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    OpenPayerNPI Medicare & MedicaidSanta Rosa Community Health Centers
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    Santa Rosa Community Health Centers — Billing Profile & Reimbursement Data

    NPI 1578631172 · Santa Rosa, CA · Federally Qualified Health Center (FQHC)

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    Santa Rosa Community Health Centers is a federally qualified health center (fqhc) provider located in Santa Rosa, California. This profile covers 0 Medicare and 163 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSanta Rosa Community Health Centers
    Address3569 Round Barn Circle
    CitySanta Rosa
    StateCA
    ZIP95403
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedDecember 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$63.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    163 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive299,410$200$61.1M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…319,260$1$638.5K
    H1001Prenatal care, at-risk enhanced service; antepartum management3,030$60$191K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…35,010$10$175.1K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…9,090$20$145.5K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…12,730$10$101.8K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…10,170$10$101.7K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…9,910$10$99.1K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…10,210$10$81.7K
    0004AN/A700$70$46.7K

    Showing 1–10 of 163

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    163 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive641,55038,050$190$14.1M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.3651,570680$110$1.1M
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…2,5784,290780$140$400.1K
    G0467Federally 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…681,0301,050$70$219.7K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…961,950500$80$179K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…35713,300640$40$169.6K
    J3490Unclassified drugs1,0681,390670$20$159.5K
    59425This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…5311,040660$60$147.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…8084,230210$110$135K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…3214,520760$10$122.8K

    Showing 1–10 of 163

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Santa Rosa Community Health Centers, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Santa Rosa Community Health CentersCAFederally Qualified Health Center (FQHC)$0$95.1M
    Santa Rosa Community Health CentersCAFederally Qualified Health Center (FQHC)$0$45.3M
    Judith GrovesCADermatology Physician$581K$0
    Ligaya ParkCADermatology Physician$364.1K$0
    Daniel GonzalezCASports Medicine (Family Medicine) Physician$301.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Santa Rosa Community Health Centers, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sutter Bay HospitalsCAGeneral Acute Care Hospital$0$35.3M
    Thomas SchlesingerCARetina Specialist (Ophthalmology) Physician$4.3M$7.9M
    Shalini YalamanchiCAOphthalmology Physician$4.6M$7.2M
    Stephen MeffertCARetina Specialist (Ophthalmology) Physician$3.2M$5.5M
    Santa Rosa Surgery Center L PCAAmbulatory Surgical Clinic/Center$4.6M$4.1M
    Matthew PowersCARetina Specialist (Ophthalmology) Physician$3.7M$4.3M
    Ira SchacharCARetina Specialist (Ophthalmology) Physician$3.9M$4.1M
    Denise KayserCARetina Specialist (Ophthalmology) Physician$778.4K$2.1M
    Laservue Eye Center Medical CorporationCAOphthalmologic Surgery Clinic/Center$1.8M$54.7K
    Albert PengCAMOHS-Micrographic Surgery Physician$1.2M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Santa Rosa Community Health Centers — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California