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ELICA HEALTH CENTERS

Clinic/Center, Federally Qualified Health Center (FQHC)·WEST SACRAMENTO, CA·NPI: 1205341336Share

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 $42.7M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$42.7M

$42,652,823

Total Claims

644K

Beneficiaries

502K

1.3 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2019
$2.9M
+172%
2020
$7.9M
+41%
2021
$11.2M
-43%
2022
$6.3M
+18%
2023
$7.5M
-9%
2024
$6.8M

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 89% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$37.8M

188K claims · 88.6%

Your Cost: $200.66/claim|Median: $121.16
1.7× median
00003Normal range

Anesthesia services

$3.6M

13K claims · 8.6%

Your Cost: $277.14/claim|Median: $223.77
1.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$143K

3,131 claims · 0.3%

Your Cost: $45.82/claim|Median: $33.85
1.4× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$115K

3,008 claims · 0.3%

Your Cost: $38.19/claim|Median: $25.93
1.5× median
D1120Normal range

Prophylaxis, adult

$89K

5,318 claims · 0.2%

Your Cost: $16.67/claim|Median: $33.86
0.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$85K

5,095 claims · 0.2%

Your Cost: $16.63/claim|Median: $71.00
0.2× median
D1206Normal range

Topical application of fluoride varnish

$67K

11K claims · 0.2%

Your Cost: $6.26/claim|Median: $18.12
0.3× median
D4341Normal range

Periodontal scaling, per quadrant

$45K

3,669 claims · 0.1%

Your Cost: $12.39/claim|Median: $70.00
0.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$45K

7,363 claims · 0.1%

Your Cost: $6.16/claim|Median: $32.07
0.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$41K

3,348 claims · 0.1%

Your Cost: $12.21/claim|Median: $54.60
0.2× median
99213Normal range

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

$41K

104K claims · 0.1%

Your Cost: $0.39/claim|Median: $37.81
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$34K

2,768 claims · 0.1%

Your Cost: $12.32/claim|Median: $41.28
0.3× median
D4910Normal range

$34K

1,562 claims · 0.1%

Your Cost: $21.77/claim|Median: $75.56
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$34K

1,258 claims · 0.1%

Your Cost: $27.01/claim|Median: $99.21
0.3× median
D9999Normal range

Unspecified adjunctive procedure, by report

$32K

421 claims · 0.1%

Your Cost: $77.19/claim|Median: $37.60
2.1× median
96156Normal range

$32K

3,567 claims · 0.1%

Your Cost: $8.86/claim|Median: $22.36
0.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$31K

4,871 claims · 0.1%

Your Cost: $6.38/claim|Median: $46.33
0.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$28K

12K claims · 0.1%

Your Cost: $2.25/claim|Median: $10.51
0.2× median
D0120Normal range

Periodic oral evaluation, established patient

$27K

5,992 claims · 0.1%

Your Cost: $4.47/claim|Median: $24.34
0.2× median
D1310Normal range

Nutritional counseling for control of dental disease

$25K

6,250 claims · 0.1%

Your Cost: $4.01/claim|Median: $40.52
0.1× median
G0467Normal range

Federally qualified health center visit, mental health

$23K

705 claims · 0.1%

Your Cost: $32.30/claim|Median: $21.91
1.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$22K

11K claims · 0.1%

Your Cost: $2.02/claim|Median: $7.33
0.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$20K

979 claims · 0.0%

Your Cost: $20.36/claim|Median: $108.91
0.2× median
D1110Normal range

Prophylaxis, adult cleaning

$18K

2,724 claims · 0.0%

Your Cost: $6.70/claim|Median: $43.38
0.2× median
D9430Normal range

$17K

6,168 claims · 0.0%

Your Cost: $2.73/claim|Median: $31.69
0.1× median
D0274Normal range

Bitewings, four radiographic images

$15K

4,844 claims · 0.0%

Your Cost: $3.10/claim|Median: $22.54
0.1× median
99214Normal range

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

$15K

24K claims · 0.0%

Your Cost: $0.63/claim|Median: $53.41
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$14K

33K claims · 0.0%

Your Cost: $0.42/claim|Median: $25.06
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$12K

7,255 claims · 0.0%

Your Cost: $1.63/claim|Median: $3.67
0.4× median
90739Normal range

$7K

212 claims · 0.0%

Your Cost: $35.04/claim|Median: $74.43
0.5× median
D0603Normal range

$6K

4,642 claims · 0.0%

Your Cost: $1.38/claim|Median: $6.54
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$6K

3,517 claims · 0.0%

Your Cost: $1.73/claim|Median: $75.18
0.0× median
99203Normal range

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

$6K

3,128 claims · 0.0%

Your Cost: $1.93/claim|Median: $57.85
0.0× median
90471Normal range

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

$6K

13K claims · 0.0%

Your Cost: $0.45/claim|Median: $9.80
0.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$5K

515 claims · 0.0%

Your Cost: $10.20/claim|Median: $84.26
0.1× median
D1351Normal range

Sealant, per tooth

$5K

500 claims · 0.0%

Your Cost: $10.40/claim|Median: $26.10
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$5K

2,621 claims · 0.0%

Your Cost: $1.83/claim|Median: $74.82
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$5K

4,706 claims · 0.0%

Your Cost: $0.99/claim|Median: $11.79
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

3,839 claims · 0.0%

Your Cost: $1.08/claim|Median: $7.18
0.1× median
0064ANormal range

$4K

107 claims · 0.0%

Your Cost: $35.44/claim|Median: $34.17
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$4K

1,814 claims · 0.0%

Your Cost: $1.94/claim|Median: $74.09
0.0× median
D2740Normal range

Crown, porcelain/ceramic substrate

$3K

22 claims · 0.0%

Your Cost: $152.27/claim|Median: $509.58
0.3× median
D0330Normal range

Panoramic radiographic image

$3K

1,882 claims · 0.0%

Your Cost: $1.78/claim|Median: $37.36
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$3K

1,526 claims · 0.0%

Your Cost: $2.19/claim|Median: $80.15
0.0× median
D9993Normal range

$3K

4,692 claims · 0.0%

Your Cost: $0.66/claim|Median: $62.07
0.0× median
90677Normal range

$3K

64 claims · 0.0%

Your Cost: $42.06/claim|Median: $12.96
3.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3K

1,664 claims · 0.0%

Your Cost: $1.61/claim|Median: $69.35
0.0× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$2K

793 claims · 0.0%

Your Cost: $2.83/claim|Median: $81.92
0.0× median
90715Normal range

Tdap vaccine

$2K

716 claims · 0.0%

Your Cost: $2.89/claim|Median: $10.32
0.3× median
99204Normal range

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

$2K

1,146 claims · 0.0%

Your Cost: $1.72/claim|Median: $84.03
0.0× 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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$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

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