Is ALTURA CENTERS FOR HEALTH flagged for Medicaid fraud?

ALTURA CENTERS FOR HEALTH (NPI: 1023011632) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ALTURA CENTERS FOR HEALTH bill Medicaid?

ALTURA CENTERS FOR HEALTH received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Federally Qualified Health Center (FQHC) provider. Located in TULARE, CA.

What is NPI 1023011632?

NPI 1023011632 is the National Provider Identifier for ALTURA CENTERS FOR HEALTH. They are a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in TULARE, CA. This NPI is registered with the CMS NPI Registry.

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ALTURA CENTERS FOR HEALTH

Clinic/Center, Federally Qualified Health Center (FQHC)·TULARE, CA·NPI: 1023011632Share

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 $37.3M 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

$37.3M

$37,271,887

Total Claims

1.1M

Beneficiaries

812K

1.4 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018

$5.5M

-17%

2019

$4.5M

+12%

2020

$5.1M

+19%

2021

$6.0M

-22%

2022

$4.7M

+24%

2023

$5.8M

-2%

2024

$5.7M

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 66% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$24.7M

251K claims

$98.38

$121.16

0.8×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$24.7M

251K claims · 66.3%

Your Cost: $98.38/claim|Median: $121.16

0.8× median

00003Anesthesia servicesSee all providers →

$8.7M

54K claims

$162.25

$223.77

0.7×

Normal range

00003Normal range

Anesthesia services

$8.7M

54K claims · 23.5%

Your Cost: $162.25/claim|Median: $223.77

0.7× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$1.3M

272K claims

$4.94

$37.81

0.1×

Normal range

99213Normal range

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

$1.3M

272K claims · 3.6%

Your Cost: $4.94/claim|Median: $37.81

0.1× median

H1001 See all providers →

$639K

18K claims

$36.32

$60.48

0.6×

Normal range

H1001Normal range

$639K

18K claims · 1.7%

Your Cost: $36.32/claim|Median: $60.48

0.6× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$637K

66K claims

$9.67

$53.41

0.2×

Normal range

99214Normal range

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

$637K

66K claims · 1.7%

Your Cost: $9.67/claim|Median: $53.41

0.2× median

G0467Federally qualified health center visit, mental healthSee all providers →

$318K

28K claims

$11.46

$21.91

0.5×

Normal range

G0467Normal range

Federally qualified health center visit, mental health

$318K

28K claims · 0.9%

Your Cost: $11.46/claim|Median: $21.91

0.5× median

G9012Other specified case management service, per 15 minutesSee all providers →

$247K

1,943 claims

$127.12

$137.85

0.9×

Normal range

G9012Normal range

Other specified case management service, per 15 minutes

$247K

1,943 claims · 0.7%

Your Cost: $127.12/claim|Median: $137.85

0.9× median

99212Office/outpatient visit, low complexitySee all providers →

$223K

81K claims

$2.77

$25.06

0.1×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$223K

81K claims · 0.6%

Your Cost: $2.77/claim|Median: $25.06

0.1× median

87426SARS-CoV-2 COVID-19 antigen detection, immunoassaySee all providers →

$51K

3,728 claims

$13.62

$30.04

0.5×

Normal range

87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$51K

3,728 claims · 0.1%

Your Cost: $13.62/claim|Median: $30.04

0.5× median

J3490Unclassified drugsSee all providers →

$44K

1,877 claims

$23.51

$5.70

4.1×

Normal range

J3490Normal range

Unclassified drugs

$44K

1,877 claims · 0.1%

Your Cost: $23.51/claim|Median: $5.70

4.1× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$35K

2,952 claims

$11.75

$57.85

0.2×

Normal range

99203Normal range

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

$35K

2,952 claims · 0.1%

Your Cost: $11.75/claim|Median: $57.85

0.2× median

87428SARS-CoV-2 COVID-19 antigen detection, immunoassay, eachSee all providers →

$34K

2,464 claims

$13.96

$39.63

0.4×

Normal range

87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$34K

2,464 claims · 0.1%

Your Cost: $13.96/claim|Median: $39.63

0.4× median

J7307Etonogestrel implant system, including implant and suppliesSee all providers →

