Clinic
San Jose Foothill Family Community Clinic, INC
San Jose Foothill Family Community Clinic, INC was paid $20.65M by Medicaid between Jan 2018 and Nov 2020, across 79 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.
33Billing provider infoSAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC
SAN JOSE, CA 95138
SAN JOSE, CA 95138
33aNPI1922485952assigned 04/28/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$20.65M
24GClaims201,754
24DCodes billed79
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#180 of 826
Median peer was paid$4.05M
This provider vs. median5.1×
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 | 81,799 | $9.59M | |
| 2019 | 87,011 | $8.73M | |
| 2020 | 32,944 | $2.34M |
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 | 50% | 71,777 | 51,345 | $10.29M |
| 00003 | Internal/system code - not a standard HCPCS code | 42% | 63,414 | 28,478 | $8.64M |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 3.9% | 6,056 | 2,197 | $813K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 29,166 | 21,004 | $279K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 411 | 345 | $154K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,820 | 1,324 | $143K |
| 98940 | <1% | 685 | 267 | $90K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 540 | 490 | $58K |
| 98942 | <1% | 263 | 116 | $36K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 807 | 616 | $21K |
| 92552 | <1% | 1,885 | 1,531 | $18K | |
| 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% | 3,078 | 2,462 | $13K |
67 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 466 | $12K |
| 59425 | <1% | 187 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 335 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 427 | $8K |
| 90686 | <1% | 1,867 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 134 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 922 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,743 | $4K |
| 85018 | <1% | 3,784 | $4K | |
| 90670 | <1% | 531 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 69 | $3K |
| 90648 | <1% | 452 | $2K | |
| 90633 | <1% | 416 | $2K | |
| 90715 | <1% | 146 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 144 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 456 | $2K |
| 90658 | <1% | 198 | $1K | |
| 82962 | <1% | 980 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 24 | $1K |
| 90651 | <1% | 174 | $1K | |
| 90656 | <1% | 48 | $953.34 | |
| 90746 | <1% | 15 | $924.26 | |
| J3490 | Unclassified drugs | <1% | 13 | $921.83 |
| 99383 | <1% | 26 | $785.85 | |
| 90723 | <1% | 260 | $783.68 | |
| 90680 | <1% | 227 | $714.24 | |
| 90710 | <1% | 180 | $644.80 | |
| 81025 | <1% | 402 | $588.98 | |
| 90734 | <1% | 117 | $560.92 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,726 | $455.18 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 210 | $427.60 |
| 90657 | <1% | 56 | $416.64 | |
| 90688 | <1% | 21 | $391.00 | |
| 90649 | <1% | 47 | $367.04 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 12 | $297.12 |
| 99384 | <1% | 20 | $290.08 | |
| G0467 | Community health center visit, returning patient | <1% | 473 | $277.74 |
| 87806 | <1% | 18 | $262.20 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 484 | $250.25 |
| 90655 | <1% | 25 | $238.08 | |
| 99401 | <1% | 28 | $225.73 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 783 | $210.62 |
| 90647 | <1% | 12 | $119.04 | |
| 86580 | <1% | 80 | $116.34 | |
| 97803 | <1% | 14 | $100.25 | |
| 90696 | <1% | 24 | $79.36 | |
| 81002 | <1% | 163 | $64.84 | |
| 90674 | <1% | 20 | $49.60 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $46.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 14 | $22.91 |
| V2020 | Frames, purchases | 0% | 42 | $0.00 |
| 99173 | 0% | 1,188 | $0.00 | |
| Z6304 | 0% | 32 | $0.00 | |
| 99442 | 0% | 139 | $0.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 27 | $0.00 |
| 92015 | Determination of refractive state | 0% | 792 | $0.00 |
| Z6500 | 0% | 14 | $0.00 | |
| Z6400 | 0% | 19 | $0.00 | |
| 99201 | 0% | 18 | $0.00 | |
| Z6406 | 0% | 28 | $0.00 | |
| 97010 | 0% | 76 | $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% | 67 | $0.00 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 153 | $0.00 |
| Z1034 | 0% | 109 | $0.00 | |
| Z6204 | 0% | 35 | $0.00 | |
| Z1032 | 0% | 31 | $0.00 | |
| 97014 | 0% | 94 | $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 officialCHAVARIN, SALVADOR (CHIEF EXECUTIVE OFFICER)
Parent organizationSAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC
| Provider | Location | Paid |
|---|---|---|
| San Jose Foothill Family Community Clinic, INC. | Gilroy, CA | $16.53M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $13.46M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $11.28M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $10.95M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $9.98M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $7.23M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $2.83M |
| San Jose Foothill Family Community Clinic, INC. | San Jose, CA | $368K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.