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

⚖️ Compare🖨️ Print Report

SVMHS CLINICS

Clinic/Center, Multi-Specialty·SALINAS, CA·NPI: 1093158347Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $34.2M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$34.2M

$34,150,515

Total Claims

1.0M

Beneficiaries

889K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+12%
2019
$3.6M
-8%
2020
$3.3M
+44%
2021
$4.8M
+7%
2022
$5.1M
+48%
2023
$7.6M
-14%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 27% of total spending.

99214Normal range

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

$9.1M

150K claims · 26.5%

Your Cost: $60.52/claim|Median: $53.41
1.1× median
99213Normal range

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

$3.9M

113K claims · 11.3%

Your Cost: $33.96/claim|Median: $37.81
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.8M

51K claims · 5.2%

Your Cost: $35.25/claim|Median: $23.99
1.5× median
99204Top 25%

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

$1.5M

12K claims · 4.4%

Your Cost: $128.72/claim|Median: $84.03
1.5× median
59425Top 25%

Antepartum care only, 4-6 visits

$1.4M

16K claims · 4.2%

Your Cost: $92.57/claim|Median: $63.63
1.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.4M

27K claims · 4.0%

Your Cost: $50.49/claim|Median: $35.30
1.4× median
99223Normal range

Initial hospital care, per day, high complexity

$1.0M

11K claims · 3.0%

Your Cost: $96.84/claim|Median: $67.32
1.4× median
99203Top 25%

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

$697K

8,063 claims · 2.0%

Your Cost: $86.39/claim|Median: $57.85
1.5× median
97110Normal range

Therapeutic exercises, each 15 min

$650K

19K claims · 1.9%

Your Cost: $34.67/claim|Median: $24.49
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$609K

11K claims · 1.8%

Your Cost: $56.07/claim|Median: $43.85
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$566K

5,488 claims · 1.7%

Your Cost: $103.06/claim|Median: $74.09
1.4× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$519K

6,960 claims · 1.5%

Your Cost: $74.59/claim|Median: $51.25
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$513K

15K claims · 1.5%

Your Cost: $34.57/claim|Median: $54.68
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$413K

5,085 claims · 1.2%

Your Cost: $81.25/claim|Median: $65.76
1.2× median
G0108Normal range

Diabetes self-management training, individual

$374K

7,915 claims · 1.1%

Your Cost: $47.27/claim|Median: $35.89
1.3× median
99243Top 25%

Office or other outpatient consultation, low complexity

$359K

3,164 claims · 1.1%

Your Cost: $113.52/claim|Median: $82.43
1.4× median
97140Normal range

Manual therapy techniques, per 15 minutes

$342K

16K claims · 1.0%

Your Cost: $21.66/claim|Median: $16.79
1.3× median
99291Normal range

Critical care, first 30-74 minutes

$330K

2,911 claims · 1.0%

Your Cost: $113.39/claim|Median: $101.24
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$308K

54K claims · 0.9%

Your Cost: $5.65/claim|Median: $5.60
1.0× median
76830Top 25%

Ultrasound, transvaginal

$253K

2,724 claims · 0.7%

Your Cost: $92.98/claim|Median: $57.47
1.6× median
76856Top 25%

Ultrasound, pelvic, complete

$236K

3,080 claims · 0.7%

Your Cost: $76.46/claim|Median: $47.58
1.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$231K

2,285 claims · 0.7%

Your Cost: $101.05/claim|Median: $233.73
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$219K

33K claims · 0.6%

Your Cost: $6.64/claim|Median: $5.50
1.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$199K

