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SAC HEALTH SYSTEM

Clinic/Center, Federally Qualified Health Center (FQHC)·SAN BERNARDINO, CA·NPI: 1013935915Share

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 $50.6M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$50.6M

$50,593,479

Total Claims

505K

Beneficiaries

451K

1.1 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$6.7M
-25%
2019
$5.1M
+44%
2020
$7.3M
+17%
2021
$8.6M
-21%
2022
$6.8M
+32%
2023
$9.0M
-22%
2024
$7.0M

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 83% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$42.1M

157K claims · 83.2%

Your Cost: $268.07/claim|Median: $121.16
2.2× median
00003Top 25%

Anesthesia services

$7.8M

23K claims · 15.4%

Your Cost: $333.18/claim|Median: $223.77
1.5× median
99213Normal range

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

$220K

79K claims · 0.4%

Your Cost: $2.78/claim|Median: $37.81
0.1× median
59425Normal range

Antepartum care only, 4-6 visits

$130K

2,299 claims · 0.3%

Your Cost: $56.51/claim|Median: $63.63
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$59K

5,157 claims · 0.1%

Your Cost: $11.36/claim|Median: $63.65
0.2× median
99214Normal range

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

$57K

34K claims · 0.1%

Your Cost: $1.66/claim|Median: $53.41
0.0× median
99203Normal range

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

$43K

2,564 claims · 0.1%

Your Cost: $16.73/claim|Median: $57.85
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$34K

441 claims · 0.1%

Your Cost: $77.17/claim|Median: $74.09
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$27K

19K claims · 0.1%

Your Cost: $1.45/claim|Median: $25.06
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$25K

3,925 claims · 0.1%

Your Cost: $6.47/claim|Median: $7.18
0.9× median
90715Top 25%

Tdap vaccine

$24K

1,160 claims · 0.0%

Your Cost: $20.97/claim|Median: $10.32
2.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$12K

246 claims · 0.0%

Your Cost: $47.28/claim|Median: $59.72
0.8× median
99204Normal range

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

$9K

609 claims · 0.0%

Your Cost: $15.30/claim|Median: $84.03
0.2× median
90732Normal range

Pneumococcal vaccine (PPSV23)

$7K

101 claims · 0.0%

Your Cost: $70.78/claim|Median: $36.96
1.9× median
92002Normal range

Intermediate eye exam, new patient

$5K

147 claims · 0.0%

Your Cost: $36.64/claim|Median: $41.61
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$5K

89 claims · 0.0%

Your Cost: $59.63/claim|Median: $108.91
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$4K

4,605 claims · 0.0%

Your Cost: $0.80/claim|Median: $85.66
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$4K

1,296 claims · 0.0%

Your Cost: $2.79/claim|Median: $41.28
0.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$3K

567 claims · 0.0%

Your Cost: $5.94/claim|Median: $40.11
0.1× median
90471Normal range

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

$3K

12K claims · 0.0%

Your Cost: $0.24/claim|Median: $9.80
0.0× median
90651Normal range

HPV vaccine, 9-valent

$3K

198 claims · 0.0%

Your Cost: $14.12/claim|Median: $8.93
1.6× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$2K

43 claims · 0.0%

Your Cost: $56.28/claim|Median: $38.83
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$2K

663 claims · 0.0%

Your Cost: $3.57/claim|Median: $9.10
0.4× median
59430Normal range

$2K

41 claims · 0.0%

Your Cost: $55.50/claim|Median: $80.32
0.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$2K

67 claims · 0.0%

Your Cost: $32.39/claim|Median: $38.23
0.8× median
81025Normal range

Urine pregnancy test

$2K

1,396 claims · 0.0%

Your Cost: $1.46/claim|Median: $4.81
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$1K

568 claims · 0.0%

Your Cost: $2.55/claim|Median: $99.21
0.0× median
99401Normal range

$1K

90 claims · 0.0%

Your Cost: $14.90/claim|Median: $16.53
0.9× median
92133Top 25%

$1K

40 claims · 0.0%

Your Cost: $28.74/claim|Median: $19.09
1.5× median
80305Normal range

$1K

4,133 claims · 0.0%

Your Cost: $0.26/claim|Median: $7.44
0.0× median
G9920Normal range

$899

823 claims · 0.0%

Your Cost: $1.09/claim|Median: $6.56
0.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$812

6,002 claims · 0.0%

Your Cost: $0.14/claim|Median: $5.50
0.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$766

47 claims · 0.0%

Your Cost: $16.31/claim|Median: $12.70
1.3× median
96150Normal range

Health behavior assessment, initial

$766

47 claims · 0.0%

Your Cost: $16.31/claim|Median: $17.83
0.9× median
G0467Top 25%

Federally qualified health center visit, mental health

$751

16 claims · 0.0%

Your Cost: $46.95/claim|Median: $21.91
2.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$425

884 claims · 0.0%

Your Cost: $0.48/claim|Median: $2.00
0.2× median
H1003Normal range

$383

47 claims · 0.0%

Your Cost: $8.15/claim|Median: $10.04
0.8× median
92060Normal range

$221

30 claims · 0.0%

Your Cost: $7.36/claim|Median: $35.83
0.2× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$201

20 claims · 0.0%

Your Cost: $10.05/claim|Median: $32.49
0.3× median
90750Normal range

$134

112 claims · 0.0%

Your Cost: $1.19/claim|Median: $96.16
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$110

578 claims · 0.0%

Your Cost: $0.19/claim|Median: $80.15
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$103

497 claims · 0.0%

Your Cost: $0.21/claim|Median: $69.35
0.0× median
96152Normal range

Health behavior intervention, individual

$92

13 claims · 0.0%

Your Cost: $7.05/claim|Median: $20.02
0.4× median
S9445Normal range

$92

13 claims · 0.0%

Your Cost: $7.05/claim|Median: $12.72
0.6× median
S9452Normal range

$92

13 claims · 0.0%

Your Cost: $7.05/claim|Median: $6.85
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$92

730 claims · 0.0%

Your Cost: $0.13/claim|Median: $74.82
0.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$82

25 claims · 0.0%

Your Cost: $3.27/claim|Median: $111.09
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$79

3,322 claims · 0.0%

Your Cost: $0.02/claim|Median: $11.79
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$75

1,035 claims · 0.0%

Your Cost: $0.07/claim|Median: $75.18
0.0× median
82962Normal range

Blood glucose test by monitoring device

$38

2,165 claims · 0.0%

Your Cost: $0.02/claim|Median: $1.40
0.0× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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Neighborhood Healthcare

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Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

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$157.3M

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