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FAMILY HEALTHCARE NETWORK

Case Manager/Care Coordinator·TULARE, CA·NPI: 1043664766Share

Compared to Case Manager/Care Coordinator Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.3M is at the 25th percentile among 16 Case Manager/Care Coordinator providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$20.3M

$20,281,159

Total Claims

431K

Beneficiaries

318K

1.4 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+15%
2019
$3.1M
-20%
2020
$2.5M
+14%
2021
$2.8M
-4%
2022
$2.7M
+23%
2023
$3.3M
-9%
2024
$3.0M

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 99% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$20.1M

133K claims · 99.0%

Your Cost: $150.57/claim|Median: $121.16
1.2× median
99213Normal range

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

$159K

81K claims · 0.8%

Your Cost: $1.96/claim|Median: $37.81
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$24K

35K claims · 0.1%

Your Cost: $0.70/claim|Median: $25.06
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$9K

8,784 claims · 0.0%

Your Cost: $1.04/claim|Median: $69.35
0.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$4K

352 claims · 0.0%

Your Cost: $12.06/claim|Median: $73.46
0.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$3K

41 claims · 0.0%

Your Cost: $77.18/claim|Median: $108.91
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$3K

9,769 claims · 0.0%

Your Cost: $0.29/claim|Median: $74.82
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2K

13K claims · 0.0%

Your Cost: $0.13/claim|Median: $75.18
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1K

4,911 claims · 0.0%

Your Cost: $0.25/claim|Median: $80.15
0.0× median
90677Normal range

$882

2,055 claims · 0.0%

Your Cost: $0.43/claim|Median: $12.96
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$731

19K claims · 0.0%

Your Cost: $0.04/claim|Median: $6.61
0.0× median
90680Normal range

$669

4,911 claims · 0.0%

Your Cost: $0.14/claim|Median: $5.58
0.0× median
90697Normal range

$566

2,106 claims · 0.0%

Your Cost: $0.27/claim|Median: $7.24
0.0× median
90670Normal range

$468

6,545 claims · 0.0%

Your Cost: $0.07/claim|Median: $5.94
0.0× median
G9920Top 10%

$348

12 claims · 0.0%

Your Cost: $29.00/claim|Median: $6.56
4.4× median
99173Normal range

$234

19K claims · 0.0%

Your Cost: $0.01/claim|Median: $2.16
0.0× median
85018Normal range

$230

31K claims · 0.0%

Your Cost: $0.01/claim|Median: $1.71
0.0× median
90698Normal range

$180

3,611 claims · 0.0%

Your Cost: $0.05/claim|Median: $6.32
0.0× median
90633Normal range

$180

4,474 claims · 0.0%

Your Cost: $0.04/claim|Median: $3.56
0.0× median
90710Normal range

MMRV vaccine

$162

2,963 claims · 0.0%

Your Cost: $0.05/claim|Median: $7.00
0.0× median
83655Normal range

$147

3,499 claims · 0.0%

Your Cost: $0.04/claim|Median: $10.49
0.0× median
96110Normal range

Developmental screening, per standardized instrument

$119

20 claims · 0.0%

Your Cost: $5.96/claim|Median: $9.10
0.7× median
99214Normal range

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

$114

638 claims · 0.0%

Your Cost: $0.18/claim|Median: $53.41
0.0× median
90651Normal range

HPV vaccine, 9-valent

$84

2,343 claims · 0.0%

Your Cost: $0.04/claim|Median: $8.93
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$80

4,193 claims · 0.0%

Your Cost: $0.02/claim|Median: $7.18
0.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$76

4,445 claims · 0.0%

Your Cost: $0.02/claim|Median: $11.48
0.0× median
90744Normal range

$74

2,182 claims · 0.0%

Your Cost: $0.03/claim|Median: $5.00
0.0× median
G8511Normal range

$70

136 claims · 0.0%

Your Cost: $0.51/claim|Median: $0.28
1.8× median
90696Normal range

DTaP-IPV vaccine

$63

734 claims · 0.0%

Your Cost: $0.09/claim|Median: $5.95
0.0× median
99203Normal range

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

$63

19 claims · 0.0%

Your Cost: $3.31/claim|Median: $57.85
0.1× median
86580Normal range

Tuberculosis (TB) skin test

$54

1,269 claims · 0.0%

Your Cost: $0.04/claim|Median: $4.46
0.0× median
90734Normal range

$48

2,075 claims · 0.0%

Your Cost: $0.02/claim|Median: $6.40
0.0× median
81025Normal range

Urine pregnancy test

$45

620 claims · 0.0%

Your Cost: $0.07/claim|Median: $4.81
0.0× median
90700Normal range

$36

707 claims · 0.0%

Your Cost: $0.05/claim|Median: $4.56
0.0× median
90715Normal range

Tdap vaccine

$36

1,250 claims · 0.0%

Your Cost: $0.03/claim|Median: $10.32
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$11

1,507 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.00
0.0× median
90648Normal range

$9

326 claims · 0.0%

Your Cost: $0.03/claim|Median: $4.08
0.0× median
87804Normal range

Influenza virus detection, rapid test

$9

1,267 claims · 0.0%

Your Cost: $0.01/claim|Median: $12.59
0.0× median
G8510Normal range

$0

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
0.0× median
G2023Normal range

Specimen collection for COVID-19 testing

$0

544 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.15
0.0× median
90707Normal range

MMR vaccine

$0

37 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.76
90621Normal range

$0

326 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.66
59425Normal range

Antepartum care only, 4-6 visits

$0

37 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.63
Z1034Normal range

$0

123 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.74
90716Normal range

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.18
90381Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.69
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$0

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.92
90688Normal range

$0

1,081 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
G0439Normal range

Annual wellness visit, subsequent visit

$0

8,464 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.42
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.72