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

ALAMEDA HEALTH SYSTEM

Clinic/Center, Federally Qualified Health Center (FQHC)·HAYWARD, CA·NPI: 1033241633Share

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 $32.7M 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

$32.7M

$32,744,339

Total Claims

290K

Beneficiaries

260K

1.1 claims/patient

Avg Cost/Claim

$113

Monthly Spending Trend

Yearly Spending

2018
$4.3M
-13%
2019
$3.7M
+28%
2020
$4.8M
+4%
2021
$5.0M
-20%
2022
$4.0M
+34%
2023
$5.3M
+8%
2024
$5.8M

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 94% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$30.8M

135K claims · 94.2%

Your Cost: $227.90/claim|Median: $121.16
1.9× median
99213Normal range

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

$303K

44K claims · 0.9%

Your Cost: $6.83/claim|Median: $37.81
0.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$270K

6,947 claims · 0.8%

Your Cost: $38.82/claim|Median: $47.08
0.8× median
90750Top 25%

$233K

1,411 claims · 0.7%

Your Cost: $165.08/claim|Median: $96.16
1.7× median
99214Normal range

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

$214K

22K claims · 0.7%

Your Cost: $9.67/claim|Median: $53.41
0.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$157K

4,252 claims · 0.5%

Your Cost: $37.00/claim|Median: $21.91
1.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$96K

4,132 claims · 0.3%

Your Cost: $23.28/claim|Median: $59.72
0.4× median
90677Top 25%

$85K

1,322 claims · 0.3%

Your Cost: $64.67/claim|Median: $12.96
5.0× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$68K

1,314 claims · 0.2%

Your Cost: $51.63/claim|Median: $33.85
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$58K

1,073 claims · 0.2%

Your Cost: $53.84/claim|Median: $63.65
0.8× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$56K

1,159 claims · 0.2%

Your Cost: $48.24/claim|Median: $25.93
1.9× median
99212Normal range

Office/outpatient visit, low complexity

$38K

21K claims · 0.1%

Your Cost: $1.86/claim|Median: $25.06
0.1× median
91322Top 5%

$38K

258 claims · 0.1%

Your Cost: $146.63/claim|Median: $76.28
1.9× median
99203Normal range

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

$22K

1,306 claims · 0.1%

Your Cost: $16.94/claim|Median: $57.85
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$22K

3,327 claims · 0.1%

Your Cost: $6.57/claim|Median: $69.35
0.1× median
96110Top 10%

Developmental screening, per standardized instrument

$22K

591 claims · 0.1%

Your Cost: $36.82/claim|Median: $9.10
4.0× median
0064ATop 10%

$18K

340 claims · 0.1%

Your Cost: $52.24/claim|Median: $34.17
1.5× median
90471Normal range

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

$17K

11K claims · 0.1%

Your Cost: $1.46/claim|Median: $9.80
0.1× median
0031ATop 10%

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

$16K

302 claims · 0.0%

Your Cost: $51.52/claim|Median: $32.49
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$14K

2,098 claims · 0.0%

Your Cost: $6.74/claim|Median: $75.18
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$14K

2,902 claims · 0.0%

Your Cost: $4.78/claim|Median: $7.18
0.7× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$13K

431 claims · 0.0%

Your Cost: $30.68/claim|Median: $24.33
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$13K

987 claims · 0.0%

Your Cost: $13.06/claim|Median: $74.82
0.2× median
0134ATop 10%

$10K

158 claims · 0.0%

Your Cost: $66.26/claim|Median: $33.54
2.0× median
97804Top 25%

$10K

218 claims · 0.0%

Your Cost: $46.97/claim|Median: $17.97
2.6× median
99243Top 25%

Office or other outpatient consultation, low complexity

$9K

85 claims · 0.0%

Your Cost: $105.41/claim|Median: $82.43
1.3× median
59425Normal range

Antepartum care only, 4-6 visits

$9K

147 claims · 0.0%

Your Cost: $59.76/claim|Median: $63.63
0.9× median
90480Normal range

$7K

204 claims · 0.0%

Your Cost: $33.32/claim|Median: $25.29
1.3× median
96156Normal range

$7K

596 claims · 0.0%

Your Cost: $11.28/claim|Median: $22.36
0.5× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$6K

92 claims · 0.0%

Your Cost: $64.45/claim|Median: $12.70
5.1× median
92015Normal range

Determination of refractive state

$6K

922 claims · 0.0%

Your Cost: $6.08/claim|Median: $10.36
0.6× median
99401Normal range

$5K

376 claims · 0.0%

Your Cost: $12.35/claim|Median: $16.53
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$5K

32 claims · 0.0%

Your Cost: $142.77/claim|Median: $121.58
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$4K

471 claims · 0.0%

Your Cost: $8.37/claim|Median: $80.15
0.1× median
90688Normal range

$4K

1,071 claims · 0.0%

Your Cost: $3.38/claim|Median: $9.00
0.4× median
0071ATop 10%

$4K

68 claims · 0.0%

Your Cost: $51.93/claim|Median: $38.71
1.3× median
H1003Normal range

$3K

339 claims · 0.0%

Your Cost: $10.17/claim|Median: $10.04
1.0× median
90715Normal range

Tdap vaccine

$3K

695 claims · 0.0%

Your Cost: $4.90/claim|Median: $10.32
0.5× median
90837Top 25%

Psychotherapy, 60 minutes

$3K

29 claims · 0.0%

Your Cost: $117.04/claim|Median: $85.66
1.4× median
90697Normal range

$3K

683 claims · 0.0%

Your Cost: $4.64/claim|Median: $7.24
0.6× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$3K

125 claims · 0.0%

Your Cost: $24.43/claim|Median: $47.65
0.5× median
76815Normal range

Ultrasound, pregnant uterus, limited

$2K

313 claims · 0.0%

Your Cost: $7.85/claim|Median: $36.79
0.2× median
0013ATop 10%

$2K

46 claims · 0.0%

Your Cost: $51.74/claim|Median: $35.38
1.5× median
S9445Normal range

$2K

136 claims · 0.0%

Your Cost: $17.25/claim|Median: $12.72
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$2K

393 claims · 0.0%

Your Cost: $5.13/claim|Median: $40.11
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$2K

2,208 claims · 0.0%

Your Cost: $0.81/claim|Median: $6.61
0.1× median
99204Normal range

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

$1K

78 claims · 0.0%

Your Cost: $17.31/claim|Median: $84.03
0.2× median
11721Normal range

$1K

206 claims · 0.0%

Your Cost: $5.08/claim|Median: $8.56
0.6× median
92133Normal range

$909

39 claims · 0.0%

Your Cost: $23.30/claim|Median: $19.09
1.2× median
90832Top 25%

Psychotherapy, 30 minutes

$866

14 claims · 0.0%

Your Cost: $61.84/claim|Median: $41.28
1.5× median