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SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

Clinic/Center, Community Health·EL MONTE, CA·NPI: 1225357114Share

Compared to Clinic/Center, Community Health Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.1M is at the 25th percentile among 8 Clinic/Center, Community Health providers.

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

Total Paid

$23.1M

$23,126,668

Total Claims

679K

Beneficiaries

509K

1.3 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+17%
2019
$2.4M
+49%
2020
$3.6M
+45%
2021
$5.2M
-32%
2022
$3.6M
+6%
2023
$3.8M
-32%
2024
$2.6M

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 88% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$20.4M

116K claims · 88.1%

Your Cost: $176.32/claim|Median: $121.16
1.5× median
00003Normal range

Anesthesia services

$909K

4,259 claims · 3.9%

Your Cost: $213.41/claim|Median: $223.77
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$591K

27K claims · 2.6%

Your Cost: $22.12/claim|Median: $41.28
0.5× median
99213Normal range

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

$289K

122K claims · 1.3%

Your Cost: $2.37/claim|Median: $37.81
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$172K

101K claims · 0.7%

Your Cost: $1.71/claim|Median: $25.06
0.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$164K

18K claims · 0.7%

Your Cost: $9.01/claim|Median: $40.11
0.2× median
99203Normal range

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

$79K

3,163 claims · 0.3%

Your Cost: $24.92/claim|Median: $57.85
0.4× median
G0467Normal range

Federally qualified health center visit, mental health

$79K

4,389 claims · 0.3%

Your Cost: $17.93/claim|Median: $21.91
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$60K

1,376 claims · 0.3%

Your Cost: $43.67/claim|Median: $99.21
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$59K

2,474 claims · 0.3%

Your Cost: $23.90/claim|Median: $63.65
0.4× median
H1001Normal range

$29K

1,468 claims · 0.1%

Your Cost: $19.75/claim|Median: $60.48
0.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$26K

2,030 claims · 0.1%

Your Cost: $12.98/claim|Median: $80.15
0.2× median
99000Normal range

$25K

30K claims · 0.1%

Your Cost: $0.82/claim|Median: $2.30
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$22K

1,692 claims · 0.1%

Your Cost: $12.79/claim|Median: $74.82
0.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$19K

1,659 claims · 0.1%

Your Cost: $11.56/claim|Median: $36.70
0.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$18K

3,767 claims · 0.1%

Your Cost: $4.83/claim|Median: $17.85
0.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$16K

1,712 claims · 0.1%

Your Cost: $9.44/claim|Median: $33.72
0.3× median
92552Normal range

Pure tone audiometry, air only, each ear

$15K

4,165 claims · 0.1%

Your Cost: $3.62/claim|Median: $12.63
0.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$12K

2,143 claims · 0.1%

Your Cost: $5.49/claim|Median: $33.85
0.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$11K

2,764 claims · 0.0%

Your Cost: $3.99/claim|Median: $72.71
0.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$10K

2,222 claims · 0.0%

Your Cost: $4.63/claim|Median: $25.93
0.2× median
0064ANormal range

$10K

481 claims · 0.0%

Your Cost: $21.04/claim|Median: $34.17
0.6× median
99214Normal range

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

$9K

4,174 claims · 0.0%

Your Cost: $2.24/claim|Median: $53.41
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$9K

1,992 claims · 0.0%

Your Cost: $4.46/claim|Median: $76.06
0.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$8K

1,059 claims · 0.0%

Your Cost: $8.02/claim|Median: $9.70
0.8× median
92551Normal range

Screening audiometry, pure tone, air only

$8K

2,397 claims · 0.0%

Your Cost: $3.29/claim|Median: $6.61
0.5× median
0004ANormal range

$7K

348 claims · 0.0%

Your Cost: $18.85/claim|Median: $35.62
0.5× median
96110Normal range

Developmental screening, per standardized instrument

$6K

1,088 claims · 0.0%

Your Cost: $5.61/claim|Median: $9.10
0.6× median
99384Normal range

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

$6K

701 claims · 0.0%

Your Cost: $8.43/claim|Median: $83.63
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$5K

2,955 claims · 0.0%

Your Cost: $1.78/claim|Median: $7.18
0.2× median
90756Normal range

Influenza virus vaccine, quadrivalent

$4K

2,327 claims · 0.0%

Your Cost: $1.92/claim|Median: $14.34
0.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$4K

7,287 claims · 0.0%

Your Cost: $0.57/claim|Median: $12.70
0.0× median
86328Normal range

$4K

2,505 claims · 0.0%

Your Cost: $1.55/claim|Median: $20.52
0.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$4K

12K claims · 0.0%

Your Cost: $0.31/claim|Median: $16.79
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$4K

4,962 claims · 0.0%

Your Cost: $0.77/claim|Median: $12.93
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3K

824 claims · 0.0%

Your Cost: $4.17/claim|Median: $75.18
0.1× median
99383Normal range

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

$3K

427 claims · 0.0%

Your Cost: $8.01/claim|Median: $81.92
0.1× median
97110Normal range

Therapeutic exercises, each 15 min

$3K

11K claims · 0.0%

Your Cost: $0.27/claim|Median: $24.49
0.0× median
99173Normal range

$3K

6,261 claims · 0.0%

Your Cost: $0.41/claim|Median: $2.16
0.2× median
83026Normal range

$3K

3,257 claims · 0.0%

Your Cost: $0.77/claim|Median: $2.07
0.4× median
81002Normal range

Urinalysis, non-automated without microscopy

$2K

5,577 claims · 0.0%

Your Cost: $0.45/claim|Median: $2.00
0.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$2K

222 claims · 0.0%

Your Cost: $10.72/claim|Median: $54.68
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

5,409 claims · 0.0%

Your Cost: $0.42/claim|Median: $9.56
0.0× median
86580Normal range

Tuberculosis (TB) skin test

$2K

944 claims · 0.0%

Your Cost: $1.94/claim|Median: $4.46
0.4× median
90633Normal range

$2K

1,148 claims · 0.0%

Your Cost: $1.59/claim|Median: $3.56
0.4× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$2K

221 claims · 0.0%

Your Cost: $7.91/claim|Median: $76.22
0.1× median
81025Normal range

Urine pregnancy test

$2K

3,597 claims · 0.0%

Your Cost: $0.46/claim|Median: $4.81
0.1× median
H1003Normal range

$2K

616 claims · 0.0%

Your Cost: $2.69/claim|Median: $10.04
0.3× median
97161Normal range

Physical therapy evaluation, low complexity

$2K

2,082 claims · 0.0%

Your Cost: $0.75/claim|Median: $47.89
0.0× median
G0447Normal range

$2K

6,234 claims · 0.0%

Your Cost: $0.25/claim|Median: $5.19
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

Similar Providers

Other top providers in Clinic/Center, Community Health

Sac Health System

San Bernardino, CA

$260.2M

Medical Associates of Ebnhc

East Boston, MA

$179.3M

Trilogy, Inc.

Chicago, IL

$143.5M

Lynn Community Health, Inc.

Lynn, MA

$138.3M

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