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SHINGLE SPRINGS RANCHERIA

Clinic/Center, Health Services·PLACERVILLE, CA·NPI: 1245356674Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$69.0M

$69,048,748

Total Claims

174K

Beneficiaries

137K

1.3 claims/patient

Avg Cost/Claim

$397

Monthly Spending Trend

Yearly Spending

2018
$9.5M
-8%
2019
$8.7M
-16%
2020
$7.4M
-0%
2021
$7.3M
+50%
2022
$11.0M
+10%
2023
$12.1M
+7%
2024
$13.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (00003 (Anesthesia services)) accounts for 54% of total spending.

00003Top 10%

Anesthesia services

$37.4M

70K claims · 54.2%

Your Cost: $537.13/claim|Median: $223.77
2.4× median
T1015Top 5%

Clinic visit/encounter, all-inclusive

$21.9M

41K claims · 31.7%

Your Cost: $529.86/claim|Median: $121.16
4.4× median
99213Top 5%

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

$3.2M

22K claims · 4.7%

Your Cost: $147.04/claim|Median: $37.81
3.9× median
G0467Top 5%

Federally qualified health center visit, mental health

$1.9M

6,321 claims · 2.8%

Your Cost: $301.34/claim|Median: $21.91
13.8× median
99214Top 5%

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

$1.0M

6,176 claims · 1.5%

Your Cost: $168.30/claim|Median: $53.41
3.2× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$987K

1,596 claims · 1.4%

Your Cost: $618.12/claim|Median: $20.83
29.7× median
97810Top 1%

$564K

785 claims · 0.8%

Your Cost: $718.08/claim|Median: $23.92
30.0× median
99212Top 10%

Office/outpatient visit, low complexity

$495K

6,414 claims · 0.7%

Your Cost: $77.13/claim|Median: $25.06
3.1× median
90834Top 25%

Psychotherapy, 45 minutes

$336K

3,385 claims · 0.5%

Your Cost: $99.14/claim|Median: $63.65
1.6× median
97110Top 5%

Therapeutic exercises, each 15 min

$141K

1,584 claims · 0.2%

Your Cost: $89.30/claim|Median: $24.49
3.6× median
90837Normal range

Psychotherapy, 60 minutes

$122K

1,300 claims · 0.2%

Your Cost: $94.03/claim|Median: $85.66
1.1× median
G0470Top 10%

Chronic care management services, FQHC/RHC

$119K

793 claims · 0.2%

Your Cost: $150.06/claim|Median: $45.95
3.3× median
98940Top 1%

$119K

197 claims · 0.2%

Your Cost: $602.96/claim|Median: $14.55
41.4× median
0561Top 25%

$116K

516 claims · 0.2%

Your Cost: $224.65/claim|Median: $123.61
1.8× median
3074FTop 1%

$97K

1,735 claims · 0.1%

Your Cost: $55.94/claim|Median: $0.11
508.6× median
97813Top 1%

$91K

127 claims · 0.1%

Your Cost: $719.00/claim|Median: $26.35
27.3× median
99203Top 5%

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

$75K

404 claims · 0.1%

Your Cost: $186.44/claim|Median: $57.85
3.2× median
90832Top 25%

Psychotherapy, 30 minutes

$56K

983 claims · 0.1%

Your Cost: $56.99/claim|Median: $41.28
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$46K

377 claims · 0.1%

Your Cost: $122.78/claim|Median: $74.09
1.7× median
3077FTop 1%

$36K

430 claims · 0.1%

Your Cost: $82.73/claim|Median: $0.12
689.4× median
97035Top 1%

Ultrasound therapy

$28K

161 claims · 0.0%

Your Cost: $172.21/claim|Median: $7.31
23.6× median
90791Normal range

Psychiatric diagnostic evaluation

$21K

279 claims · 0.0%

Your Cost: $74.26/claim|Median: $99.21
0.7× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$20K

104 claims · 0.0%

Your Cost: $196.77/claim|Median: $108.91
1.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$15K

749 claims · 0.0%

Your Cost: $19.43/claim|Median: $16.79
1.2× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$13K

879 claims · 0.0%

Your Cost: $14.27/claim|Median: $7.18
2.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$12K

178 claims · 0.0%

Your Cost: $68.36/claim|Median: $9.56
7.2× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$12K

27 claims · 0.0%

Your Cost: $427.00/claim|Median: $74.82
5.7× median
3075FTop 1%

$11K

281 claims · 0.0%

Your Cost: $38.40/claim|Median: $0.15
256.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$10K

735 claims · 0.0%

Your Cost: $14.17/claim|Median: $22.44
0.6× median
90471Normal range

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

$8K

777 claims · 0.0%

Your Cost: $9.78/claim|Median: $9.80
1.0× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$7K

28 claims · 0.0%

Your Cost: $244.00/claim|Median: $80.15
3.0× median
99204Normal range

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

$5K

60 claims · 0.0%

Your Cost: $82.70/claim|Median: $84.03
1.0× median
90688Top 1%

$4K

93 claims · 0.0%

Your Cost: $45.91/claim|Median: $9.00
5.1× median
80305Top 25%

$2K

205 claims · 0.0%

Your Cost: $10.63/claim|Median: $7.44
1.4× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$2K

55 claims · 0.0%

Your Cost: $38.36/claim|Median: $33.72
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$2K

52 claims · 0.0%

Your Cost: $40.00/claim|Median: $36.70
1.1× median
3078FTop 25%

$2K

1,622 claims · 0.0%

Your Cost: $1.19/claim|Median: $0.08
14.9× median
81003Top 5%

Urinalysis, automated without microscopy

$1K

199 claims · 0.0%

Your Cost: $6.44/claim|Median: $1.48
4.3× median
0510Normal range

Revenue code, clinic services

$1K

71 claims · 0.0%

Your Cost: $15.89/claim|Median: $28.38
0.6× median
G0071Top 25%

$854

35 claims · 0.0%

Your Cost: $24.40/claim|Median: $7.20
3.4× median
0900Normal range

$479

262 claims · 0.0%

Your Cost: $1.83/claim|Median: $2.08
0.9× median
90651Top 25%

HPV vaccine, 9-valent

$427

12 claims · 0.0%

Your Cost: $35.58/claim|Median: $8.93
4.0× median
90715Normal range

Tdap vaccine

$427

27 claims · 0.0%

Your Cost: $15.81/claim|Median: $10.32
1.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$313

121 claims · 0.0%

Your Cost: $2.59/claim|Median: $11.48
0.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
3079FNormal range

$0

580 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
3080FNormal range

$0

245 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
G0008Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
87811Normal range

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

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.53
97161Normal range

Physical therapy evaluation, low complexity

$0

65 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.89

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$1.13B

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