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INDIAN HEALTH CENTER OF SANTA CLARA VALLEY

Clinic/Center, Federally Qualified Health Center (FQHC)·SAN JOSE, CA·NPI: 1164643862Share

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 $50.2M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$50.2M

$50,195,806

Total Claims

468K

Beneficiaries

359K

1.3 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$8.4M
-13%
2019
$7.2M
-13%
2020
$6.3M
+25%
2021
$7.8M
-35%
2022
$5.1M
+45%
2023
$7.4M
+9%
2024
$8.0M

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 58% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$29.2M

142K claims · 58.2%

Your Cost: $205.88/claim|Median: $121.16
1.7× median
00003Normal range

Anesthesia services

$19.5M

82K claims · 38.8%

Your Cost: $237.28/claim|Median: $223.77
1.1× median
99213Normal range

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

$835K

116K claims · 1.7%

Your Cost: $7.22/claim|Median: $37.81
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$149K

37K claims · 0.3%

Your Cost: $3.99/claim|Median: $25.06
0.2× median
99214Normal range

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

$112K

14K claims · 0.2%

Your Cost: $8.24/claim|Median: $53.41
0.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$38K

563 claims · 0.1%

Your Cost: $67.17/claim|Median: $108.91
0.6× median
G0467Normal range

Federally qualified health center visit, mental health

$35K

6,174 claims · 0.1%

Your Cost: $5.74/claim|Median: $21.91
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$34K

3,015 claims · 0.1%

Your Cost: $11.27/claim|Median: $85.66
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$25K

1,606 claims · 0.0%

Your Cost: $15.47/claim|Median: $99.21
0.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$22K

1,956 claims · 0.0%

Your Cost: $11.14/claim|Median: $74.82
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$21K

1,344 claims · 0.0%

Your Cost: $15.62/claim|Median: $75.18
0.2× median
99203Normal range

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

$20K

1,235 claims · 0.0%

Your Cost: $16.54/claim|Median: $57.85
0.3× median
91320Normal range

$20K

590 claims · 0.0%

Your Cost: $33.45/claim|Median: $72.65
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$17K

1,834 claims · 0.0%

Your Cost: $9.43/claim|Median: $63.65
0.1× median
90471Normal range

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

$17K

4,266 claims · 0.0%

Your Cost: $4.02/claim|Median: $9.80
0.4× median
90746Normal range

Hepatitis B vaccine, adult

$17K

1,296 claims · 0.0%

Your Cost: $13.21/claim|Median: $48.85
0.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$17K

1,618 claims · 0.0%

Your Cost: $10.37/claim|Median: $80.15
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$15K

614 claims · 0.0%

Your Cost: $23.78/claim|Median: $72.71
0.3× median
59425Normal range

Antepartum care only, 4-6 visits

$14K

697 claims · 0.0%

Your Cost: $20.77/claim|Median: $63.63
0.3× median
92552Normal range

Pure tone audiometry, air only, each ear

$14K

4,230 claims · 0.0%

Your Cost: $3.22/claim|Median: $12.63
0.3× median
90480Normal range

$11K

626 claims · 0.0%

Your Cost: $17.02/claim|Median: $25.29
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$9K

1,280 claims · 0.0%

Your Cost: $6.75/claim|Median: $41.28
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$7K

6,984 claims · 0.0%

Your Cost: $1.05/claim|Median: $7.18
0.1× median
90715Normal range

Tdap vaccine

$7K

1,055 claims · 0.0%

Your Cost: $6.73/claim|Median: $10.32
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$7K

676 claims · 0.0%

Your Cost: $10.04/claim|Median: $11.79
0.9× median
99490Normal range

Chronic care management services, 20 minutes per month

$6K

616 claims · 0.0%

Your Cost: $9.71/claim|Median: $6.31
1.5× median
90677Top 25%

$6K

119 claims · 0.0%

Your Cost: $49.33/claim|Median: $12.96
3.8× median
90662Normal range

$4K

974 claims · 0.0%

Your Cost: $4.24/claim|Median: $6.55
0.6× median
90688Normal range

$4K

1,239 claims · 0.0%

Your Cost: $3.13/claim|Median: $9.00
0.3× median
G9920Normal range

$4K

476 claims · 0.0%

Your Cost: $8.07/claim|Median: $6.56
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$3K

151 claims · 0.0%

Your Cost: $22.04/claim|Median: $76.06
0.3× median
85018Normal range

$3K

6,465 claims · 0.0%

Your Cost: $0.39/claim|Median: $1.71
0.2× median
90656Normal range

$2K

668 claims · 0.0%

Your Cost: $3.66/claim|Median: $8.67
0.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$2K

713 claims · 0.0%

Your Cost: $2.97/claim|Median: $32.55
0.1× median
90632Normal range

$2K

281 claims · 0.0%

Your Cost: $6.47/claim|Median: $40.43
0.2× median
90649Normal range

$2K

294 claims · 0.0%

Your Cost: $5.50/claim|Median: $6.42
0.9× median
81002Normal range

Urinalysis, non-automated without microscopy

$2K

3,899 claims · 0.0%

Your Cost: $0.40/claim|Median: $2.00
0.2× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$2K

45 claims · 0.0%

Your Cost: $34.15/claim|Median: $76.22
0.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$1K

3,174 claims · 0.0%

Your Cost: $0.46/claim|Median: $22.44
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1K

766 claims · 0.0%

Your Cost: $1.65/claim|Median: $40.11
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$903

193 claims · 0.0%

Your Cost: $4.68/claim|Median: $69.35
0.1× median
0124ATop 10%

$737

12 claims · 0.0%

Your Cost: $61.42/claim|Median: $34.32
1.8× median
86580Normal range

Tuberculosis (TB) skin test

$645

288 claims · 0.0%

Your Cost: $2.24/claim|Median: $4.46
0.5× median
99454Normal range

$485

77 claims · 0.0%

Your Cost: $6.30/claim|Median: $9.15
0.7× median
96110Top 25%

Developmental screening, per standardized instrument

$484

29 claims · 0.0%

Your Cost: $16.69/claim|Median: $9.10
1.8× median
G0071Normal range

$476

35 claims · 0.0%

Your Cost: $13.60/claim|Median: $7.20
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$308

15 claims · 0.0%

Your Cost: $20.54/claim|Median: $74.09
0.3× median
81025Normal range

Urine pregnancy test

$271

497 claims · 0.0%

Your Cost: $0.55/claim|Median: $4.81
0.1× median
90674Normal range

$255

304 claims · 0.0%

Your Cost: $0.84/claim|Median: $15.16
0.1× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$177

22 claims · 0.0%

Your Cost: $8.05/claim|Median: $83.63
0.1× 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

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