North County Health Project, Inc.
Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers
Total spending distribution among 16 providers in this specialty
This provider's total spending of $125.7M is at the 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.
Total Paid
$125.7M
$125,681,023
Total Claims
3.7M
Beneficiaries
2.9M
1.3 claims/patient
Avg Cost/Claim
$34
#936 of 618K providers by total spending(top 0.2%)
🔍 Analysis
Provider Overview
North County Health Project, Inc. is a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in San Marcos, CA. From the 2018–2024 period, this provider received $125.7M in Medicaid payments across 3.7M claims.
Important Context
- ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
Why This Matters
This provider received $125.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,710 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 82% of total spending.
$103.4M
547K claims
$188.92
$121.16
Clinic visit/encounter, all-inclusive
$103.4M
547K claims · 82.3%
Anesthesia services
$18.2M
76K claims · 14.5%
$705K
460K claims
$1.53
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$705K
460K claims · 0.6%
$533K
44K claims · 0.4%
Psychotherapy, 30 minutes
$452K
95K claims · 0.4%
$449K
1K claims
$402.40
$66.78
Coordination of long-term care services, per month
$449K
1K claims · 0.4%
$288K
695 claims
$415.04
$137.85
Other specified case management service, per 15 minutes
$288K
695 claims · 0.2%
$280K
61K claims
$4.61
$20.83
Chiropractic manipulative treatment, 3-4 spinal regions
$280K
61K claims · 0.2%
Antepartum care only, 4-6 visits
$204K
4K claims · 0.2%
$155K
176K claims
$0.88
$25.06
Office/outpatient visit, low complexity
$155K
176K claims · 0.1%
Psychiatric diagnostic evaluation
$104K
8K claims · 0.1%
$86K
13K claims
$6.83
$21.91
Federally qualified health center visit, mental health
$86K
13K claims · 0.1%
$82K
2K claims
$52.44
$74.78
Ultrasound, pregnant uterus, complete, single fetus
$82K
2K claims · 0.1%
$66K
6K claims
$11.75
$108.91
Psychiatric diagnostic evaluation with medical services
$66K
6K claims · 0.1%
Psychotherapy, 45 minutes
$64K
7K claims · 0.1%
$45K
3K claims · 0.0%
$44K
652 claims
$66.79
$36.70
COVID-19 vaccine admin, Pfizer, 2nd dose
$44K
652 claims · 0.0%
$42K
629 claims
$66.89
$33.72
COVID-19 vaccine admin, Pfizer, 1st dose
$42K
629 claims · 0.0%
$35K
71K claims
$0.50
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$35K
71K claims · 0.0%
$26K
8K claims
$3.23
$11.35
RHC/FQHC visit, psychiatric collaborative care model
$26K
8K claims · 0.0%
$24K
54K claims
$0.45
$9.10
Developmental screening, per standardized instrument
$24K
54K claims · 0.0%
$21K
377 claims
$56.56
$25.93
COVID-19 vaccine admin, Moderna, 1st dose
$21K
377 claims · 0.0%
$21K
347 claims
$59.66
$33.85
COVID-19 vaccine admin, Moderna, 2nd dose
$21K
347 claims · 0.0%
$19K
2K claims · 0.0%
$17K
45K claims · 0.0%
$17K
2K claims · 0.0%
$15K
225 claims · 0.0%
$14K
212 claims · 0.0%
$11K
167 claims · 0.0%
$9K
11K claims · 0.0%
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$6.78B
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$1.73B
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