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NORTHEAST VALLEY HEALTH CORPORATION

Clinic/Center, Federally Qualified Health Center (FQHC)·SAN FERNANDO, CA·NPI: 1235130600Share

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 $61.0M 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

$61.0M

$61,012,042

Total Claims

483K

Beneficiaries

438K

1.1 claims/patient

Avg Cost/Claim

$126

Monthly Spending Trend

Yearly Spending

2018
$8.2M
-9%
2019
$7.4M
+16%
2020
$8.6M
+21%
2021
$10.5M
-28%
2022
$7.6M
+24%
2023
$9.4M
-0%
2024
$9.4M

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 70% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$42.8M

323K claims · 70.2%

Your Cost: $132.81/claim|Median: $121.16
1.1× median
00003Normal range

Anesthesia services

$16.4M

86K claims · 26.9%

Your Cost: $191.28/claim|Median: $223.77
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$173K

4,037 claims · 0.3%

Your Cost: $42.92/claim|Median: $74.82
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$167K

4,440 claims · 0.3%

Your Cost: $37.66/claim|Median: $75.18
0.5× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$160K

2,541 claims · 0.3%

Your Cost: $62.80/claim|Median: $33.85
1.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$155K

2,943 claims · 0.3%

Your Cost: $52.57/claim|Median: $80.15
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$149K

4,949 claims · 0.2%

Your Cost: $30.12/claim|Median: $41.28
0.7× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$117K

1,926 claims · 0.2%

Your Cost: $60.61/claim|Median: $33.72
1.8× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$116K

1,944 claims · 0.2%

Your Cost: $59.93/claim|Median: $36.70
1.6× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$97K

1,528 claims · 0.2%

Your Cost: $63.44/claim|Median: $25.93
2.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$97K

2,775 claims · 0.2%

Your Cost: $34.81/claim|Median: $69.35
0.5× median
G9012Normal range

Other specified case management service, per 15 minutes

$81K

2,316 claims · 0.1%

Your Cost: $35.07/claim|Median: $137.85
0.3× median
G9008Normal range

Coordination of long-term care services, per month

$72K

2,737 claims · 0.1%

Your Cost: $26.44/claim|Median: $66.78
0.4× median
96110Top 5%

Developmental screening, per standardized instrument

$60K

1,084 claims · 0.1%

Your Cost: $55.81/claim|Median: $9.10
6.1× median
92551Top 25%

Screening audiometry, pure tone, air only

$44K

4,393 claims · 0.1%

Your Cost: $9.90/claim|Median: $6.61
1.5× median
G0467Normal range

Federally qualified health center visit, mental health

$37K

1,256 claims · 0.1%

Your Cost: $29.29/claim|Median: $21.91
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$34K

340 claims · 0.1%

Your Cost: $100.60/claim|Median: $99.21
1.0× median
0064ATop 5%

$26K

391 claims · 0.0%

Your Cost: $66.36/claim|Median: $34.17
1.9× median
0134ATop 10%

$20K

296 claims · 0.0%

Your Cost: $66.24/claim|Median: $33.54
2.0× median
0124ATop 5%

$19K

279 claims · 0.0%

Your Cost: $66.52/claim|Median: $34.32
1.9× median
G9920Top 25%

$17K

691 claims · 0.0%

Your Cost: $24.68/claim|Median: $6.56
3.8× median
0054ATop 10%

$13K

201 claims · 0.0%

Your Cost: $66.83/claim|Median: $35.83
1.9× median
0072ATop 10%

$13K

199 claims · 0.0%

Your Cost: $66.16/claim|Median: $39.57
1.7× median
0071ATop 10%

$13K

201 claims · 0.0%

Your Cost: $63.50/claim|Median: $38.71
1.6× median
99213Normal range

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

$11K

660 claims · 0.0%

Your Cost: $16.58/claim|Median: $37.81
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$10K

1,224 claims · 0.0%

Your Cost: $7.99/claim|Median: $17.85
0.4× median
92552Normal range

Pure tone audiometry, air only, each ear

$8K

803 claims · 0.0%

Your Cost: $10.32/claim|Median: $12.63
0.8× median
0004ATop 5%

$5K

82 claims · 0.0%

Your Cost: $65.77/claim|Median: $35.62
1.8× median
D1120Normal range

Prophylaxis, adult

$5K

933 claims · 0.0%

Your Cost: $5.75/claim|Median: $33.86
0.2× median
99214Normal range

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

$3K

264 claims · 0.0%

Your Cost: $12.41/claim|Median: $53.41
0.2× median
0052ATop 10%

$3K

48 claims · 0.0%

Your Cost: $66.65/claim|Median: $37.79
1.8× median
90480Top 25%

$3K

70 claims · 0.0%

Your Cost: $39.99/claim|Median: $25.29
1.6× median
85018Normal range

$3K

1,259 claims · 0.0%

Your Cost: $2.05/claim|Median: $1.71
1.2× median
D1206Normal range

Topical application of fluoride varnish

$2K

341 claims · 0.0%

Your Cost: $6.62/claim|Median: $18.12
0.4× median
83655Normal range

$2K

480 claims · 0.0%

Your Cost: $4.30/claim|Median: $10.49
0.4× median
0013ATop 5%

$2K

30 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.38
1.9× median
G2025Normal range

$2K

88 claims · 0.0%

Your Cost: $21.78/claim|Median: $15.63
1.4× median
99173Normal range

$2K

630 claims · 0.0%

Your Cost: $2.86/claim|Median: $2.16
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$2K

82 claims · 0.0%

Your Cost: $21.77/claim|Median: $24.95
0.9× median
D1310Normal range

Nutritional counseling for control of dental disease

$1K

141 claims · 0.0%

Your Cost: $9.96/claim|Median: $40.52
0.2× median
0154ATop 5%

$1K

18 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.23
1.7× median
0074ATop 25%

$1K

21 claims · 0.0%

Your Cost: $52.64/claim|Median: $39.19
1.3× median
0003ATop 5%

COVID-19 vaccine admin, Pfizer, 3rd dose

$905

14 claims · 0.0%

Your Cost: $64.61/claim|Median: $36.49
1.8× median
0112ATop 25%

$888

16 claims · 0.0%

Your Cost: $55.48/claim|Median: $40.00
1.4× median
U0002Top 10%

COVID-19 lab test, non-CDC, nucleic acid

$821

16 claims · 0.0%

Your Cost: $51.31/claim|Median: $34.62
1.5× median
D0120Normal range

Periodic oral evaluation, established patient

$783

298 claims · 0.0%

Your Cost: $2.63/claim|Median: $24.34
0.1× median
0051ATop 10%

$737

12 claims · 0.0%

Your Cost: $61.42/claim|Median: $36.92
1.7× median
99383Normal range

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

$651

12 claims · 0.0%

Your Cost: $54.28/claim|Median: $81.92
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$530

109 claims · 0.0%

Your Cost: $4.86/claim|Median: $74.09
0.1× median
82465Normal range

$384

385 claims · 0.0%

Your Cost: $1.00/claim|Median: $3.41
0.3× median