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LA CLINICA DE LA RAZA INC

Clinic/Center, Federally Qualified Health Center (FQHC)·OAKLAND, CA·NPI: 1144336181Share

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 $91.2M 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

$91.2M

$91,185,937

Total Claims

1.1M

Beneficiaries

829K

1.4 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$21.9M
-40%
2019
$13.3M
-23%
2020
$10.3M
+21%
2021
$12.5M
-28%
2022
$9.0M
+43%
2023
$12.8M
-10%
2024
$11.5M

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 70% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$64.1M

327K claims · 70.3%

Your Cost: $196.37/claim|Median: $121.16
1.6× median
00003Normal range

Anesthesia services

$22.5M

90K claims · 24.7%

Your Cost: $251.22/claim|Median: $223.77
1.1× median
99213Normal range

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

$1.6M

253K claims · 1.7%

Your Cost: $6.19/claim|Median: $37.81
0.2× median
G0467Top 5%

Federally qualified health center visit, mental health

$864K

6,288 claims · 0.9%

Your Cost: $137.39/claim|Median: $21.91
6.3× median
99214Normal range

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

$471K

35K claims · 0.5%

Your Cost: $13.50/claim|Median: $53.41
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$350K

82K claims · 0.4%

Your Cost: $4.25/claim|Median: $25.06
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$285K

4,836 claims · 0.3%

Your Cost: $58.93/claim|Median: $63.65
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$165K

2,029 claims · 0.2%

Your Cost: $81.54/claim|Median: $99.21
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$163K

5,441 claims · 0.2%

Your Cost: $29.95/claim|Median: $41.28
0.7× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$68K

2,977 claims · 0.1%

Your Cost: $22.89/claim|Median: $12.70
1.8× median
J3490Normal range

Unclassified drugs

$49K

2,082 claims · 0.1%

Your Cost: $23.41/claim|Median: $5.70
4.1× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$36K

696 claims · 0.0%

Your Cost: $51.69/claim|Median: $59.72
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$33K

16K claims · 0.0%

Your Cost: $2.12/claim|Median: $6.61
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$32K

17K claims · 0.0%

Your Cost: $1.91/claim|Median: $74.82
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$29K

9,314 claims · 0.0%

Your Cost: $3.08/claim|Median: $69.35
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$27K

17K claims · 0.0%

Your Cost: $1.57/claim|Median: $75.18
0.0× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$22K

411 claims · 0.0%

Your Cost: $54.68/claim|Median: $36.70
1.5× median
90471Normal range

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

$22K

52K claims · 0.0%

Your Cost: $0.42/claim|Median: $9.80
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$20K

3,023 claims · 0.0%

Your Cost: $6.78/claim|Median: $80.15
0.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$20K

4,086 claims · 0.0%

Your Cost: $4.85/claim|Median: $24.33
0.2× median
59425Normal range

Antepartum care only, 4-6 visits

$20K

316 claims · 0.0%

Your Cost: $62.33/claim|Median: $63.63
1.0× median
G9920Normal range

$18K

16K claims · 0.0%

Your Cost: $1.15/claim|Median: $6.56
0.2× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$17K

292 claims · 0.0%

Your Cost: $58.72/claim|Median: $33.72
1.7× median
0054ATop 25%

$17K

379 claims · 0.0%

Your Cost: $44.68/claim|Median: $35.83
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$17K

425 claims · 0.0%

Your Cost: $38.91/claim|Median: $47.08
0.8× median
0072ANormal range

$15K

389 claims · 0.0%

Your Cost: $38.97/claim|Median: $39.57
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$14K

35K claims · 0.0%

Your Cost: $0.40/claim|Median: $7.18
0.1× median
0071ANormal range

$13K

318 claims · 0.0%

Your Cost: $39.73/claim|Median: $38.71
1.0× median
92015Normal range

Determination of refractive state

$12K

1,443 claims · 0.0%

Your Cost: $8.00/claim|Median: $10.36
0.8× median
V2020Normal range

Frames, purchases

$11K

548 claims · 0.0%

Your Cost: $20.96/claim|Median: $19.33
1.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$11K

503 claims · 0.0%

Your Cost: $22.26/claim|Median: $19.46
1.1× median
G0442Normal range

$10K

7,553 claims · 0.0%

Your Cost: $1.37/claim|Median: $4.91
0.3× median
0112ATop 25%

$10K

147 claims · 0.0%

Your Cost: $66.54/claim|Median: $40.00
1.7× median
0004ATop 10%

$10K

183 claims · 0.0%

Your Cost: $53.05/claim|Median: $35.62
1.5× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$9K

336 claims · 0.0%

Your Cost: $27.81/claim|Median: $25.93
1.1× median
90688Normal range

$9K

1,845 claims · 0.0%

Your Cost: $4.97/claim|Median: $9.00
0.6× median
0124ATop 25%

$9K

197 claims · 0.0%

Your Cost: $45.98/claim|Median: $34.32
1.3× median
99173Normal range

$8K

20K claims · 0.0%

Your Cost: $0.40/claim|Median: $2.16
0.2× median
90853Normal range

Group psychotherapy

$8K

597 claims · 0.0%

Your Cost: $13.02/claim|Median: $25.02
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$8K

239 claims · 0.0%

Your Cost: $32.31/claim|Median: $74.09
0.4× median
G0071Normal range

$8K

420 claims · 0.0%

Your Cost: $18.04/claim|Median: $7.20
2.5× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$7K

168 claims · 0.0%

Your Cost: $40.99/claim|Median: $33.85
1.2× median
81025Normal range

Urine pregnancy test

$6K

7,013 claims · 0.0%

Your Cost: $0.92/claim|Median: $4.81
0.2× median
90677Normal range

$6K

1,967 claims · 0.0%

Your Cost: $3.08/claim|Median: $12.96
0.2× median
90739Normal range

$6K

658 claims · 0.0%

Your Cost: $8.81/claim|Median: $74.43
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$5K

5,054 claims · 0.0%

Your Cost: $1.04/claim|Median: $2.00
0.5× median
99078Normal range

$5K

301 claims · 0.0%

Your Cost: $15.82/claim|Median: $25.66
0.6× median
99401Normal range

$4K

354 claims · 0.0%

Your Cost: $12.44/claim|Median: $16.53
0.8× median
90670Normal range

$4K

4,212 claims · 0.0%

Your Cost: $1.00/claim|Median: $5.94
0.2× median
90480Normal range

$4K

281 claims · 0.0%

Your Cost: $14.01/claim|Median: $25.29
0.6× median