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KAWEAH DELTA HEALTH CARE DISTRICT

Clinic/Center, Rural Health·EXETER, CA·NPI: 1043272172Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$68.8M

$68,841,411

Total Claims

1.2M

Beneficiaries

995K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$9.3M
+7%
2019
$10.0M
+6%
2020
$10.7M
+5%
2021
$11.2M
-19%
2022
$9.1M
+16%
2023
$10.6M
-25%
2024
$7.9M

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 84% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$58.0M

297K claims · 84.3%

Your Cost: $195.53/claim|Median: $121.16
1.6× median
99213Normal range

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

$2.7M

211K claims · 4.0%

Your Cost: $12.95/claim|Median: $37.81
0.3× median
99214Normal range

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

$1.6M

71K claims · 2.3%

Your Cost: $22.32/claim|Median: $53.41
0.4× median
G9008Top 25%

Coordination of long-term care services, per month

$1.2M

5,514 claims · 1.8%

Your Cost: $224.32/claim|Median: $66.78
3.4× median
H1001Normal range

$756K

11K claims · 1.1%

Your Cost: $65.82/claim|Median: $60.48
1.1× median
87428Normal range

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

$525K

15K claims · 0.8%

Your Cost: $35.59/claim|Median: $39.63
0.9× median
G0467Top 25%

Federally qualified health center visit, mental health

$498K

13K claims · 0.7%

Your Cost: $37.86/claim|Median: $21.91
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$492K

48K claims · 0.7%

Your Cost: $10.25/claim|Median: $25.06
0.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$317K

15K claims · 0.5%

Your Cost: $21.65/claim|Median: $75.18
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$270K

15K claims · 0.4%

Your Cost: $18.28/claim|Median: $69.35
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$223K

8,933 claims · 0.3%

Your Cost: $24.96/claim|Median: $74.82
0.3× median
90677Top 25%

$164K

1,446 claims · 0.2%

Your Cost: $113.47/claim|Median: $12.96
8.8× median
G0470Normal range

Chronic care management services, FQHC/RHC

$139K

3,393 claims · 0.2%

Your Cost: $41.10/claim|Median: $45.95
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$138K

4,180 claims · 0.2%

Your Cost: $33.11/claim|Median: $80.15
0.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$103K

1,385 claims · 0.2%

Your Cost: $74.65/claim|Median: $72.71
1.0× median
87426Normal range

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

$103K

8,601 claims · 0.1%

Your Cost: $12.00/claim|Median: $30.04
0.4× median
92551Normal range

Screening audiometry, pure tone, air only

$97K

18K claims · 0.1%

Your Cost: $5.33/claim|Median: $6.61
0.8× median
85018Top 25%

$88K

36K claims · 0.1%

Your Cost: $2.45/claim|Median: $1.71
1.4× median
90471Normal range

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

$81K

34K claims · 0.1%

Your Cost: $2.38/claim|Median: $9.80
0.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$74K

1,070 claims · 0.1%

Your Cost: $69.53/claim|Median: $76.06
0.9× median
0760Normal range

$63K

1,783 claims · 0.1%

Your Cost: $35.31/claim|Median: $22.01
1.6× median
59425Normal range

Antepartum care only, 4-6 visits

$59K

3,521 claims · 0.1%

Your Cost: $16.74/claim|Median: $63.63
0.3× median
G2025Normal range

$57K

7,165 claims · 0.1%

Your Cost: $8.02/claim|Median: $15.63
0.5× median
59430Normal range

$47K

899 claims · 0.1%

Your Cost: $52.43/claim|Median: $80.32
0.7× median
97139Normal range

$46K

2,028 claims · 0.1%

Your Cost: $22.54/claim|Median: $28.71
0.8× median
H1000Top 10%

Prenatal care, at-risk assessment

$44K

323 claims · 0.1%

Your Cost: $135.81/claim|Median: $50.36
2.7× median
J3490Normal range

Unclassified drugs

$40K

2,908 claims · 0.1%

Your Cost: $13.80/claim|Median: $5.70
2.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$37K

8,092 claims · 0.1%

Your Cost: $4.55/claim|Median: $11.48
0.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$34K

3,728 claims · 0.0%

Your Cost: $9.14/claim|Median: $65.64
0.1× median
90472Normal range

Immunization administration, each additional vaccine

$33K

7,342 claims · 0.0%

Your Cost: $4.55/claim|Median: $11.79
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$30K

11K claims · 0.0%

Your Cost: $2.61/claim|Median: $7.18
0.4× median
90670Normal range

$29K

8,804 claims · 0.0%

Your Cost: $3.25/claim|Median: $5.94
0.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$28K

480 claims · 0.0%

Your Cost: $59.02/claim|Median: $39.33
1.5× median
81003Normal range

Urinalysis, automated without microscopy

$28K

21K claims · 0.0%

Your Cost: $1.31/claim|Median: $1.48
0.9× median
90734Top 25%

$27K

1,784 claims · 0.0%

Your Cost: $15.36/claim|Median: $6.40
2.4× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$27K

153 claims · 0.0%

Your Cost: $173.30/claim|Median: $54.68
3.2× median
90834Normal range

Psychotherapy, 45 minutes

$26K

5,182 claims · 0.0%

Your Cost: $5.08/claim|Median: $63.65
0.1× median
99173Normal range

$25K

19K claims · 0.0%

Your Cost: $1.31/claim|Median: $2.16
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$24K

1,703 claims · 0.0%

Your Cost: $14.36/claim|Median: $85.66
0.2× median
87634Normal range

$24K

890 claims · 0.0%

Your Cost: $26.81/claim|Median: $48.78
0.5× median
83655Normal range

$24K

2,357 claims · 0.0%

Your Cost: $10.03/claim|Median: $10.49
1.0× median
97799Normal range

$23K

953 claims · 0.0%

Your Cost: $23.77/claim|Median: $16.72
1.4× median
90647Normal range

$22K

8,650 claims · 0.0%

Your Cost: $2.57/claim|Median: $4.31
0.6× median
81025Normal range

Urine pregnancy test

$21K

4,830 claims · 0.0%

Your Cost: $4.43/claim|Median: $4.81
0.9× median
0160Normal range

$21K

629 claims · 0.0%

Your Cost: $33.91/claim|Median: $54.01
0.6× median
H1003Top 25%

$21K

1,020 claims · 0.0%

Your Cost: $20.61/claim|Median: $10.04
2.1× median
90680Normal range

$20K

6,664 claims · 0.0%

Your Cost: $3.04/claim|Median: $5.58
0.5× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$18K

566 claims · 0.0%

Your Cost: $31.79/claim|Median: $41.92
0.8× median
90723Normal range

DTaP-HepB-IPV vaccine

$17K

6,491 claims · 0.0%

Your Cost: $2.69/claim|Median: $5.78
0.5× median
90688Normal range

$17K

2,111 claims · 0.0%

Your Cost: $8.00/claim|Median: $9.00
0.9× 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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