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SONORA COMMUNITY HOSPITAL

Clinic/Center, Rural Health·SONORA, CA·NPI: 1003014952Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$41.4M

$41,361,681

Total Claims

481K

Beneficiaries

360K

1.3 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$5.5M
-10%
2019
$5.0M
+2%
2020
$5.1M
+67%
2021
$8.4M
-30%
2022
$5.9M
+0%
2023
$5.9M
-4%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 51% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$21.2M

151K claims · 51.2%

Your Cost: $140.17/claim|Median: $121.16
1.2× median
00003Normal range

Anesthesia services

$16.6M

73K claims · 40.2%

Your Cost: $226.96/claim|Median: $223.77
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$919K

70K claims · 2.2%

Your Cost: $13.18/claim|Median: $37.81
0.3× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$800K

41K claims · 1.9%

Your Cost: $19.45/claim|Median: $53.41
0.4× median
H1001Normal range

$319K

5,630 claims · 0.8%

Your Cost: $56.69/claim|Median: $60.48
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$229K

8,638 claims · 0.6%

Your Cost: $26.52/claim|Median: $63.65
0.4× median
G0467Top 25%

Federally qualified health center visit, mental health

$222K

5,371 claims · 0.5%

Your Cost: $41.41/claim|Median: $21.91
1.9× median
59425Normal range

Antepartum care only, 4-6 visits

$163K

2,954 claims · 0.4%

Your Cost: $55.25/claim|Median: $63.63
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$151K

6,845 claims · 0.4%

Your Cost: $22.06/claim|Median: $75.18
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$139K

7,633 claims · 0.3%

Your Cost: $18.24/claim|Median: $69.35
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$93K

9,462 claims · 0.2%

Your Cost: $9.87/claim|Median: $25.06
0.4× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$86K

3,207 claims · 0.2%

Your Cost: $26.89/claim|Median: $57.85
0.5× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$63K

2,038 claims · 0.2%

Your Cost: $30.76/claim|Median: $84.03
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$60K

2,564 claims · 0.1%

Your Cost: $23.57/claim|Median: $74.82
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$43K

4,112 claims · 0.1%

Your Cost: $10.35/claim|Median: $9.56
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$36K

3,210 claims · 0.1%

Your Cost: $11.22/claim|Median: $7.18
1.6× median
31231Normal range

Nasal endoscopy, diagnostic

$29K

1,291 claims · 0.1%

Your Cost: $22.28/claim|Median: $98.77
0.2× median
G0470Normal range

Chronic care management services, FQHC/RHC

$26K

612 claims · 0.1%

Your Cost: $42.18/claim|Median: $45.95
0.9× median
90715Top 25%

Tdap vaccine

$16K

613 claims · 0.0%

Your Cost: $26.60/claim|Median: $10.32
2.6× median
90677Normal range

$13K

606 claims · 0.0%

Your Cost: $21.27/claim|Median: $12.96
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$13K

596 claims · 0.0%

Your Cost: $21.12/claim|Median: $41.28
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$13K

487 claims · 0.0%

Your Cost: $25.78/claim|Median: $74.09
0.3× median
90670Normal range

$12K

3,381 claims · 0.0%

Your Cost: $3.45/claim|Median: $5.94
0.6× median
J3490Top 10%

Unclassified drugs

$11K

130 claims · 0.0%

Your Cost: $83.08/claim|Median: $5.70
14.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$11K

415 claims · 0.0%

Your Cost: $25.83/claim|Median: $80.15
0.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$10K

526 claims · 0.0%

Your Cost: $18.14/claim|Median: $40.11
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$9K

179 claims · 0.0%

Your Cost: $50.30/claim|Median: $72.71
0.7× median
99243Normal range

Office or other outpatient consultation, low complexity

$9K

356 claims · 0.0%

Your Cost: $24.82/claim|Median: $82.43
0.3× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$7K

2,045 claims · 0.0%

Your Cost: $3.38/claim|Median: $0.91
3.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$7K

165 claims · 0.0%

Your Cost: $39.41/claim|Median: $111.09
0.4× median
80305Normal range

$5K

818 claims · 0.0%

Your Cost: $6.57/claim|Median: $7.44
0.9× median
83655Top 25%

$5K

402 claims · 0.0%

Your Cost: $13.10/claim|Median: $10.49
1.2× median
90723Normal range

DTaP-HepB-IPV vaccine

$5K

2,270 claims · 0.0%

Your Cost: $2.18/claim|Median: $5.78
0.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$4K

97 claims · 0.0%

Your Cost: $46.26/claim|Median: $108.91
0.4× median
90648Normal range

$4K

2,004 claims · 0.0%

Your Cost: $2.16/claim|Median: $4.08
0.5× median
G2025Top 25%

$4K

141 claims · 0.0%

Your Cost: $27.81/claim|Median: $15.63
1.8× median
85018Normal range

$4K

2,270 claims · 0.0%

Your Cost: $1.63/claim|Median: $1.71
1.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$3K

2,027 claims · 0.0%

Your Cost: $1.67/claim|Median: $9.80
0.2× median
G0071Normal range

$3K

185 claims · 0.0%

Your Cost: $16.59/claim|Median: $7.20
2.3× median
31575Normal range

$3K

79 claims · 0.0%

Your Cost: $38.05/claim|Median: $68.78
0.6× median
90746Normal range

Hepatitis B vaccine, adult

$3K

57 claims · 0.0%

Your Cost: $51.35/claim|Median: $48.85
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$3K

165 claims · 0.0%

Your Cost: $17.45/claim|Median: $37.22
0.5× median
99308Normal range

Nursing facility care, subsequent, straightforward

$3K

716 claims · 0.0%

Your Cost: $3.51/claim|Median: $9.79
0.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$2K

106 claims · 0.0%

Your Cost: $22.09/claim|Median: $62.48
0.4× median
90633Normal range

$2K

927 claims · 0.0%

Your Cost: $2.52/claim|Median: $3.56
0.7× median
90685Normal range

$2K

701 claims · 0.0%

Your Cost: $3.17/claim|Median: $5.96
0.5× median
92504Normal range

$2K

265 claims · 0.0%

Your Cost: $8.23/claim|Median: $16.07
0.5× median
99307Normal range

$2K

585 claims · 0.0%

Your Cost: $3.39/claim|Median: $6.57
0.5× median
17000Normal range

$2K

73 claims · 0.0%

Your Cost: $26.77/claim|Median: $21.35
1.3× median
90680Normal range

$2K

957 claims · 0.0%

Your Cost: $1.97/claim|Median: $5.58
0.4× median

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