$31K

130 claims

$239.41

$786.43

0.3×

Normal range

J7307Normal range

Etonogestrel implant system, including implant and supplies

$31K

130 claims · 0.1%

Your Cost: $239.41/claim|Median: $786.43

0.3× median

81025Urine pregnancy testSee all providers →

$20K

33K claims

$0.60

$4.81

0.1×

Normal range

81025Normal range

Urine pregnancy test

$20K

33K claims · 0.1%

Your Cost: $0.60/claim|Median: $4.81

0.1× median

59409Vaginal delivery onlySee all providers →

$20K

91 claims

$217.67

$619.91

0.4×

Normal range

59409Normal range

Vaginal delivery only

$20K

91 claims · 0.1%

Your Cost: $217.67/claim|Median: $619.91

0.4× median

99392Preventive medicine, established patient, age 1-4See all providers →

$16K

5,536 claims

$2.96

$75.18

0.0×

Normal range

99392Normal range

Preventive medicine, established patient, age 1-4

$16K

5,536 claims · 0.0%

Your Cost: $2.96/claim|Median: $75.18

0.0× median

81002Urinalysis, non-automated without microscopySee all providers →

$14K

65K claims

$0.22

$2.00

0.1×

Normal range

81002Normal range

Urinalysis, non-automated without microscopy

$14K

65K claims · 0.0%

Your Cost: $0.22/claim|Median: $2.00

0.1× median

G2025 See all providers →

$13K

6,419 claims

$2.04

$15.63

0.1×

Normal range

G2025Normal range

$13K

6,419 claims · 0.0%

Your Cost: $2.04/claim|Median: $15.63

0.1× median

87811SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-readSee all providers →

$13K

571 claims

$22.75

$30.53

0.7×

Normal range

87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$13K

571 claims · 0.0%

Your Cost: $22.75/claim|Median: $30.53

0.7× median

59425Antepartum care only, 4-6 visitsSee all providers →

$11K

5,308 claims

$2.07

$63.63

0.0×

Normal range

59425Normal range

Antepartum care only, 4-6 visits

$11K

5,308 claims · 0.0%

Your Cost: $2.07/claim|Median: $63.63

0.0× median

99243Office or other outpatient consultation, low complexitySee all providers →

$9K

672 claims

$13.76

$82.43

0.2×

Normal range

99243Normal range

Office or other outpatient consultation, low complexity

$9K

672 claims · 0.0%

Your Cost: $13.76/claim|Median: $82.43

0.2× median

99394Preventive medicine, established patient, age 12-17See all providers →

$8K

3,185 claims

$2.49

$80.15

0.0×

Normal range

99394Normal range

Preventive medicine, established patient, age 12-17

$8K

3,185 claims · 0.0%

Your Cost: $2.49/claim|Median: $80.15

0.0× median

59430 See all providers →

$8K

130 claims

$59.73

$80.32

0.7×

Normal range

59430Normal range

$8K

130 claims · 0.0%

Your Cost: $59.73/claim|Median: $80.32

0.7× median

99215Office/outpatient visit, high complexitySee all providers →

$8K

1,039 claims

$7.42

$74.09

0.1×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$8K

1,039 claims · 0.0%

Your Cost: $7.42/claim|Median: $74.09

0.1× median

99393Preventive medicine, established patient, age 5-11See all providers →

$7K

4,897 claims

$1.39

$74.82

0.0×

Normal range

99393Normal range

Preventive medicine, established patient, age 5-11

$7K

4,897 claims · 0.0%

Your Cost: $1.39/claim|Median: $74.82

0.0× median

99391Preventive medicine, established patient, infant (under 1)See all providers →

$6K

2,027 claims

$3.01

$69.35

0.0×

Normal range

99391Normal range

Preventive medicine, established patient, infant (under 1)

