Clinic
Santa Ynez Band of Mission Indians
Santa Ynez Band of Mission Indians was paid $38.85M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 0520, — 49% of everything it billed.
33Billing provider infoSANTA YNEZ BAND OF MISSION INDIANS
SANTA YNEZ, CA 93460
SANTA YNEZ, CA 93460
33aNPI1992779417assigned 02/13/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$38.85M
24GClaims167,326
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#90 of 826
Median peer was paid$4.05M
This provider vs. median9.6×
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 | 28,059 | $4.81M | |
| 2019 | 26,978 | $4.96M | |
| 2020 | 23,082 | $4.49M | |
| 2021 | 28,815 | $6.03M | |
| 2022 | 34,405 | $8.98M | |
| 2023 | 18,772 | $5.90M | |
| 2024incomplete | 7,215 | $3.69M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0520 | 49% | 37,254 | 32,319 | $19.08M | |
| 00003 | Internal/system code - not a standard HCPCS code | 27% | 18,876 | 15,121 | $10.56M |
| 0900 | 10% | 19,600 | 7,511 | $3.95M | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 4.5% | 2,570 | 1,735 | $1.75M |
| 0561 | 4.1% | 2,861 | 1,531 | $1.61M | |
| 0940 | 2.7% | 2,127 | 1,214 | $1.06M | |
| 0521 | 1.7% | 38,877 | 29,371 | $645K | |
| 0510 | <1% | 108 | 105 | $64K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 83 | 67 | $42K |
| 98940 | <1% | 29 | 25 | $21K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 27 | 25 | $19K |
| 0064A | <1% | 291 | 152 | $14K |
30 more codes
| 0012A | <1% | 346 | $13K | |
| 0011A | <1% | 373 | $13K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 16 | $12K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 12 | $6K |
| 0134A | <1% | 14 | $938.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 529 | $111.13 |
| 0471 | 0% | 1,918 | $0.00 | |
| 0636 | 0% | 8,342 | $0.00 | |
| 0771 | 0% | 8,401 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 384 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 52 | $0.00 |
| 0761 | 0% | 317 | $0.00 | |
| 92551 | 0% | 57 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 120 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 12 | $0.00 |
| 90656 | 0% | 28 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 12 | $0.00 |
| 97014 | 0% | 20 | $0.00 | |
| 0500 | 0% | 16,255 | $0.00 | |
| 0300 | 0% | 7,035 | $0.00 | |
| 99173 | 0% | 52 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 16 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 12 | $0.00 |
| 0361 | 0% | 35 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 19 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 101 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 105 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 12 | $0.00 |
| 92015 | Determination of refractive state | 0% | 15 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 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 officialJASSO, JENNIFER (FINACIAL SERVICES MANAGER)