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EL CENTRO REGIONAL MEDICAL CENTER

Clinic/Center, Rural Health·EL CENTRO, CA·NPI: 1144300476Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$50.0M

$50,040,197

Total Claims

822K

Beneficiaries

655K

1.3 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$8.1M
-11%
2019
$7.2M
+6%
2020
$7.7M
+9%
2021
$8.3M
-21%
2022
$6.6M
+1%
2023
$6.6M
-16%
2024
$5.6M

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 80% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$40.0M

293K claims · 79.9%

Your Cost: $136.28/claim|Median: $121.16
1.1× median
99213Normal range

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

$4.4M

291K claims · 8.9%

Your Cost: $15.22/claim|Median: $37.81
0.4× median
99214Normal range

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

$1.9M

100K claims · 3.8%

Your Cost: $19.00/claim|Median: $53.41
0.4× median
G0467Top 10%

Federally qualified health center visit, mental health

$1.9M

18K claims · 3.8%

Your Cost: $103.11/claim|Median: $21.91
4.7× median
99212Normal range

Office/outpatient visit, low complexity

$277K

20K claims · 0.6%

Your Cost: $14.15/claim|Median: $25.06
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$170K

2,130 claims · 0.3%

Your Cost: $79.85/claim|Median: $72.71
1.1× median
H1001Normal range

$168K

2,152 claims · 0.3%

Your Cost: $78.02/claim|Median: $60.48
1.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$158K

4,274 claims · 0.3%

Your Cost: $37.04/claim|Median: $76.06
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$123K

4,145 claims · 0.2%

Your Cost: $29.78/claim|Median: $74.82
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$119K

3,433 claims · 0.2%

Your Cost: $34.72/claim|Median: $80.15
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$111K

3,062 claims · 0.2%

Your Cost: $36.24/claim|Median: $74.09
0.5× median
99203Normal range

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

$107K

2,190 claims · 0.2%

Your Cost: $48.99/claim|Median: $57.85
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$93K

3,377 claims · 0.2%

Your Cost: $27.53/claim|Median: $75.18
0.4× median
59425Normal range

Antepartum care only, 4-6 visits

$77K

1,585 claims · 0.2%

Your Cost: $48.67/claim|Median: $63.63
0.8× median
90656Normal range

$67K

4,542 claims · 0.1%

Your Cost: $14.82/claim|Median: $8.67
1.7× median
90715Normal range

Tdap vaccine

$49K

2,670 claims · 0.1%

Your Cost: $18.46/claim|Median: $10.32
1.8× median
J3490Top 25%

Unclassified drugs

$49K

860 claims · 0.1%

Your Cost: $56.40/claim|Median: $5.70
9.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$37K

1,308 claims · 0.1%

Your Cost: $28.60/claim|Median: $69.35
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$22K

6,191 claims · 0.0%

Your Cost: $3.51/claim|Median: $7.18
0.5× median
0270Normal range

$22K

2,281 claims · 0.0%

Your Cost: $9.43/claim|Median: $5.50
1.7× median
90732Top 25%

Pneumococcal vaccine (PPSV23)

$17K

184 claims · 0.0%

Your Cost: $91.37/claim|Median: $36.96
2.5× median
90649Normal range

$16K

2,674 claims · 0.0%

Your Cost: $5.90/claim|Median: $6.42
0.9× median
99204Normal range

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

$14K

338 claims · 0.0%

Your Cost: $42.61/claim|Median: $84.03
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$13K

965 claims · 0.0%

Your Cost: $13.16/claim|Median: $63.65
0.2× median
90734Normal range

$10K

1,782 claims · 0.0%

Your Cost: $5.34/claim|Median: $6.40
0.8× median
81002Normal range

Urinalysis, non-automated without microscopy

$9K

6,634 claims · 0.0%

Your Cost: $1.43/claim|Median: $2.00
0.7× median
90670Normal range

$9K

1,602 claims · 0.0%

Your Cost: $5.34/claim|Median: $5.94
0.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$9K

1,411 claims · 0.0%

Your Cost: $6.04/claim|Median: $12.63
0.5× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$8K

4,008 claims · 0.0%

Your Cost: $2.03/claim|Median: $0.91
2.2× median
J3420Top 10%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$8K

2,981 claims · 0.0%

Your Cost: $2.71/claim|Median: $1.04
2.6× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$7K

347 claims · 0.0%

Your Cost: $20.74/claim|Median: $9.70
2.1× median
90633Normal range

$7K

1,222 claims · 0.0%

Your Cost: $5.55/claim|Median: $3.56
1.6× median
90685Normal range

$6K

1,011 claims · 0.0%

Your Cost: $5.74/claim|Median: $5.96
1.0× median
90698Normal range

$5K

991 claims · 0.0%

Your Cost: $5.32/claim|Median: $6.32
0.8× median
J1040Normal range

$5K

502 claims · 0.0%

Your Cost: $9.69/claim|Median: $6.87
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$4K

95 claims · 0.0%

Your Cost: $37.69/claim|Median: $108.91
0.3× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$3K

2,589 claims · 0.0%

Your Cost: $1.31/claim|Median: $0.79
1.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$3K

268 claims · 0.0%

Your Cost: $11.55/claim|Median: $7.50
1.5× median
90680Normal range

$3K

359 claims · 0.0%

Your Cost: $8.31/claim|Median: $5.58
1.5× median
G2025Normal range

$3K

249 claims · 0.0%

Your Cost: $11.36/claim|Median: $15.63
0.7× median
0250Normal range

$3K

462 claims · 0.0%

Your Cost: $5.74/claim|Median: $3.70
1.6× median
H1000Top 1%

Prenatal care, at-risk assessment

$2K

12 claims · 0.0%

Your Cost: $197.98/claim|Median: $50.36
3.9× median
J2930Top 25%

$2K

314 claims · 0.0%

Your Cost: $7.26/claim|Median: $3.03
2.4× median
90710Normal range

MMRV vaccine

$2K

359 claims · 0.0%

Your Cost: $6.04/claim|Median: $7.00
0.9× median
90744Normal range

$2K

562 claims · 0.0%

Your Cost: $2.98/claim|Median: $5.00
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

92 claims · 0.0%

Your Cost: $17.11/claim|Median: $12.93
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

16 claims · 0.0%

Your Cost: $96.08/claim|Median: $99.21
1.0× median
99173Normal range

$1K

1,353 claims · 0.0%

Your Cost: $1.07/claim|Median: $2.16
0.5× median
90696Normal range

DTaP-IPV vaccine

$1K

252 claims · 0.0%

Your Cost: $5.71/claim|Median: $5.95
1.0× median
G0466Top 25%

$1K

12 claims · 0.0%

Your Cost: $107.44/claim|Median: $63.31
1.7× 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

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Ashland Hospital Corporation

Ashland, KY

$222.8M

Reedley Community Hospital

Hanford, CA

$138.7M

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