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

CLINICA SIERRA VISTA

Clinic/Center, Federally Qualified Health Center (FQHC)·BAKERSFIELD, CA·NPI: 1093717779Share

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 $23.3M 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

$23.3M

$23,334,216

Total Claims

256K

Beneficiaries

226K

1.1 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+22%
2019
$2.5M
+48%
2020
$3.7M
+185%
2021
$10.5M
-66%
2022
$3.6M
-89%
2023
$404K
+54%
2024
$623K

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 98% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$22.9M

118K claims · 98.0%

Your Cost: $194.46/claim|Median: $121.16
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$100K

2,902 claims · 0.4%

Your Cost: $34.31/claim|Median: $47.08
0.7× median
99213Normal range

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

$45K

38K claims · 0.2%

Your Cost: $1.20/claim|Median: $37.81
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$40K

1,380 claims · 0.2%

Your Cost: $28.69/claim|Median: $21.91
1.3× median
V2020Normal range

Frames, purchases

$36K

2,332 claims · 0.2%

Your Cost: $15.53/claim|Median: $19.33
0.8× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$35K

560 claims · 0.2%

Your Cost: $62.93/claim|Median: $33.85
1.9× median
99214Normal range

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

$33K

9,748 claims · 0.1%

Your Cost: $3.40/claim|Median: $53.41
0.1× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$32K

702 claims · 0.1%

Your Cost: $45.43/claim|Median: $25.93
1.8× median
92015Normal range

Determination of refractive state

$23K

3,247 claims · 0.1%

Your Cost: $7.10/claim|Median: $10.36
0.7× median
92340Normal range

Fitting of spectacles, except for aphakia

$17K

1,595 claims · 0.1%

Your Cost: $10.60/claim|Median: $19.46
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$14K

14K claims · 0.1%

Your Cost: $1.02/claim|Median: $25.06
0.0× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$12K

180 claims · 0.1%

Your Cost: $65.51/claim|Median: $36.70
1.8× median
0064ATop 10%

$11K

191 claims · 0.0%

Your Cost: $55.07/claim|Median: $34.17
1.6× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$9K

134 claims · 0.0%

Your Cost: $63.50/claim|Median: $33.72
1.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$6K

1,279 claims · 0.0%

Your Cost: $4.56/claim|Median: $39.70
0.1× median
92341Normal range

$6K

362 claims · 0.0%

Your Cost: $15.74/claim|Median: $22.77
0.7× median
0004ATop 10%

$5K

89 claims · 0.0%

Your Cost: $60.98/claim|Median: $35.62
1.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$5K

2,253 claims · 0.0%

Your Cost: $2.08/claim|Median: $40.11
0.1× median
99204Normal range

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

$4K

442 claims · 0.0%

Your Cost: $9.94/claim|Median: $84.03
0.1× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$3K

94 claims · 0.0%

Your Cost: $36.71/claim|Median: $59.72
0.6× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$3K

192 claims · 0.0%

Your Cost: $17.61/claim|Median: $20.83
0.8× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$3K

686 claims · 0.0%

Your Cost: $4.88/claim|Median: $30.53
0.2× median
0072ATop 5%

$3K

42 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.57
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2K

1,140 claims · 0.0%

Your Cost: $1.70/claim|Median: $75.18
0.0× median
0071ATop 5%

$2K

27 claims · 0.0%

Your Cost: $67.00/claim|Median: $38.71
1.7× median
0054ATop 5%

$2K

27 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.83
1.9× median
90750Normal range

$1K

159 claims · 0.0%

Your Cost: $8.97/claim|Median: $96.16
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1K

1,087 claims · 0.0%

Your Cost: $1.25/claim|Median: $69.35
0.0× median
90688Normal range

$1K

281 claims · 0.0%

Your Cost: $4.34/claim|Median: $9.00
0.5× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$968

661 claims · 0.0%

Your Cost: $1.46/claim|Median: $27.38
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$930

906 claims · 0.0%

Your Cost: $1.03/claim|Median: $74.82
0.0× median
99203Normal range

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

$895

717 claims · 0.0%

Your Cost: $1.25/claim|Median: $57.85
0.0× median
90677Top 25%

$872

15 claims · 0.0%

Your Cost: $58.16/claim|Median: $12.96
4.5× median
90739Normal range

$758

15 claims · 0.0%

Your Cost: $50.52/claim|Median: $74.43
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$660

106 claims · 0.0%

Your Cost: $6.23/claim|Median: $85.66
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$588

849 claims · 0.0%

Your Cost: $0.69/claim|Median: $7.18
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$566

494 claims · 0.0%

Your Cost: $1.15/claim|Median: $80.15
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$549

326 claims · 0.0%

Your Cost: $1.69/claim|Median: $72.71
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$482

2,136 claims · 0.0%

Your Cost: $0.23/claim|Median: $41.28
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$481

708 claims · 0.0%

Your Cost: $0.68/claim|Median: $99.21
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$263

1,317 claims · 0.0%

Your Cost: $0.20/claim|Median: $9.56
0.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$248

18 claims · 0.0%

Your Cost: $13.78/claim|Median: $111.09
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$237

7,318 claims · 0.0%

Your Cost: $0.03/claim|Median: $2.00
0.0× median
82962Normal range

Blood glucose test by monitoring device

$195

1,035 claims · 0.0%

Your Cost: $0.19/claim|Median: $1.40
0.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$149

157 claims · 0.0%

Your Cost: $0.95/claim|Median: $0.91
1.0× median
90471Normal range

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

$141

4,950 claims · 0.0%

Your Cost: $0.03/claim|Median: $9.80
0.0× median
90698Normal range

$108

718 claims · 0.0%

Your Cost: $0.15/claim|Median: $6.32
0.0× median
81025Normal range

Urine pregnancy test

$96

2,510 claims · 0.0%

Your Cost: $0.04/claim|Median: $4.81
0.0× median
87804Normal range

Influenza virus detection, rapid test

$94

109 claims · 0.0%

Your Cost: $0.87/claim|Median: $12.59
0.1× median
90696Normal range

DTaP-IPV vaccine

$94

26 claims · 0.0%

Your Cost: $3.60/claim|Median: $5.95
0.6× median