Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

NORTHEAST VALLEY HEALTH CORPORATION

Clinic/Center, Federally Qualified Health Center (FQHC)·SUN VALLEY, CA·NPI: 1013199264Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.8M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$46.8M

$46,823,423

Total Claims

322K

Beneficiaries

287K

1.1 claims/patient

Avg Cost/Claim

$145

Monthly Spending Trend

Yearly Spending

2018
$4.7M
+8%
2019
$5.1M
+22%
2020
$6.2M
+39%
2021
$8.7M
-25%
2022
$6.5M
+36%
2023
$8.9M
-24%
2024
$6.7M

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 79% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$37.0M

236K claims · 79.1%

Your Cost: $156.84/claim|Median: $121.16
1.3× median
00003Normal range

Anesthesia services

$8.3M

42K claims · 17.7%

Your Cost: $198.32/claim|Median: $223.77
0.9× median
99213Top 5%

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

$589K

4,652 claims · 1.3%

Your Cost: $126.53/claim|Median: $37.81
3.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$108K

2,881 claims · 0.2%

Your Cost: $37.40/claim|Median: $75.18
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$94K

2,165 claims · 0.2%

Your Cost: $43.60/claim|Median: $74.82
0.6× median
96110Top 5%

Developmental screening, per standardized instrument

$77K

1,384 claims · 0.2%

Your Cost: $55.61/claim|Median: $9.10
6.1× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$74K

1,203 claims · 0.2%

Your Cost: $61.51/claim|Median: $33.72
1.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$72K

1,340 claims · 0.2%

Your Cost: $53.82/claim|Median: $80.15
0.7× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$70K

1,148 claims · 0.2%

Your Cost: $61.21/claim|Median: $36.70
1.7× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$66K

1,010 claims · 0.1%

Your Cost: $65.41/claim|Median: $33.85
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$60K

1,702 claims · 0.1%

Your Cost: $35.13/claim|Median: $69.35
0.5× median
G9012Normal range

Other specified case management service, per 15 minutes

$52K

889 claims · 0.1%

Your Cost: $58.00/claim|Median: $137.85
0.4× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$44K

672 claims · 0.1%

Your Cost: $65.95/claim|Median: $25.93
2.5× median
90791Normal range

Psychiatric diagnostic evaluation

$28K

360 claims · 0.1%

Your Cost: $78.86/claim|Median: $99.21
0.8× median
92551Top 25%

Screening audiometry, pure tone, air only

$28K

2,819 claims · 0.1%

Your Cost: $9.81/claim|Median: $6.61
1.5× median
G9008Normal range

Coordination of long-term care services, per month

$24K

854 claims · 0.1%

Your Cost: $28.64/claim|Median: $66.78
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$17K

579 claims · 0.0%

Your Cost: $29.07/claim|Median: $41.28
0.7× median
0124ATop 5%

$17K

250 claims · 0.0%

Your Cost: $66.64/claim|Median: $34.32
1.9× median
G9920Top 25%

$17K

600 claims · 0.0%

Your Cost: $27.60/claim|Median: $6.56
4.2× median
0064ATop 10%

$14K

226 claims · 0.0%

Your Cost: $62.51/claim|Median: $34.17
1.8× median
0071ATop 10%

$12K

195 claims · 0.0%

Your Cost: $62.74/claim|Median: $38.71
1.6× median
0072ATop 10%

$11K

200 claims · 0.0%

Your Cost: $57.45/claim|Median: $39.57
1.5× median
0134ATop 10%

$9K

129 claims · 0.0%

Your Cost: $66.79/claim|Median: $33.54
2.0× median
0054ATop 10%

$8K

126 claims · 0.0%

Your Cost: $59.82/claim|Median: $35.83
1.7× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$7K

38 claims · 0.0%

Your Cost: $186.16/claim|Median: $40.11
4.6× median
0004ATop 5%

$5K

78 claims · 0.0%

Your Cost: $66.57/claim|Median: $35.62
1.9× median
99203Top 1%

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

$4K

12 claims · 0.0%

Your Cost: $322.71/claim|Median: $57.85
5.6× median
81025Normal range

Urine pregnancy test

$2K

903 claims · 0.0%

Your Cost: $2.77/claim|Median: $4.81
0.6× median
D1120Normal range

Prophylaxis, adult

$2K

371 claims · 0.0%

Your Cost: $6.40/claim|Median: $33.86
0.2× median
90837Top 25%

Psychotherapy, 60 minutes

$2K

17 claims · 0.0%

Your Cost: $123.78/claim|Median: $85.66
1.4× median
83655Normal range

$2K

412 claims · 0.0%

Your Cost: $4.23/claim|Median: $10.49
0.4× median
90480Normal range

$2K

50 claims · 0.0%

Your Cost: $34.80/claim|Median: $25.29
1.4× median
0112ATop 25%

$2K

28 claims · 0.0%

Your Cost: $59.82/claim|Median: $40.00
1.5× median
0052ATop 25%

$2K

34 claims · 0.0%

Your Cost: $49.26/claim|Median: $37.79
1.3× median
85018Normal range

$2K

830 claims · 0.0%

Your Cost: $2.00/claim|Median: $1.71
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1K

14 claims · 0.0%

Your Cost: $105.47/claim|Median: $108.91
1.0× median
99000Normal range

$1K

403 claims · 0.0%

Your Cost: $3.61/claim|Median: $2.30
1.6× median
G2012Normal range

Brief communication technology-based service

$1K

112 claims · 0.0%

Your Cost: $12.48/claim|Median: $8.79
1.4× median
0013ATop 5%

$804

12 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.38
1.9× median
0051ATop 10%

$787

12 claims · 0.0%

Your Cost: $65.60/claim|Median: $36.92
1.8× median
D1206Normal range

Topical application of fluoride varnish

$766

113 claims · 0.0%

Your Cost: $6.77/claim|Median: $18.12
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$724

15 claims · 0.0%

Your Cost: $48.24/claim|Median: $63.65
0.8× median
0111ATop 25%

$653

12 claims · 0.0%

Your Cost: $54.44/claim|Median: $38.84
1.4× median
J3490Top 25%

Unclassified drugs

$538

13 claims · 0.0%

Your Cost: $41.39/claim|Median: $5.70
7.3× median
90471Normal range

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

$400

4,604 claims · 0.0%

Your Cost: $0.09/claim|Median: $9.80
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$372

46 claims · 0.0%

Your Cost: $8.08/claim|Median: $17.85
0.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$306

14 claims · 0.0%

Your Cost: $21.83/claim|Median: $24.95
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$266

141 claims · 0.0%

Your Cost: $1.89/claim|Median: $24.34
0.1× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$208

24 claims · 0.0%

Your Cost: $8.66/claim|Median: $18.03
0.5× median
80061Normal range

Lipid panel

$181

45 claims · 0.0%

Your Cost: $4.01/claim|Median: $8.41
0.5× median