Clinic
El Rio Santa Cruz Neighborhood Health Center, INC
El Rio Santa Cruz Neighborhood Health Center, INC was paid $4.43M by Medicaid between Jan 2018 and Oct 2021, across 21 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 85714
TUCSON, AZ 85714
33aNPI1932490109assigned 04/22/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.43M
24GClaims36,751
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arizona
Rank by total paid#49 of 126
Median peer was paid$1.45M
This provider vs. median3.1×
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 | 6,798 | $544K | |
| 2019 | 9,429 | $1.03M | |
| 2020 | 10,924 | $1.54M | |
| 2021 | 9,600 | $1.32M |
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% | 14,425 | 10,630 | $4.43M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,411 | 2,895 | $1K |
| 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% | 4,305 | 3,287 | $720.00 |
| 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% | 1,169 | 947 | $672.87 |
| 81003 | <1% | 4,890 | 2,835 | $384.00 | |
| 81025 | <1% | 1,322 | 1,067 | $28.50 | |
| 1159F | <1% | 180 | 165 | $0.05 | |
| 1036F | <1% | 2,340 | 2,079 | $0.02 | |
| 81002 | 0% | 604 | 339 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 30 | 13 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 45 | 29 | $0.00 |
| 1158F | 0% | 1,021 | 987 | $0.00 |
9 more codes
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 53 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 56 | $0.00 |
| 1220F | 0% | 1,118 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 272 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 88 | $0.00 |
| 90686 | 0% | 258 | $0.00 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 113 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 38 | $0.00 |
| 1125F | 0% | 13 | $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 officialJOHNSON, NANCY (CEO)
Parent organizationEL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $560K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.