Clinic
El Rio Santa Cruz Neighborhood Health Center, INC
El Rio Santa Cruz Neighborhood Health Center, INC was paid $5.51M by Medicaid between Jan 2018 and Oct 2024, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoEL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
TUCSON, AZ 85746
TUCSON, AZ 85746
33aNPI1962770370assigned 12/13/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.51M
24GClaims61,463
24DCodes billed48
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arizona
Rank by total paid#42 of 126
Median peer was paid$1.45M
This provider vs. median3.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KUNTZ, CLINTON controls 15+ related entities in our dataset. Read more
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 | 13,671 | $1.22M | |
| 2019 | 18,204 | $1.46M | |
| 2020 | 14,559 | $1.33M | |
| 2021 | 14,671 | $1.50M | |
| 2022 | 185 | $2K | |
| 2023 | 49 | $563.68 | |
| 2024incomplete | 124 | $2K |
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 | 99% | 18,043 | 12,819 | $5.45M |
| 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% | 12,079 | 9,362 | $52K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,312 | 1,753 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 808 | 691 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 374 | 344 | $526.19 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 49 | 42 | $511.63 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 510 | 488 | $100.46 |
| 90670 | <1% | 16 | 14 | $32.47 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 625 | 551 | $9.44 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,981 | 1,906 | $2.81 |
| 36415 | Collection of venous blood by venipuncture | <1% | 27 | 27 | $1.76 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 268 | 230 | $0.10 |
36 more codes
| 1158F | <1% | 1,544 | $0.02 | |
| 1220F | <1% | 2,200 | $0.02 | |
| 1159F | <1% | 4,009 | $0.01 | |
| 1036F | <1% | 5,039 | $0.01 | |
| 81003 | 0% | 270 | $0.00 | |
| 99173 | 0% | 266 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 353 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 27 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 117 | $0.00 |
| 90461 | 0% | 12 | $0.00 | |
| 90715 | 0% | 65 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 139 | $0.00 |
| 81025 | 0% | 44 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 45 | $0.00 |
| 99177 | 0% | 162 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 86 | $0.00 |
| 2028F | 0% | 13 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 28 | $0.00 |
| 81002 | 0% | 57 | $0.00 | |
| 1090F | 0% | 19 | $0.00 | |
| 1003F | 0% | 96 | $0.00 | |
| 99051 | 0% | 15 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 96127 | 0% | 241 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 3,550 | $0.00 |
| 90686 | 0% | 933 | $0.00 | |
| 1126F | 0% | 1,826 | $0.00 | |
| 99406 | 0% | 294 | $0.00 | |
| 92551 | 0% | 379 | $0.00 | |
| 90688 | 0% | 654 | $0.00 | |
| 1125F | 0% | 1,745 | $0.00 | |
| 82962 | 0% | 14 | $0.00 | |
| 90651 | 0% | 26 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 47 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 32 | $0.00 |
| 90674 | 0% | 12 | $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 officialKUNTZ, CLINTON (CEO)
Parent organizationEL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $360.32M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $11.92M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $10.45M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $10.13M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $8.92M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $7.67M |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $3.83M |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $1.56M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $1.45M |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $1.13M |
| El Rio Health Center (Southwest) | Tucson, AZ | $710K |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $494K |
| Marana Health Center, INC | Tucson, AZ | $288K |
| El Rio Santa Cruz Neighborhood Health Center, INC | Tucson, AZ | $173K |
| El Rio Santa Cruz Neighborhood Health Center | Tucson, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.