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CONSOLIDATED TRIBAL HEALTH PROJECT, INC.

Clinic/Center, Health Services·REDWOOD VALLEY, CA·NPI: 1003826009Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$30.8M

$30,799,036

Total Claims

104K

Beneficiaries

76K

1.4 claims/patient

Avg Cost/Claim

$297

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+1%
2019
$3.6M
-11%
2020
$3.2M
+28%
2021
$4.1M
+45%
2022
$6.0M
-6%
2023
$5.7M
-19%
2024
$4.6M

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 59% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$18.1M

33K claims · 58.8%

Your Cost: $553.53/claim|Median: $121.16
4.6× median
00003Top 10%

Anesthesia services

$10.3M

19K claims · 33.4%

Your Cost: $532.90/claim|Median: $223.77
2.4× median
G0467Top 1%

Federally qualified health center visit, mental health

$1.6M

3,986 claims · 5.1%

Your Cost: $390.22/claim|Median: $21.91
17.8× median
97810Top 1%

$439K

666 claims · 1.4%

Your Cost: $659.52/claim|Median: $23.92
27.6× median
A0390Normal range

ALS mileage, per mile

$171K

4,105 claims · 0.6%

Your Cost: $41.64/claim|Median: $46.23
0.9× median
A0120Normal range

Non-emergency mini-bus transport

$144K

4,117 claims · 0.5%

Your Cost: $34.93/claim|Median: $16.09
2.2× median
G0470Top 1%

Chronic care management services, FQHC/RHC

$74K

158 claims · 0.2%

Your Cost: $470.70/claim|Median: $45.95
10.2× median
98940Top 5%

$15K

389 claims · 0.1%

Your Cost: $39.80/claim|Median: $14.55
2.7× median
90837Normal range

Psychotherapy, 60 minutes

$479

4,252 claims · 0.0%

Your Cost: $0.11/claim|Median: $85.66
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$127

341 claims · 0.0%

Your Cost: $0.37/claim|Median: $99.21
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$103

1,207 claims · 0.0%

Your Cost: $0.09/claim|Median: $108.91
0.0× median
99213Normal range

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

$72

17K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$20

1,107 claims · 0.0%

Your Cost: $0.02/claim|Median: $25.06
0.0× median
99000Normal range

$4

740 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$0

622 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
0.0× median
90630Normal range

$0

125 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.50
90658Normal range

$0

20 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.96
99393Normal range

Preventive medicine, established patient, age 5-11

$0

373 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
87804Normal range

Influenza virus detection, rapid test

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
85025Normal range

Complete blood count (CBC) with differential, automated

$0

92 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.71
99177Normal range

$0

509 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.74
99173Normal range

$0

208 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
99203Normal range

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

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85
92551Normal range

Screening audiometry, pure tone, air only

$0

385 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
90832Normal range

Psychotherapy, 30 minutes

$0

1,342 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$0

804 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
G2012Normal range

Brief communication technology-based service

$0

116 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.79
81000Normal range

Urinalysis with microscopy, non-automated

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.51
86701Normal range

$0

76 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.03
80053Normal range

Comprehensive metabolic panel

$0

142 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.24
11721Normal range

$0

105 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.56
90674Normal range

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.16
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

82 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
81025Normal range

Urine pregnancy test

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
87880Normal range

Streptococcus, Group A, rapid antigen detection

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$0

132 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.91
81003Normal range

Urinalysis, automated without microscopy

$0

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.48
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$0

311 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.85
82962Normal range

Blood glucose test by monitoring device

$0

100 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.40
36416Normal range

$0

95 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.31
99214Normal range

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

$0

3,180 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
90471Normal range

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

$0

655 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
87522Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $29.66
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.70
84443Normal range

Thyroid stimulating hormone (TSH)

$0

86 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.87
90472Normal range

Immunization administration, each additional vaccine

$0

87 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
80061Normal range

Lipid panel

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.41
90662Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
83721Normal range

$0

51 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.31
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

94 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56