Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

SAN FERNANDO COMMUNITY HOSPITAL

Clinic/Center, Primary Care·SAN FERNANDO, CA·NPI: 1245669555Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.1M

$31,075,385

Total Claims

584K

Beneficiaries

451K

1.3 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+22%
2019
$4.0M
-1%
2020
$4.0M
+35%
2021
$5.4M
-22%
2022
$4.2M
+25%
2023
$5.2M
-2%
2024
$5.1M

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 77% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$24.0M

131K claims · 77.3%

Your Cost: $183.49/claim|Median: $121.16
1.5× median
00003Normal range

Anesthesia services

$6.4M

26K claims · 20.5%

Your Cost: $243.00/claim|Median: $223.77
1.1× median
99213Normal range

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

$279K

91K claims · 0.9%

Your Cost: $3.06/claim|Median: $37.81
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$111K

12K claims · 0.4%

Your Cost: $9.27/claim|Median: $41.28
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$36K

5,441 claims · 0.1%

Your Cost: $6.66/claim|Median: $75.18
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$35K

3,361 claims · 0.1%

Your Cost: $10.27/claim|Median: $63.65
0.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$20K

3,781 claims · 0.1%

Your Cost: $5.40/claim|Median: $69.35
0.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$17K

16K claims · 0.1%

Your Cost: $1.03/claim|Median: $12.70
0.1× median
99204Normal range

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

$14K

1,651 claims · 0.0%

Your Cost: $8.54/claim|Median: $84.03
0.1× median
90839Normal range

Psychotherapy for crisis, first 60 min

$14K

442 claims · 0.0%

Your Cost: $31.39/claim|Median: $83.98
0.4× median
99214Normal range

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

$14K

6,559 claims · 0.0%

Your Cost: $2.11/claim|Median: $53.41
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$13K

1,511 claims · 0.0%

Your Cost: $8.88/claim|Median: $76.06
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$11K

1,879 claims · 0.0%

Your Cost: $5.63/claim|Median: $72.71
0.1× median
0004ATop 10%

$8K

128 claims · 0.0%

Your Cost: $62.39/claim|Median: $35.62
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$8K

7,753 claims · 0.0%

Your Cost: $1.01/claim|Median: $25.06
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$8K

3,992 claims · 0.0%

Your Cost: $1.94/claim|Median: $6.61
0.3× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$7K

112 claims · 0.0%

Your Cost: $66.85/claim|Median: $36.70
1.8× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$7K

110 claims · 0.0%

Your Cost: $60.30/claim|Median: $33.72
1.8× median
86769Normal range

Antibody, SARS-CoV-2 (COVID-19)

$7K

721 claims · 0.0%

Your Cost: $9.17/claim|Median: $26.94
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$5K

1,342 claims · 0.0%

Your Cost: $3.83/claim|Median: $74.82
0.1× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$5K

77 claims · 0.0%

Your Cost: $66.56/claim|Median: $25.93
2.6× median
G9012Normal range

Other specified case management service, per 15 minutes

$5K

5,615 claims · 0.0%

Your Cost: $0.88/claim|Median: $137.85
0.0× median
90670Normal range

$4K

2,515 claims · 0.0%

Your Cost: $1.70/claim|Median: $5.94
0.3× median
90658Normal range

$4K

3,327 claims · 0.0%

Your Cost: $1.11/claim|Median: $8.96
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$4K

573 claims · 0.0%

Your Cost: $6.41/claim|Median: $74.09
0.1× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

50 claims · 0.0%

Your Cost: $66.33/claim|Median: $33.85
2.0× median
0001FNormal range

$3K

43K claims · 0.0%

Your Cost: $0.07/claim|Median: $0.48
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$3K

770 claims · 0.0%

Your Cost: $3.59/claim|Median: $9.10
0.4× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$3K

9,379 claims · 0.0%

Your Cost: $0.29/claim|Median: $24.33
0.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

9,116 claims · 0.0%

Your Cost: $0.28/claim|Median: $22.44
0.0× median
90710Normal range

MMRV vaccine

$2K

749 claims · 0.0%

Your Cost: $3.07/claim|Median: $7.00
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

1,647 claims · 0.0%

Your Cost: $1.39/claim|Median: $7.18
0.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

1,154 claims · 0.0%

Your Cost: $1.93/claim|Median: $12.93
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

546 claims · 0.0%

Your Cost: $4.08/claim|Median: $99.21
0.0× median
2001FNormal range

$2K

51K claims · 0.0%

Your Cost: $0.04/claim|Median: $0.02
2.1× median
H0049Normal range

$2K

220 claims · 0.0%

Your Cost: $8.49/claim|Median: $9.27
0.9× median
90471Normal range

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

$2K

14K claims · 0.0%

Your Cost: $0.13/claim|Median: $9.80
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$2K

186 claims · 0.0%

Your Cost: $9.33/claim|Median: $39.70
0.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2K

370 claims · 0.0%

Your Cost: $4.55/claim|Median: $80.15
0.1× median
90715Normal range

Tdap vaccine

$2K

575 claims · 0.0%

Your Cost: $2.76/claim|Median: $10.32
0.3× median
3008FNormal range

$1K

51K claims · 0.0%

Your Cost: $0.03/claim|Median: $0.06
0.5× median
90633Normal range

$1K

1,318 claims · 0.0%

Your Cost: $0.86/claim|Median: $3.56
0.2× median
90698Normal range

$975

1,561 claims · 0.0%

Your Cost: $0.62/claim|Median: $6.32
0.1× median
90671Normal range

$873

385 claims · 0.0%

Your Cost: $2.27/claim|Median: $8.59
0.3× median
Q0091Normal range

$831

1,501 claims · 0.0%

Your Cost: $0.55/claim|Median: $11.15
0.0× median
99203Normal range

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

$795

194 claims · 0.0%

Your Cost: $4.10/claim|Median: $57.85
0.1× median
S9445Normal range

$696

453 claims · 0.0%

Your Cost: $1.54/claim|Median: $12.72
0.1× median
81000Normal range

Urinalysis with microscopy, non-automated

$686

6,828 claims · 0.0%

Your Cost: $0.10/claim|Median: $2.51
0.0× median
90697Normal range

$626

271 claims · 0.0%

Your Cost: $2.31/claim|Median: $7.24
0.3× median
90651Normal range

HPV vaccine, 9-valent

$580

138 claims · 0.0%

Your Cost: $4.20/claim|Median: $8.93
0.5× 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, Primary Care

Children's Hospital Medical Center

Cincinnati, OH

$386.7M

Banner-university Medical Group

Phoenix, AZ

$133.7M

← All providersAll providers in California →How we detect fraud →