Clinic
Santa Cruz Community Health Centers
Santa Cruz Community Health Centers was paid $57.07M by Medicaid between Jan 2018 and Dec 2024, across 128 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoSANTA CRUZ COMMUNITY HEALTH CENTERS
SANTA CRUZ, CA 95062
SANTA CRUZ, CA 95062
33aNPI1952749541assigned 06/05/2013
33bProvider typeClinic/Center
28Total paid$57.07M
24GClaims701,025
24DCodes billed128
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#9 of 504
Median peer was paid$102K
This provider vs. median561×
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 | 67,045 | $5.38M | |
| 2019 | 75,795 | $6.44M | |
| 2020 | 90,913 | $7.28M | |
| 2021 | 106,502 | $8.13M | |
| 2022 | 105,386 | $7.98M | |
| 2023 | 140,070 | $11.23M | |
| 2024incomplete | 115,314 | $10.63M |
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 | 84% | 234,971 | 188,915 | $47.80M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 181,988 | 130,337 | $2.81M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.8% | 46,321 | 30,326 | $1.02M |
| 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% | 27,651 | 21,229 | $629K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39,745 | 31,507 | $513K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 8,067 | 7,768 | $404K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,701 | 6,547 | $382K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,295 | 4,224 | $304K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 4,953 | 4,858 | $296K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,323 | 5,189 | $255K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,855 | 1,825 | $203K |
| 97810 | <1% | 15,937 | 8,127 | $190K |
116 more codes
| 92551 | <1% | 8,492 | $181K | |
| 90686 | <1% | 9,280 | $160K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 5,986 | $129K |
| 97811 | <1% | 8,235 | $102K | |
| 59425 | <1% | 1,605 | $97K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,942 | $88K |
| 90651 | <1% | 1,966 | $78K | |
| 90670 | <1% | 3,251 | $71K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,274 | $65K |
| 0001A | <1% | 902 | $60K | |
| 0002A | <1% | 897 | $60K | |
| 90750 | <1% | 427 | $60K | |
| 90648 | <1% | 3,432 | $58K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,662 | $57K |
| 90715 | <1% | 1,993 | $50K | |
| 90723 | <1% | 2,627 | $44K | |
| 99173 | <1% | 6,936 | $42K | |
| 90633 | <1% | 2,206 | $37K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 717 | $37K |
| 90710 | <1% | 2,013 | $35K | |
| 99381 | <1% | 411 | $33K | |
| 0004A | <1% | 475 | $32K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,717 | $31K |
| 0071A | <1% | 449 | $30K | |
| 0072A | <1% | 422 | $28K | |
| 90620 | <1% | 550 | $27K | |
| 0054A | <1% | 409 | $27K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 591 | $25K |
| 99385 | <1% | 177 | $25K | |
| 90734 | <1% | 1,197 | $24K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 390 | $24K |
| 90681 | <1% | 1,364 | $23K | |
| 90739 | <1% | 169 | $20K | |
| 85018 | <1% | 8,742 | $19K | |
| 98940 | <1% | 1,326 | $18K | |
| 0064A | <1% | 262 | $18K | |
| 0011A | <1% | 358 | $16K | |
| 90700 | <1% | 880 | $15K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 311 | $14K |
| 0134A | <1% | 216 | $14K | |
| 0012A | <1% | 198 | $13K | |
| 90696 | <1% | 745 | $13K | |
| V2020 | Frames, purchases | <1% | 899 | $13K |
| J3490 | Unclassified drugs | <1% | 265 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,359 | $12K |
| 92015 | Determination of refractive state | <1% | 2,059 | $12K |
| 93000 | <1% | 361 | $11K | |
| 99188 | <1% | 363 | $9K | |
| Q3014 | Telehealth originating site facility fee | <1% | 375 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 209 | $8K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,537 | $8K |
| 81025 | <1% | 2,428 | $8K | |
| 97813 | <1% | 591 | $8K | |
| 99401 | <1% | 597 | $8K | |
| 90619 | <1% | 429 | $7K | |
| 81003 | <1% | 3,434 | $7K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 358 | $7K |
| 97814 | <1% | 538 | $7K | |
| 90677 | <1% | 290 | $7K | |
| 0124A | <1% | 98 | $7K | |
| G0467 | Community health center visit, returning patient | <1% | 3,856 | $6K |
| 83655 | <1% | 397 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 87 | $5K |
| 99000 | <1% | 1,385 | $5K | |
| 90656 | <1% | 773 | $5K | |
| 90688 | <1% | 259 | $5K | |
| 91322 | <1% | 45 | $4K | |
| 0052A | <1% | 49 | $3K | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 375 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 100 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 710 | $3K |
| 90685 | <1% | 164 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 624 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 208 | $3K |
| 90480 | <1% | 68 | $3K | |
| 17110 | <1% | 34 | $3K | |
| 0074A | <1% | 40 | $3K | |
| 90716 | <1% | 86 | $3K | |
| 90649 | <1% | 127 | $3K | |
| 0112A | <1% | 34 | $2K | |
| 0051A | <1% | 32 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 82 | $2K |
| 90744 | <1% | 119 | $2K | |
| 90674 | <1% | 108 | $2K | |
| 0111A | <1% | 30 | $2K | |
| 69209 | <1% | 140 | $2K | |
| 0003A | <1% | 25 | $2K | |
| 0144A | <1% | 22 | $1K | |
| 97803 | <1% | 165 | $1K | |
| 96151 | <1% | 150 | $1K | |
| 90713 | <1% | 57 | $990.00 | |
| 0053A | <1% | 14 | $938.00 | |
| 80305 | <1% | 92 | $734.00 | |
| 86580 | <1% | 128 | $709.79 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 209 | $701.25 |
| G9920 | Screening performed and negative | <1% | 20 | $686.52 |
| 82962 | <1% | 201 | $495.68 | |
| 96156 | <1% | 29 | $445.91 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12 | $312.00 |
| 90707 | <1% | 12 | $258.00 | |
| 87420 | <1% | 66 | $198.76 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 15 | $187.36 |
| A4267 | Contraceptive supply, condom, male, each | <1% | 211 | $166.05 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 27 | $135.55 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,881 | $61.13 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 209 | $9.06 |
| 90756 | <1% | 20 | $0.20 | |
| 99499 | 0% | 650 | $0.00 | |
| Z6304 | 0% | 27 | $0.00 | |
| Z6400 | 0% | 26 | $0.00 | |
| Z6300 | 0% | 12 | $0.00 | |
| Z1034 | 0% | 1,135 | $0.00 | |
| 87428 | 0% | 1,088 | $0.00 | |
| 36416 | 0% | 73 | $0.00 | |
| 01 | Inj., retisert, 0.01 mg | 0% | 257 | $0.00 |
| Z6406 | 0% | 61 | $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 officialCONNER, LESLIE (EXECUTIVE DIRECTOR)
Parent organizationSANTA CRUZ COMMUNITY HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Santa Cruz Community Health Centers | Ben Lomond, CA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.