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T H E CLINIC INC

Clinic/Center·LOS ANGELES, CA·NPI: 1023287679Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.9M is at the 50th percentile among 13 Clinic/Center providers.

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

Total Paid

$49.9M

$49,922,460

Total Claims

1.4M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$6.6M
-1%
2019
$6.5M
+1%
2020
$6.6M
+17%
2021
$7.7M
-17%
2022
$6.4M
+24%
2023
$7.9M
+4%
2024
$8.2M

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 89% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$44.4M

295K claims · 89.0%

Your Cost: $150.70/claim|Median: $121.16
1.2× median
00003Normal range

Anesthesia services

$4.3M

18K claims · 8.5%

Your Cost: $235.96/claim|Median: $223.77
1.1× median
99213Normal range

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

$544K

87K claims · 1.1%

Your Cost: $6.28/claim|Median: $37.81
0.2× median
99214Normal range

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

$94K

17K claims · 0.2%

Your Cost: $5.65/claim|Median: $53.41
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$82K

26K claims · 0.2%

Your Cost: $3.12/claim|Median: $25.06
0.1× median
99203Top 5%

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

$77K

506 claims · 0.2%

Your Cost: $152.41/claim|Median: $57.85
2.6× median
98942Normal range

$64K

18K claims · 0.1%

Your Cost: $3.62/claim|Median: $28.40
0.1× median
G0467Normal range

Federally qualified health center visit, mental health

$63K

4,242 claims · 0.1%

Your Cost: $14.86/claim|Median: $21.91
0.7× median
G9012Normal range

Other specified case management service, per 15 minutes

$56K

1,642 claims · 0.1%

Your Cost: $34.24/claim|Median: $137.85
0.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$21K

14K claims · 0.0%

Your Cost: $1.48/claim|Median: $23.39
0.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$20K

14K claims · 0.0%

Your Cost: $1.46/claim|Median: $24.95
0.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$19K

23K claims · 0.0%

Your Cost: $0.84/claim|Median: $24.33
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$11K

2,055 claims · 0.0%

Your Cost: $5.26/claim|Median: $80.15
0.1× median
G2012Normal range

Brief communication technology-based service

$10K

52K claims · 0.0%

Your Cost: $0.19/claim|Median: $8.79
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$8K

2,675 claims · 0.0%

Your Cost: $3.10/claim|Median: $74.82
0.0× median
G2025Normal range

$8K

752 claims · 0.0%

Your Cost: $10.79/claim|Median: $15.63
0.7× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$8K

399 claims · 0.0%

Your Cost: $20.13/claim|Median: $33.85
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$8K

1,638 claims · 0.0%

Your Cost: $4.78/claim|Median: $85.66
0.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$8K

427 claims · 0.0%

Your Cost: $18.32/claim|Median: $25.93
0.7× median
90649Normal range

$8K

923 claims · 0.0%

Your Cost: $8.45/claim|Median: $6.42
1.3× median
80061Normal range

Lipid panel

$7K

18K claims · 0.0%

Your Cost: $0.37/claim|Median: $8.41
0.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$7K

332 claims · 0.0%

Your Cost: $20.04/claim|Median: $36.70
0.5× median
0519Normal range

$6K

57 claims · 0.0%

Your Cost: $104.88/claim|Median: $87.02
1.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$6K

333 claims · 0.0%

Your Cost: $17.83/claim|Median: $33.72
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$6K

2,512 claims · 0.0%

Your Cost: $2.25/claim|Median: $75.18
0.0× median
87389Normal range

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

$5K

8,508 claims · 0.0%

Your Cost: $0.65/claim|Median: $18.03
0.0× median
81528Normal range

Oncology, colorectal screening, quantitative analysis of stool DNA

$5K

1,537 claims · 0.0%

Your Cost: $3.27/claim|Median: $13.70
0.2× median
97810Normal range

$5K

2,602 claims · 0.0%

Your Cost: $1.87/claim|Median: $23.92
0.1× median
97811Normal range

$5K

2,580 claims · 0.0%

Your Cost: $1.86/claim|Median: $19.71
0.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$4K

22K claims · 0.0%

Your Cost: $0.19/claim|Median: $4.71
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$4K

1,219 claims · 0.0%

Your Cost: $3.43/claim|Median: $39.70
0.1× median
81025Normal range

Urine pregnancy test

$4K

5,891 claims · 0.0%

Your Cost: $0.69/claim|Median: $4.81
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

4,969 claims · 0.0%

Your Cost: $0.81/claim|Median: $7.18
0.1× median
80053Normal range

Comprehensive metabolic panel

$4K

21K claims · 0.0%

Your Cost: $0.19/claim|Median: $7.24
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$4K

23K claims · 0.0%

Your Cost: $0.17/claim|Median: $5.50
0.0× median
80074Normal range

$3K

8,231 claims · 0.0%

Your Cost: $0.42/claim|Median: $27.54
0.0× median
0013ANormal range

$3K

140 claims · 0.0%

Your Cost: $22.81/claim|Median: $35.38
0.6× median
86592Normal range

$3K

12K claims · 0.0%

Your Cost: $0.24/claim|Median: $3.35
0.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$3K

1,428 claims · 0.0%

Your Cost: $2.02/claim|Median: $39.33
0.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$3K

10K claims · 0.0%

Your Cost: $0.28/claim|Median: $9.87
0.0× median
90658Normal range

$3K

789 claims · 0.0%

Your Cost: $3.31/claim|Median: $8.96
0.4× median
J3490Top 10%

Unclassified drugs

$3K

33 claims · 0.0%

Your Cost: $78.34/claim|Median: $5.70
13.7× median
0004ANormal range

$2K

107 claims · 0.0%

Your Cost: $22.62/claim|Median: $35.62
0.6× median
90471Normal range

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

$2K

11K claims · 0.0%

Your Cost: $0.22/claim|Median: $9.80
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$2K

1,014 claims · 0.0%

Your Cost: $1.88/claim|Median: $74.09
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

290 claims · 0.0%

Your Cost: $6.46/claim|Median: $99.21
0.1× median
83655Normal range

$2K

2,444 claims · 0.0%

Your Cost: $0.67/claim|Median: $10.49
0.1× median
0071ANormal range

$2K

118 claims · 0.0%

Your Cost: $13.81/claim|Median: $38.71
0.4× median
86689Normal range

$2K

2,542 claims · 0.0%

Your Cost: $0.63/claim|Median: $11.89
0.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$1K

2,237 claims · 0.0%

Your Cost: $0.66/claim|Median: $12.70
0.1× 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

Similar Providers

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Children's Hospital Corporation

Boston, MA

$330.8M

County of Santa Cruz

Santa Cruz, CA

$276.3M

Northern Valley Indian Health INC

Willows, CA

$217.1M

Upmc Presbyterian Shadyside

Pittsburgh, PA

$125.5M

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