
|
20 |
12 |
$49.60 |
| 99396 |
|
15 |
13 |
$46.00 |
| 87086 |
|
14 |
12 |
$22.91 |
| V2020 |
Vision svcs frames purchases |
42 |
42 |
$0.00 |
| 99173 |
|
1,188 |
1,017 |
$0.00 |
| Z6304 |
|
32 |
30 |
$0.00 |
| 99442 |
|
139 |
114 |
$0.00 |
| 92340 |
|
27 |
27 |
$0.00 |
| 92015 |
|
792 |
792 |
$0.00 |
| Z6500 |
|
14 |
14 |
$0.00 |
| Z6400 |
|
19 |
16 |
$0.00 |
| 99201 |
|
18 |
18 |
$0.00 |
| Z6406 |
|
28 |
26 |
$0.00 |
| 97010 |
|
76 |
58 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
67 |
52 |
$0.00 |
| 97140 |
|
153 |
128 |
$0.00 |
| Z1034 |
|
109 |
82 |
$0.00 |
| Z6204 |
|
35 |
33 |
$0.00 |
| Z1032 |
|
31 |
29 |
$0.00 |
| 97014 |
|
94 |
79 |
$0.00 |