5,086 claims · 0.6%

Your Cost: $39.15/claim|Median: $37.22
1.1× median
74176Normal range

CT abdomen and pelvis without contrast

$180K

2,897 claims · 0.5%

Your Cost: $62.26/claim|Median: $60.19
1.0× median
77067Normal range

Screening mammography, bilateral, including CAD

$180K

5,897 claims · 0.5%

Your Cost: $30.51/claim|Median: $39.33
0.8× median
11765Top 25%

$179K

2,302 claims · 0.5%

Your Cost: $77.84/claim|Median: $28.19
2.8× median
72148Normal range

MRI lumbar spine without contrast

$178K

2,082 claims · 0.5%

Your Cost: $85.64/claim|Median: $101.03
0.8× median
70551Normal range

MRI brain without contrast

$173K

2,119 claims · 0.5%

Your Cost: $81.80/claim|Median: $85.39
1.0× median
73721Normal range

MRI joint of lower extremity without contrast

$172K

1,825 claims · 0.5%

Your Cost: $94.44/claim|Median: $127.34
0.7× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$163K

1,703 claims · 0.5%

Your Cost: $95.97/claim|Median: $255.03
0.4× median
76700Top 25%

Ultrasound, abdominal, complete

$153K

1,652 claims · 0.4%

Your Cost: $92.89/claim|Median: $50.69
1.8× median
70450Normal range

CT head/brain without contrast

$149K

5,832 claims · 0.4%

Your Cost: $25.61/claim|Median: $45.53
0.6× median
76705Normal range

Ultrasound, abdominal, limited

$145K

4,774 claims · 0.4%

Your Cost: $30.45/claim|Median: $23.81
1.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$144K

10K claims · 0.4%

Your Cost: $13.86/claim|Median: $9.87
1.4× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$140K

796 claims · 0.4%

Your Cost: $175.49/claim|Median: $121.58
1.4× median
71046Normal range

Chest X-ray, 2 views

$136K

8,652 claims · 0.4%

Your Cost: $15.71/claim|Median: $8.92
1.8× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$134K

5,589 claims · 0.4%

Your Cost: $24.01/claim|Median: $21.41
1.1× median
64405Normal range

$132K

3,531 claims · 0.4%

Your Cost: $37.45/claim|Median: $48.36
0.8× median
70553Normal range

MRI brain without contrast, then with contrast

$119K

898 claims · 0.3%

Your Cost: $132.47/claim|Median: $133.68
1.0× median
80061Normal range

Lipid panel

$116K

11K claims · 0.3%

Your Cost: $10.62/claim|Median: $8.41
1.3× median
64615Normal range

$114K

1,409 claims · 0.3%

Your Cost: $81.16/claim|Median: $82.82
1.0× median
72141Normal range

MRI of cervical spine without contrast

$114K

1,489 claims · 0.3%

Your Cost: $76.71/claim|Median: $112.68
0.7× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$110K

2,852 claims · 0.3%

Your Cost: $38.58/claim|Median: $33.72
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$108K

2,722 claims · 0.3%

Your Cost: $39.84/claim|Median: $36.70
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$103K

16K claims · 0.3%

Your Cost: $6.27/claim|Median: $4.71
1.3× median
G9012Normal range

Other specified case management service, per 15 minutes

$100K

3,607 claims · 0.3%

Your Cost: $27.63/claim|Median: $137.85
0.2× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$98K

2,978 claims · 0.3%

Your Cost: $32.88/claim|Median: $106.14
0.3× median
80053Normal range

Comprehensive metabolic panel

$97K

11K claims · 0.3%

Your Cost: $8.69/claim|Median: $7.24
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$96K

4,143 claims · 0.3%

Your Cost: $23.20/claim|Median: $18.18
1.3× 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

Other top providers in Clinic/Center, Multi-Specialty

Group Health Plan, Inc.

Minneapolis, MN

$204.3M

Banner - University Medical Center Tucson Campus LLC

Tucson, AZ

$194.4M

Wake Forest University Health Sciences

Winston Salem, NC

$188.0M

Barrio Comprehensive Family Health Care Center, Inc.

San Antonio, TX

$148.0M

← All providersAll providers in California →How we detect fraud →