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

TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC.

Family Medicine·SONORA, CA·NPI: 1124286885Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.8M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$46.8M

$46,848,044

Total Claims

118K

Beneficiaries

93K

1.3 claims/patient

Avg Cost/Claim

$396

Monthly Spending Trend

Yearly Spending

2018
$6.7M
-6%
2019
$6.3M
-36%
2020
$4.0M
+34%
2021
$5.4M
+55%
2022
$8.3M
-11%
2023
$7.4M
+18%
2024
$8.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 46 distinct procedure codes. The top code (00003 (Anesthesia services)) accounts for 75% of total spending.

00003Top 10%

Anesthesia services

$35.4M

66K claims · 75.5%

Your Cost: $537.55/claim|Median: $223.77
2.4× median
T1015Top 1%

Clinic visit/encounter, all-inclusive

$9.5M

17K claims · 20.4%

Your Cost: $568.34/claim|Median: $121.16
4.7× median
G0467Top 1%

Federally qualified health center visit, mental health

$1.6M

3,669 claims · 3.4%

Your Cost: $437.53/claim|Median: $21.91
20.0× median
99213Normal range

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

$189K

11K claims · 0.4%

Your Cost: $17.65/claim|Median: $37.81
0.5× median
98942Top 1%

$57K

268 claims · 0.1%

Your Cost: $213.50/claim|Median: $28.40
7.5× median
99212Top 25%

Office/outpatient visit, low complexity

$48K

922 claims · 0.1%

Your Cost: $52.43/claim|Median: $25.06
2.1× median
99214Normal range

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

$24K

5,036 claims · 0.1%

Your Cost: $4.76/claim|Median: $53.41
0.1× median
80305Top 5%

$15K

535 claims · 0.0%

Your Cost: $28.07/claim|Median: $7.44
3.8× median
99203Normal range

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

$4K

351 claims · 0.0%

Your Cost: $11.19/claim|Median: $57.85
0.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$2K

302 claims · 0.0%

Your Cost: $7.53/claim|Median: $5.50
1.4× median
81003Top 1%

Urinalysis, automated without microscopy

$2K

13 claims · 0.0%

Your Cost: $175.00/claim|Median: $1.48
118.2× median
3074FTop 25%

$958

874 claims · 0.0%

Your Cost: $1.10/claim|Median: $0.11
10.0× median
G8427Top 25%

$948

249 claims · 0.0%

Your Cost: $3.81/claim|Median: $0.02
190.4× median
90471Normal range

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

$483

513 claims · 0.0%

Your Cost: $0.94/claim|Median: $9.80
0.1× median
3075FTop 25%

$479

220 claims · 0.0%

Your Cost: $2.18/claim|Median: $0.15
14.5× median
99215Normal range

Office/outpatient visit, high complexity

$123

98 claims · 0.0%

Your Cost: $1.26/claim|Median: $74.09
0.0× median
90656Normal range

$0

22 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
0.0× median
3008FNormal range

$0

75 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
1036FNormal range

$0

1,687 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G9622Normal range

$0

892 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
92552Normal range

Pure tone audiometry, air only, each ear

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.63
99392Normal range

Preventive medicine, established patient, age 1-4

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
G2211Normal range

$0

344 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.40
99204Normal range

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

$0

58 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.03

$0

146 claims · 0.0%

92551Normal range

Screening audiometry, pure tone, air only

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
1159FNormal range

$0

2,128 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
3077FNormal range

$0

543 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
90472Normal range

Immunization administration, each additional vaccine

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
1220FNormal range

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
85018Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

259 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
90688Normal range

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
3078FNormal range

$0

796 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
99173Normal range

$0

85 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
3079FNormal range

$0

504 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
36415Normal range

Collection of venous blood by venipuncture

$0

89 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57

$0

2,027 claims · 0.0%

G8783Normal range

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
3080FNormal range

$0

246 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
90834Normal range

Psychotherapy, 45 minutes

$0

376 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65

$0

51 claims · 0.0%

90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$0

141 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.85
17000Normal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.35
G8510Normal range

$0

1,333 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96