$6K

2,027 claims · 0.0%

Your Cost: $3.01/claim|Median: $69.35

0.0× median

99238Hospital discharge day management, 30 minutes or lessSee all providers →

$6K

389 claims

$15.64

$37.22

0.4×

Normal range

99238Normal range

Hospital discharge day management, 30 minutes or less

$6K

389 claims · 0.0%

Your Cost: $15.64/claim|Median: $37.22

0.4× median

H1003 See all providers →

$5K

1,182 claims

$4.50

$10.04

0.4×

Normal range

H1003Normal range

$5K

1,182 claims · 0.0%

Your Cost: $4.50/claim|Median: $10.04

0.4× median

90671 See all providers →

$5K

35 claims

$129.18

$8.59

15.0×

Top 10%

90671Top 10%

$5K

35 claims · 0.0%

Your Cost: $129.18/claim|Median: $8.59

15.0× median

J1050Injection, medroxyprogesterone acetate, one milligramSee all providers →

$4K

1,936 claims

$2.26

$41.92

0.1×

Normal range

J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$4K

1,936 claims · 0.0%

Your Cost: $2.26/claim|Median: $41.92

0.1× median

Q0091 See all providers →

$4K

5,654 claims

$0.73

$11.15

0.1×

Normal range

Q0091Normal range

$4K

5,654 claims · 0.0%

Your Cost: $0.73/claim|Median: $11.15

0.1× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$4K

257 claims

$15.87

$84.03

0.2×

Normal range

99204Normal range

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

$4K

257 claims · 0.0%

Your Cost: $15.87/claim|Median: $84.03

0.2× median

S9445 See all providers →

$4K

307 claims

$11.41

$12.72

0.9×

Normal range

S9445Normal range

$4K

307 claims · 0.0%

Your Cost: $11.41/claim|Median: $12.72

0.9× median

96110Developmental screening, per standardized instrumentSee all providers →

$3K

1,702 claims

$1.69

$9.10

0.2×

Normal range

96110Normal range

Developmental screening, per standardized instrument

$3K

1,702 claims · 0.0%

Your Cost: $1.69/claim|Median: $9.10

0.2× median

90656 See all providers →

$3K

396 claims

$6.63

$8.67

0.8×

Normal range

90656Normal range

$3K

396 claims · 0.0%

Your Cost: $6.63/claim|Median: $8.67

0.8× median

87880Streptococcus, Group A, rapid antigen detectionSee all providers →

$2K

14K claims

$0.16

$11.48

0.0×

Normal range

87880Normal range

Streptococcus, Group A, rapid antigen detection

$2K

14K claims · 0.0%

Your Cost: $0.16/claim|Median: $11.48

0.0× median

99222Initial hospital care, per day, moderate complexitySee all providers →

$2K

63 claims

$34.17

$51.25

0.7×

Normal range

99222Normal range

Initial hospital care, per day, moderate complexity

$2K

63 claims · 0.0%

Your Cost: $34.17/claim|Median: $51.25

0.7× median

99211Office/outpatient visit, minimal complexitySee all providers →

$2K

3,526 claims

$0.55

$12.93

0.0×

Normal range

99211Normal range

Office/outpatient visit, minimal complexity

$2K

3,526 claims · 0.0%

Your Cost: $0.55/claim|Median: $12.93

0.0× median

99395Preventive medicine, established patient, age 18-39See all providers →

$2K

737 claims

$2.46

$72.71

0.0×

Normal range

99395Normal range

Preventive medicine, established patient, age 18-39

$2K

737 claims · 0.0%

Your Cost: $2.46/claim|Median: $72.71

0.0× median

90686Influenza virus vaccine, quadrivalent, preservative-free, IMSee all providers →

$2K

5,162 claims

$0.34

$7.18

0.0×

Normal range

90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

5,162 claims · 0.0%

Your Cost: $0.34/claim|Median: $7.18

0.0× median

87804Influenza virus detection, rapid testSee all providers →

$2K

9,357 claims

$0.18

$12.59

0.0×

Normal range

87804Normal range

Influenza virus detection, rapid test

$2K

9,357 claims · 0.0%

Your Cost: $0.18/claim|Median: $12.59

0.0× median

58300 See all providers →

$2K

30 claims

$55.67

$74.77

0.7×

Normal range

58300Normal range

$2K

30 claims · 0.0%

Your Cost: $55.67/claim|Median: $74.77

0.7× median

H1000Prenatal care, at-risk assessmentSee all providers →

$1K

26 claims

$43.72

$50.36

0.9×

Normal range

H1000Normal range

Prenatal care, at-risk assessment

$1K

26 claims · 0.0%

Your Cost: $43.72/claim|Median: $50.36

0.9× median

85018 See all providers →

$1K

19K claims

$0.05

$1.71

0.0×

Normal range

85018Normal range

$1K

19K claims · 0.0%

Your Cost: $0.05/claim|Median: $1.71

0.0× median

J3420Injection, vitamin B-12 cyanocobalamin, up to one thousand mcgSee all providers →

$999

3,001 claims

$0.33

$1.04

0.3×

Normal range

J3420Normal range

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$999

3,001 claims · 0.0%

Your Cost: $0.33/claim|Median: $1.04

0.3× median

0001ACOVID-19 vaccine admin, Pfizer, 1st doseSee all providers →

$938

14 claims

$67.00

$33.72

2.0×

Top 5%

0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$938

14 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.72

2.0× median

83036Hemoglobin A1c (glycated hemoglobin)See all providers →

$923

6,204 claims

$0.15

$5.50

0.0×

Normal range

83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$923

6,204 claims · 0.0%

Your Cost: $0.15/claim|Median: $5.50

0.0× median

99233Subsequent hospital care, per day, high complexitySee all providers →

$870

28 claims

$31.08

$35.30

0.9×

Normal range

99233Normal range

Subsequent hospital care, per day, high complexity

$870

28 claims · 0.0%

Your Cost: $31.08/claim|Median: $35.30

0.9× median

11982 See all providers →

$809

43 claims

$18.83

$90.51

0.2×

Normal range

11982Normal range

$809

43 claims · 0.0%

Your Cost: $18.83/claim|Median: $90.51

0.2× median

90619 See all providers →

$783

696 claims

$1.13

$8.36

0.1×

Normal range

90619Normal range

$783

696 claims · 0.0%

Your Cost: $1.13/claim|Median: $8.36

0.1× median

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