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COUNTY OF RIVERSIDE

Clinic/Center, Federally Qualified Health Center (FQHC)·CORONA, CA·NPI: 1205940145Share

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 $43.6M 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

$43.6M

$43,611,191

Total Claims

561K

Beneficiaries

441K

1.3 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+28%
2019
$1.5M
+101%
2020
$3.1M
+81%
2021
$5.6M
-11%
2022
$5.0M
+64%
2023
$8.1M
+136%
2024
$19.2M

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 91% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$39.9M

135K claims · 91.4%

Your Cost: $294.43/claim|Median: $121.16
2.4× median
00003Top 5%

Anesthesia services

$3.2M

5,264 claims · 7.3%

Your Cost: $608.45/claim|Median: $223.77
2.7× median
99213Normal range

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

$273K

121K claims · 0.6%

Your Cost: $2.25/claim|Median: $37.81
0.1× median
99203Normal range

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

$94K

6,548 claims · 0.2%

Your Cost: $14.40/claim|Median: $57.85
0.2× median
99214Normal range

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

$43K

59K claims · 0.1%

Your Cost: $0.73/claim|Median: $53.41
0.0× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$27K

399 claims · 0.1%

Your Cost: $66.94/claim|Median: $33.85
2.0× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$27K

399 claims · 0.1%

Your Cost: $66.85/claim|Median: $25.93
2.6× median
J3490Top 10%

Unclassified drugs

$25K

325 claims · 0.1%

Your Cost: $77.22/claim|Median: $5.70
13.5× median
99212Normal range

Office/outpatient visit, low complexity

$15K

10K claims · 0.0%

Your Cost: $1.45/claim|Median: $25.06
0.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$7K

1,540 claims · 0.0%

Your Cost: $4.50/claim|Median: $40.11
0.1× median
99204Normal range

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

$5K

3,189 claims · 0.0%

Your Cost: $1.47/claim|Median: $84.03
0.0× median
90715Normal range

Tdap vaccine

$4K

389 claims · 0.0%

Your Cost: $11.06/claim|Median: $10.32
1.1× median
99000Normal range

$3K

18K claims · 0.0%

Your Cost: $0.18/claim|Median: $2.30
0.1× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$2K

1,373 claims · 0.0%

Your Cost: $1.76/claim|Median: $79.28
0.0× median
0013ATop 10%

$2K

39 claims · 0.0%

Your Cost: $62.00/claim|Median: $35.38
1.8× median
0031ATop 5%

COVID-19 vaccine admin, J&J, single dose

$2K

34 claims · 0.0%

Your Cost: $67.00/claim|Median: $32.49
2.1× median
90834Normal range

Psychotherapy, 45 minutes

$2K

2,730 claims · 0.0%

Your Cost: $0.73/claim|Median: $63.65
0.0× median
G8510Normal range

$2K

56K claims · 0.0%

Your Cost: $0.03/claim|Median: $1.96
0.0× median
0064ATop 5%

$2K

28 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.17
2.0× median
81025Normal range

Urine pregnancy test

$2K

2,672 claims · 0.0%

Your Cost: $0.65/claim|Median: $4.81
0.1× median
90732Top 25%

Pneumococcal vaccine (PPSV23)

$2K

19 claims · 0.0%

Your Cost: $85.04/claim|Median: $36.96
2.3× median
90837Normal range

Psychotherapy, 60 minutes

$1K

2,778 claims · 0.0%

Your Cost: $0.53/claim|Median: $85.66
0.0× median
90677Normal range

$1K

391 claims · 0.0%

Your Cost: $2.98/claim|Median: $12.96
0.2× median
G9919Normal range

$1K

2,224 claims · 0.0%

Your Cost: $0.48/claim|Median: $8.66
0.1× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$882

562 claims · 0.0%

Your Cost: $1.57/claim|Median: $39.63
0.0× median
90688Normal range

$851

87 claims · 0.0%

Your Cost: $9.78/claim|Median: $9.00
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$836

1,490 claims · 0.0%

Your Cost: $0.56/claim|Median: $9.56
0.1× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$781

1,001 claims · 0.0%

Your Cost: $0.78/claim|Median: $30.53
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$763

919 claims · 0.0%

Your Cost: $0.83/claim|Median: $99.21
0.0× median
A4267Normal range

$660

84 claims · 0.0%

Your Cost: $7.86/claim|Median: $7.86
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$589

467 claims · 0.0%

Your Cost: $1.26/claim|Median: $28.46
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$543

705 claims · 0.0%

Your Cost: $0.77/claim|Median: $74.09
0.0× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$423

363 claims · 0.0%

Your Cost: $1.17/claim|Median: $38.79
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$415

2,926 claims · 0.0%

Your Cost: $0.14/claim|Median: $5.50
0.0× median
90471Normal range

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

$413

4,372 claims · 0.0%

Your Cost: $0.09/claim|Median: $9.80
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$317

268 claims · 0.0%

Your Cost: $1.18/claim|Median: $12.93
0.1× median
81003Normal range

Urinalysis, automated without microscopy

$296

3,215 claims · 0.0%

Your Cost: $0.09/claim|Median: $1.48
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$210

401 claims · 0.0%

Your Cost: $0.52/claim|Median: $41.28
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$204

504 claims · 0.0%

Your Cost: $0.41/claim|Median: $108.91
0.0× median
G8431Normal range

$155

879 claims · 0.0%

Your Cost: $0.18/claim|Median: $2.37
0.1× median
90713Normal range

Poliovirus vaccine (IPV)

$147

208 claims · 0.0%

Your Cost: $0.71/claim|Median: $5.41
0.1× median
85018Normal range

$136

1,058 claims · 0.0%

Your Cost: $0.13/claim|Median: $1.71
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$109

18 claims · 0.0%

Your Cost: $6.04/claim|Median: $76.06
0.1× median
90656Normal range

$100

121 claims · 0.0%

Your Cost: $0.83/claim|Median: $8.67
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$89

17 claims · 0.0%

Your Cost: $5.21/claim|Median: $7.18
0.7× median
90716Normal range

$75

250 claims · 0.0%

Your Cost: $0.30/claim|Median: $6.18
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$69

95 claims · 0.0%

Your Cost: $0.73/claim|Median: $69.35
0.0× median
82962Normal range

Blood glucose test by monitoring device

$63

1,946 claims · 0.0%

Your Cost: $0.03/claim|Median: $1.40
0.0× median
G9920Normal range

$58

42 claims · 0.0%

Your Cost: $1.38/claim|Median: $6.56
0.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$54

23 claims · 0.0%

Your Cost: $2.36/claim|Median: $80.15
0.0× median