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ALAMEDA HEALTH SYSTEM

Clinic/Center, Federally Qualified Health Center (FQHC)·OAKLAND, CA·NPI: 1104959089Share

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 $64.5M 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

$64.5M

$64,525,304

Total Claims

469K

Beneficiaries

421K

1.1 claims/patient

Avg Cost/Claim

$137

Monthly Spending Trend

Yearly Spending

2018
$9.0M
-17%
2019
$7.4M
+6%
2020
$7.9M
+31%
2021
$10.3M
-28%
2022
$7.5M
+42%
2023
$10.6M
+13%
2024
$11.9M

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 82% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$52.9M

188K claims · 81.9%

Your Cost: $280.70/claim|Median: $121.16
2.3× median
00003Top 25%

Anesthesia services

$8.3M

25K claims · 12.8%

Your Cost: $325.88/claim|Median: $223.77
1.5× median
99213Normal range

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

$513K

68K claims · 0.8%

Your Cost: $7.57/claim|Median: $37.81
0.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$480K

7,599 claims · 0.7%

Your Cost: $63.20/claim|Median: $21.91
2.9× median
96110Top 10%

Developmental screening, per standardized instrument

$212K

5,651 claims · 0.3%

Your Cost: $37.55/claim|Median: $9.10
4.1× median
90750Top 25%

$204K

1,345 claims · 0.3%

Your Cost: $151.98/claim|Median: $96.16
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$194K

5,377 claims · 0.3%

Your Cost: $36.07/claim|Median: $47.08
0.8× median
99214Normal range

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

$183K

28K claims · 0.3%

Your Cost: $6.60/claim|Median: $53.41
0.1× median
J1050Top 1%

Injection, medroxyprogesterone acetate, one milligram

$177K

1,029 claims · 0.3%

Your Cost: $172.34/claim|Median: $41.92
4.1× median
91322Top 10%

$103K

749 claims · 0.2%

Your Cost: $138.01/claim|Median: $76.28
1.8× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$99K

1,291 claims · 0.2%

Your Cost: $76.89/claim|Median: $58.82
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$80K

18K claims · 0.1%

Your Cost: $4.48/claim|Median: $25.06
0.2× median
90677Normal range

$76K

2,246 claims · 0.1%

Your Cost: $33.81/claim|Median: $12.96
2.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$68K

3,415 claims · 0.1%

Your Cost: $20.03/claim|Median: $59.72
0.3× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$61K

1,183 claims · 0.1%

Your Cost: $51.47/claim|Median: $33.85
1.5× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$52K

997 claims · 0.1%

Your Cost: $52.12/claim|Median: $38.23
1.4× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$50K

1,043 claims · 0.1%

Your Cost: $48.30/claim|Median: $25.93
1.9× median
90837Normal range

Psychotherapy, 60 minutes

$41K

426 claims · 0.1%

Your Cost: $96.19/claim|Median: $85.66
1.1× median
99451Top 25%

$39K

1,067 claims · 0.1%

Your Cost: $36.55/claim|Median: $20.05
1.8× median
92134Top 25%

$39K

1,385 claims · 0.1%

Your Cost: $28.11/claim|Median: $15.46
1.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$36K

5,435 claims · 0.1%

Your Cost: $6.65/claim|Median: $69.35
0.1× median
77067Top 10%

Screening mammography, bilateral, including CAD

$34K

293 claims · 0.1%

Your Cost: $117.29/claim|Median: $39.33
3.0× median
90834Normal range

Psychotherapy, 45 minutes

$30K

391 claims · 0.0%

Your Cost: $76.24/claim|Median: $63.65
1.2× median
0064ATop 10%

$30K

548 claims · 0.0%

Your Cost: $54.27/claim|Median: $34.17
1.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$26K

393 claims · 0.0%

Your Cost: $66.11/claim|Median: $108.91
0.6× median
99203Normal range

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

$24K

1,451 claims · 0.0%

Your Cost: $16.30/claim|Median: $57.85
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$23K

5,502 claims · 0.0%

Your Cost: $4.23/claim|Median: $75.18
0.1× median
0031ATop 10%

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

$23K

452 claims · 0.0%

Your Cost: $51.15/claim|Median: $32.49
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$23K

3,601 claims · 0.0%

Your Cost: $6.32/claim|Median: $74.09
0.1× median
0134ATop 10%

$22K

333 claims · 0.0%

Your Cost: $66.20/claim|Median: $33.54
2.0× median
0071ATop 10%

$22K

425 claims · 0.0%

Your Cost: $51.32/claim|Median: $38.71
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$19K

3,777 claims · 0.0%

Your Cost: $5.11/claim|Median: $74.82
0.1× median
96156Normal range

$19K

1,300 claims · 0.0%

Your Cost: $14.65/claim|Median: $22.36
0.7× median
99204Normal range

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

$16K

666 claims · 0.0%

Your Cost: $24.49/claim|Median: $84.03
0.3× median
J3301Top 10%

Injection, triamcinolone acetonide, per ten milligrams

$16K

1,560 claims · 0.0%

Your Cost: $10.39/claim|Median: $2.91
3.6× median
90480Normal range

$14K

460 claims · 0.0%

Your Cost: $30.01/claim|Median: $25.29
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$13K

643 claims · 0.0%

Your Cost: $20.57/claim|Median: $9.56
2.2× median
99401Normal range

$12K

946 claims · 0.0%

Your Cost: $12.83/claim|Median: $16.53
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$12K

330 claims · 0.0%

Your Cost: $35.45/claim|Median: $41.28
0.9× median
90471Normal range

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

$11K

12K claims · 0.0%

Your Cost: $0.97/claim|Median: $9.80
0.1× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$11K

833 claims · 0.0%

Your Cost: $13.27/claim|Median: $29.03
0.5× median
G9920Normal range

$11K

1,000 claims · 0.0%

Your Cost: $11.05/claim|Median: $6.56
1.7× median
59425Normal range

Antepartum care only, 4-6 visits

$11K

188 claims · 0.0%

Your Cost: $58.70/claim|Median: $63.63
0.9× median
99243Normal range

Office or other outpatient consultation, low complexity

$11K

239 claims · 0.0%

Your Cost: $44.47/claim|Median: $82.43
0.5× median
11720Top 5%

$11K

394 claims · 0.0%

Your Cost: $26.73/claim|Median: $4.64
5.8× median
0154ATop 5%

$9K

141 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.23
1.7× median
H1003Normal range

$9K

868 claims · 0.0%

Your Cost: $10.84/claim|Median: $10.04
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9K

6,361 claims · 0.0%

Your Cost: $1.47/claim|Median: $7.18
0.2× median
92015Normal range

Determination of refractive state

$9K

2,624 claims · 0.0%

Your Cost: $3.52/claim|Median: $10.36
0.3× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$9K

352 claims · 0.0%

Your Cost: $25.56/claim|Median: $42.51
0.6× median