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NORTH EAST MEDICAL SERVICES

Clinic/Center, Federally Qualified Health Center (FQHC)·DALY CITY, CA·NPI: 1104103001Share

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 $47.5M 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

$47.5M

$47,543,651

Total Claims

968K

Beneficiaries

797K

1.2 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-6%
2019
$2.8M
+100%
2020
$5.6M
+22%
2021
$6.9M
-18%
2022
$5.7M
+102%
2023
$11.4M
+6%
2024
$12.2M

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 89% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$42.1M

224K claims · 88.6%

Your Cost: $187.91/claim|Median: $121.16
1.6× median
00003Normal range

Anesthesia services

$1.2M

4,558 claims · 2.5%

Your Cost: $259.36/claim|Median: $223.77
1.2× median
99213Normal range

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

$599K

145K claims · 1.3%

Your Cost: $4.14/claim|Median: $37.81
0.1× median
G0467Top 25%

Federally qualified health center visit, mental health

$360K

10K claims · 0.8%

Your Cost: $34.85/claim|Median: $21.91
1.6× median
80061Normal range

Lipid panel

$237K

25K claims · 0.5%

Your Cost: $9.52/claim|Median: $8.41
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$209K

16K claims · 0.4%

Your Cost: $13.38/claim|Median: $9.87
1.4× median
80053Normal range

Comprehensive metabolic panel

$159K

23K claims · 0.3%

Your Cost: $6.89/claim|Median: $7.24
1.0× median
86480Normal range

Tuberculosis test, cell-mediated immunity

$154K

3,409 claims · 0.3%

Your Cost: $45.25/claim|Median: $38.35
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$147K

21K claims · 0.3%

Your Cost: $6.93/claim|Median: $5.50
1.3× median
99214Normal range

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

$144K

13K claims · 0.3%

Your Cost: $10.71/claim|Median: $53.41
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$140K

4,780 claims · 0.3%

Your Cost: $29.24/claim|Median: $63.65
0.5× median
82306Normal range

Vitamin D, 25 hydroxy

$132K

6,539 claims · 0.3%

Your Cost: $20.20/claim|Median: $18.18
1.1× median
90750Normal range

$108K

1,686 claims · 0.2%

Your Cost: $63.93/claim|Median: $96.16
0.7× median
86803Normal range

Hepatitis C antibody

$94K

6,698 claims · 0.2%

Your Cost: $14.06/claim|Median: $10.17
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$89K

898 claims · 0.2%

Your Cost: $99.47/claim|Median: $99.21
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$86K

2,613 claims · 0.2%

Your Cost: $32.89/claim|Median: $41.28
0.8× median
96110Top 10%

Developmental screening, per standardized instrument

$85K

2,827 claims · 0.2%

Your Cost: $29.92/claim|Median: $9.10
3.3× median
99212Normal range

Office/outpatient visit, low complexity

$84K

43K claims · 0.2%

Your Cost: $1.95/claim|Median: $25.06
0.1× median
86704Top 25%

$63K

5,112 claims · 0.1%

Your Cost: $12.30/claim|Median: $7.48
1.6× median
87340Top 25%

Hepatitis B surface antigen detection

$60K

5,787 claims · 0.1%

Your Cost: $10.45/claim|Median: $5.52
1.9× median
82274Normal range

$60K

4,312 claims · 0.1%

Your Cost: $13.90/claim|Median: $12.83
1.1× median
G9920Normal range

$58K

2,874 claims · 0.1%

Your Cost: $20.06/claim|Median: $6.56
3.1× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$56K

926 claims · 0.1%

Your Cost: $60.89/claim|Median: $36.70
1.7× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$49K

835 claims · 0.1%

Your Cost: $58.16/claim|Median: $33.72
1.7× median
86706Top 25%

$43K

4,068 claims · 0.1%

Your Cost: $10.54/claim|Median: $5.39
2.0× median
80048Normal range

Basic metabolic panel

$42K

5,608 claims · 0.1%

Your Cost: $7.47/claim|Median: $5.78
1.3× median
90688Normal range

$41K

6,954 claims · 0.1%

Your Cost: $5.87/claim|Median: $9.00
0.7× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$39K

658 claims · 0.1%

Your Cost: $58.64/claim|Median: $39.70
1.5× median
99203Normal range

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

$36K

2,930 claims · 0.1%

Your Cost: $12.36/claim|Median: $57.85
0.2× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$34K

1,373 claims · 0.1%

Your Cost: $24.60/claim|Median: $18.03
1.4× median
0031ATop 10%

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

$32K

515 claims · 0.1%

Your Cost: $62.50/claim|Median: $32.49
1.9× median
G2025Normal range

$30K

1,577 claims · 0.1%

Your Cost: $19.18/claim|Median: $15.63
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$29K

2,064 claims · 0.1%

Your Cost: $13.85/claim|Median: $69.35
0.2× median
90739Normal range

$28K

444 claims · 0.1%

Your Cost: $63.39/claim|Median: $74.43
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$28K

3,631 claims · 0.1%

Your Cost: $7.59/claim|Median: $75.18
0.1× median
H0049Normal range

$28K

4,061 claims · 0.1%

Your Cost: $6.78/claim|Median: $9.27
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$25K

4,197 claims · 0.1%

Your Cost: $5.99/claim|Median: $74.82
0.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$22K

1,271 claims · 0.0%

Your Cost: $17.61/claim|Median: $32.07
0.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$22K

1,149 claims · 0.0%

Your Cost: $19.34/claim|Median: $46.33
0.4× median
82043Normal range

Urine albumin, microalbumin, quantitative test

$21K

5,492 claims · 0.0%

Your Cost: $3.81/claim|Median: $4.02
0.9× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$21K

505 claims · 0.0%

Your Cost: $40.68/claim|Median: $25.93
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$21K

3,723 claims · 0.0%

Your Cost: $5.52/claim|Median: $80.15
0.1× median
86317Normal range

$20K

1,915 claims · 0.0%

Your Cost: $10.21/claim|Median: $9.56
1.1× median
82570Normal range

$20K

5,633 claims · 0.0%

Your Cost: $3.46/claim|Median: $3.18
1.1× median
86703Top 25%

$19K

1,362 claims · 0.0%

Your Cost: $14.30/claim|Median: $10.37
1.4× median
85027Normal range

Complete blood count (CBC), automated

$19K

20K claims · 0.0%

Your Cost: $0.95/claim|Median: $3.72
0.3× median
87637Top 10%

Respiratory virus detection, 3-5 targets, nucleic acid

$19K

118 claims · 0.0%

Your Cost: $156.92/claim|Median: $100.62
1.6× median
90756Normal range

Influenza virus vaccine, quadrivalent

$18K

867 claims · 0.0%

Your Cost: $20.29/claim|Median: $14.34
1.4× median
90746Top 5%

Hepatitis B vaccine, adult

$16K

213 claims · 0.0%

Your Cost: $74.48/claim|Median: $48.85
1.5× median
84460Top 25%

$16K

3,160 claims · 0.0%

Your Cost: $4.93/claim|Median: $2.58
1.9× median