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COMPLETE CARE COMMUNITY HEALTH CENTER, INC

PACE Provider Organization·LOS ANGELES, CA·NPI: 1215113964Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$72.5M

$72,499,975

Total Claims

1.3M

Beneficiaries

942K

1.4 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$4.7M
+50%
2019
$7.1M
+44%
2020
$10.2M
+23%
2021
$12.5M
-14%
2022
$10.7M
+30%
2023
$13.9M
-2%
2024
$13.6M

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 98% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$70.7M

363K claims · 97.5%

Your Cost: $194.81/claim|Median: $121.16
1.6× median
G0467Top 25%

Federally qualified health center visit, mental health

$321K

9,323 claims · 0.4%

Your Cost: $34.38/claim|Median: $21.91
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$266K

92K claims · 0.4%

Your Cost: $2.88/claim|Median: $25.06
0.1× median
99213Normal range

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

$253K

155K claims · 0.3%

Your Cost: $1.63/claim|Median: $37.81
0.0× median
99214Normal range

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

$218K

55K claims · 0.3%

Your Cost: $3.97/claim|Median: $53.41
0.1× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$150K

2,478 claims · 0.2%

Your Cost: $60.59/claim|Median: $40.11
1.5× median
99203Normal range

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

$90K

7,338 claims · 0.1%

Your Cost: $12.24/claim|Median: $57.85
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$57K

7,959 claims · 0.1%

Your Cost: $7.21/claim|Median: $74.09
0.1× median
96110Top 10%

Developmental screening, per standardized instrument

$43K

1,296 claims · 0.1%

Your Cost: $33.35/claim|Median: $9.10
3.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$33K

13K claims · 0.0%

Your Cost: $2.60/claim|Median: $9.56
0.3× median
99204Normal range

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

$27K

1,104 claims · 0.0%

Your Cost: $24.36/claim|Median: $84.03
0.3× median
G0511Top 25%

RHC/FQHC visit, psychiatric collaborative care model

$26K

1,572 claims · 0.0%

Your Cost: $16.59/claim|Median: $11.35
1.5× median
A4267Normal range

$26K

2,384 claims · 0.0%

Your Cost: $10.78/claim|Median: $7.86
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$21K

5,580 claims · 0.0%

Your Cost: $3.81/claim|Median: $80.15
0.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$18K

2,125 claims · 0.0%

Your Cost: $8.53/claim|Median: $75.28
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$17K

10K claims · 0.0%

Your Cost: $1.68/claim|Median: $75.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$17K

6,313 claims · 0.0%

Your Cost: $2.66/claim|Median: $74.82
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$16K

29K claims · 0.0%

Your Cost: $0.56/claim|Median: $6.61
0.1× median
G2025Normal range

$15K

1,006 claims · 0.0%

Your Cost: $14.77/claim|Median: $15.63
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$14K

439 claims · 0.0%

Your Cost: $32.60/claim|Median: $111.09
0.3× median
96367Normal range

$13K

1,069 claims · 0.0%

Your Cost: $12.63/claim|Median: $29.27
0.4× median
20552Normal range

$13K

2,447 claims · 0.0%

Your Cost: $5.30/claim|Median: $23.11
0.2× median
H1001Normal range

$11K

16K claims · 0.0%

Your Cost: $0.68/claim|Median: $60.48
0.0× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$11K

384 claims · 0.0%

Your Cost: $27.93/claim|Median: $42.51
0.7× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$11K

2,191 claims · 0.0%

Your Cost: $4.83/claim|Median: $29.03
0.2× median
S9445Normal range

$10K

14K claims · 0.0%

Your Cost: $0.70/claim|Median: $12.72
0.1× median
J1030Normal range

Injection, methylprednisolone acetate, forty milligrams

$7K

5,391 claims · 0.0%

Your Cost: $1.24/claim|Median: $4.38
0.3× median
99000Normal range

$7K

60K claims · 0.0%

Your Cost: $0.11/claim|Median: $2.30
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$6K

5,674 claims · 0.0%

Your Cost: $1.13/claim|Median: $7.18
0.2× median
90471Normal range

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

$6K

32K claims · 0.0%

Your Cost: $0.20/claim|Median: $9.80
0.0× median
G0466Normal range

$6K

189 claims · 0.0%

Your Cost: $32.45/claim|Median: $63.31
0.5× median
J3490Top 25%

Unclassified drugs

$6K

119 claims · 0.0%

Your Cost: $51.07/claim|Median: $5.70
9.0× median
J7327Normal range

$5K

18 claims · 0.0%

Your Cost: $276.59/claim|Median: $362.41
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$5K

8,578 claims · 0.0%

Your Cost: $0.53/claim|Median: $69.35
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$4K

5,745 claims · 0.0%

Your Cost: $0.73/claim|Median: $63.65
0.0× median
H1002Normal range

$4K

1,218 claims · 0.0%

Your Cost: $3.03/claim|Median: $23.28
0.1× median
90715Normal range

Tdap vaccine

$3K

1,419 claims · 0.0%

Your Cost: $2.31/claim|Median: $10.32
0.2× median
J1100Normal range

$3K

5,576 claims · 0.0%

Your Cost: $0.49/claim|Median: $0.52
0.9× median
90651Normal range

HPV vaccine, 9-valent

$3K

1,886 claims · 0.0%

Your Cost: $1.43/claim|Median: $8.93
0.2× median
H1003Normal range

$3K

8,492 claims · 0.0%

Your Cost: $0.30/claim|Median: $10.04
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$2K

17K claims · 0.0%

Your Cost: $0.14/claim|Median: $11.79
0.0× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$2K

6,252 claims · 0.0%

Your Cost: $0.31/claim|Median: $114.71
0.0× median
99173Normal range

$2K

29K claims · 0.0%

Your Cost: $0.07/claim|Median: $2.16
0.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$2K

1,427 claims · 0.0%

Your Cost: $1.29/claim|Median: $9.70
0.1× median
81025Normal range

Urine pregnancy test

$2K

5,534 claims · 0.0%

Your Cost: $0.32/claim|Median: $4.81
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$2K

4,719 claims · 0.0%

Your Cost: $0.35/claim|Median: $72.71
0.0× median
S5000Normal range

Prescription drug, generic

$2K

196 claims · 0.0%

Your Cost: $8.22/claim|Median: $7.47
1.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$2K

8,363 claims · 0.0%

Your Cost: $0.18/claim|Median: $24.33
0.0× median
90670Normal range

$1K

5,112 claims · 0.0%

Your Cost: $0.29/claim|Median: $5.94
0.0× median
96156Normal range

$1K

12K claims · 0.0%

Your Cost: $0.12/claim|Median: $22.36
0.0× median

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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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