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SONOMA COUNTY INDIAN HEALTH PROJECT, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·SANTA ROSA, CA·NPI: 1265457980Share

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 $64.4M 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

$64.4M

$64,413,808

Total Claims

210K

Beneficiaries

149K

1.4 claims/patient

Avg Cost/Claim

$307

Monthly Spending Trend

Yearly Spending

2018
$8.4M
-11%
2019
$7.5M
-19%
2020
$6.1M
+25%
2021
$7.6M
+50%
2022
$11.4M
+3%
2023
$11.8M
-2%
2024
$11.6M

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 56% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$35.8M

64K claims · 55.6%

Your Cost: $559.98/claim|Median: $121.16
4.6× median
00003Top 10%

Anesthesia services

$22.2M

42K claims · 34.5%

Your Cost: $528.26/claim|Median: $223.77
2.4× median
G0467Top 1%

Federally qualified health center visit, mental health

$5.2M

13K claims · 8.0%

Your Cost: $402.74/claim|Median: $21.91
18.4× median
97810Top 1%

$1.0M

1,785 claims · 1.6%

Your Cost: $579.92/claim|Median: $23.92
24.2× median
G0470Top 5%

Chronic care management services, FQHC/RHC

$87K

223 claims · 0.1%

Your Cost: $392.32/claim|Median: $45.95
8.5× median
98940Top 1%

$32K

51 claims · 0.0%

Your Cost: $624.30/claim|Median: $14.55
42.9× median
97811Top 1%

$20K

81 claims · 0.0%

Your Cost: $250.30/claim|Median: $19.71
12.7× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$12K

313 claims · 0.0%

Your Cost: $38.79/claim|Median: $33.72
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$12K

293 claims · 0.0%

Your Cost: $39.42/claim|Median: $36.70
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$7K

218 claims · 0.0%

Your Cost: $31.62/claim|Median: $33.85
0.9× median
99213Normal range

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

$6K

32K claims · 0.0%

Your Cost: $0.19/claim|Median: $37.81
0.0× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$5K

15 claims · 0.0%

Your Cost: $348.80/claim|Median: $20.83
16.7× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$5K

250 claims · 0.0%

Your Cost: $18.09/claim|Median: $25.93
0.7× median
0064ANormal range

$4K

122 claims · 0.0%

Your Cost: $35.66/claim|Median: $34.17
1.0× median
0004ATop 25%

$3K

65 claims · 0.0%

Your Cost: $40.00/claim|Median: $35.62
1.1× median
0071ANormal range

$2K

46 claims · 0.0%

Your Cost: $39.57/claim|Median: $38.71
1.0× median
0072ANormal range

$1K

28 claims · 0.0%

Your Cost: $39.29/claim|Median: $39.57
1.0× median
90480Top 25%

$1K

27 claims · 0.0%

Your Cost: $38.52/claim|Median: $25.29
1.5× median
0134ATop 25%

$760

19 claims · 0.0%

Your Cost: $40.00/claim|Median: $33.54
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$612

15K claims · 0.0%

Your Cost: $0.04/claim|Median: $25.06
0.0× median
0124ATop 25%

$600

15 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.32
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$88

5,879 claims · 0.0%

Your Cost: $0.02/claim|Median: $85.66
0.0× median
99214Normal range

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

$43

8,881 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
0.0× median
97026Normal range

$0

215 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.04
97110Normal range

Therapeutic exercises, each 15 min

$0

1,179 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.49
92134Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.46
99393Normal range

Preventive medicine, established patient, age 5-11

$0

424 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
87804Normal range

Influenza virus detection, rapid test

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
90863Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $29.71
90633Normal range

$0

48 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.56
97161Normal range

Physical therapy evaluation, low complexity

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.89
90710Normal range

MMRV vaccine

$0

69 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.00
90846Normal range

Family psychotherapy without patient, 50 min

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.61
90832Normal range

Psychotherapy, 30 minutes

$0

635 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28
90651Normal range

HPV vaccine, 9-valent

$0

46 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.93
G0008Normal range

$0

86 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
80305Normal range

$0

665 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.44
G2025Normal range

$0

102 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.63
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.91
99173Normal range

$0

885 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
97014Normal range

Electrical stimulation, unattended

$0

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.83
G2012Normal range

Brief communication technology-based service

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.79
80348Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.63
85018Normal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
90723Normal range

DTaP-HepB-IPV vaccine

$0

80 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.78
90647Normal range

$0

90 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.31
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

944 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
99395Normal range

Preventive medicine, established patient, age 18-39

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.71
90734Normal range

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.40
90834Normal range

Psychotherapy, 45 minutes

$0

2,180 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65