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COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

Clinic/Center, Federally Qualified Health Center (FQHC)·SAN LUIS OBISPO, CA·NPI: 1275553257Share

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 $25.5M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(73 months)

Total Paid

$25.5M

$25,471,374

Total Claims

559K

Beneficiaries

347K

1.6 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$335K
+297%
2019
$1.3M
+598%
2020
$9.3M
-37%
2021
$5.9M
-38%
2022
$3.7M
-27%
2023
$2.7M
-16%
2024
$2.3M

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 85% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$21.6M

121K claims · 84.7%

Your Cost: $178.43/claim|Median: $121.16
1.5× median
0521Normal range

$3.1M

251K claims · 12.0%

Your Cost: $12.21/claim|Median: $7.40
1.6× median
0636Top 25%

$452K

19K claims · 1.8%

Your Cost: $23.30/claim|Median: $5.41
4.3× median
00003Normal range

Anesthesia services

$79K

387 claims · 0.3%

Your Cost: $203.11/claim|Median: $223.77
0.9× median
0761Normal range

$65K

3,408 claims · 0.3%

Your Cost: $19.09/claim|Median: $24.10
0.8× median
99213Normal range

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

$46K

43K claims · 0.2%

Your Cost: $1.07/claim|Median: $37.81
0.0× median
0301Normal range

$42K

5,118 claims · 0.2%

Your Cost: $8.13/claim|Median: $11.15
0.7× median
0770Top 25%

$32K

4,476 claims · 0.1%

Your Cost: $7.09/claim|Median: $4.23
1.7× median
0771Normal range

$22K

4,505 claims · 0.1%

Your Cost: $4.86/claim|Median: $4.66
1.0× median
90750Normal range

$18K

786 claims · 0.1%

Your Cost: $23.38/claim|Median: $96.16
0.2× median
99214Normal range

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

$11K

7,313 claims · 0.0%

Your Cost: $1.52/claim|Median: $53.41
0.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$7K

16K claims · 0.0%

Your Cost: $0.46/claim|Median: $20.83
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$6K

2,005 claims · 0.0%

Your Cost: $2.92/claim|Median: $76.06
0.0× median
0307Top 10%

$5K

1,611 claims · 0.0%

Your Cost: $3.38/claim|Median: $1.09
3.1× median
98940Normal range

$5K

4,431 claims · 0.0%

Your Cost: $1.03/claim|Median: $14.55
0.1× median
0309Top 25%

$4K

332 claims · 0.0%

Your Cost: $11.54/claim|Median: $6.56
1.8× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$3K

2,630 claims · 0.0%

Your Cost: $1.32/claim|Median: $5.50
0.2× median
0306Normal range

$3K

228 claims · 0.0%

Your Cost: $12.42/claim|Median: $3.72
3.3× median
99212Normal range

Office/outpatient visit, low complexity

$3K

3,086 claims · 0.0%

Your Cost: $0.89/claim|Median: $25.06
0.0× median
J3490Normal range

Unclassified drugs

$2K

541 claims · 0.0%

Your Cost: $4.27/claim|Median: $5.70
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$2K

2,007 claims · 0.0%

Your Cost: $1.00/claim|Median: $72.71
0.0× median
90480Normal range

$1K

80 claims · 0.0%

Your Cost: $16.00/claim|Median: $25.29
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1K

1,230 claims · 0.0%

Your Cost: $1.00/claim|Median: $80.15
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1K

215 claims · 0.0%

Your Cost: $5.46/claim|Median: $39.70
0.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$1K

3,338 claims · 0.0%

Your Cost: $0.33/claim|Median: $12.63
0.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1K

1,027 claims · 0.0%

Your Cost: $1.02/claim|Median: $47.08
0.0× median
0900Normal range

$882

11K claims · 0.0%

Your Cost: $0.08/claim|Median: $2.08
0.0× median
90715Normal range

Tdap vaccine

$828

834 claims · 0.0%

Your Cost: $0.99/claim|Median: $10.32
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$776

1,035 claims · 0.0%

Your Cost: $0.75/claim|Median: $75.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$665

1,345 claims · 0.0%

Your Cost: $0.49/claim|Median: $74.82
0.0× median
90679Normal range

$530

64 claims · 0.0%

Your Cost: $8.28/claim|Median: $46.34
0.2× median
G0442Normal range

$507

109 claims · 0.0%

Your Cost: $4.65/claim|Median: $4.91
0.9× median
99188Normal range

$499

898 claims · 0.0%

Your Cost: $0.56/claim|Median: $12.80
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$350

2,975 claims · 0.0%

Your Cost: $0.12/claim|Median: $7.18
0.0× median
0929Top 1%

$208

13 claims · 0.0%

Your Cost: $16.00/claim|Median: $13.71
1.2× median
J3300Normal range

$205

45 claims · 0.0%

Your Cost: $4.55/claim|Median: $37.55
0.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$171

161 claims · 0.0%

Your Cost: $1.06/claim|Median: $76.22
0.0× median
90656Normal range

$168

44 claims · 0.0%

Your Cost: $3.82/claim|Median: $8.67
0.4× median
87804Normal range

Influenza virus detection, rapid test

$163

280 claims · 0.0%

Your Cost: $0.58/claim|Median: $12.59
0.0× median
G0470Normal range

Chronic care management services, FQHC/RHC

$155

237 claims · 0.0%

Your Cost: $0.65/claim|Median: $45.95
0.0× median
81025Normal range

Urine pregnancy test

$138

417 claims · 0.0%

Your Cost: $0.33/claim|Median: $4.81
0.1× median
0271Normal range

$84

355 claims · 0.0%

Your Cost: $0.24/claim|Median: $2.35
0.1× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$61

198 claims · 0.0%

Your Cost: $0.31/claim|Median: $11.35
0.0× median
90734Normal range

$45

379 claims · 0.0%

Your Cost: $0.12/claim|Median: $6.40
0.0× median
99173Normal range

$44

3,053 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.16
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$27

452 claims · 0.0%

Your Cost: $0.06/claim|Median: $3.67
0.0× median
82947Normal range

Blood glucose level test

$21

331 claims · 0.0%

Your Cost: $0.06/claim|Median: $2.38
0.0× median
85018Normal range

$21

2,018 claims · 0.0%

Your Cost: $0.01/claim|Median: $1.71
0.0× median
90471Normal range

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

$16

1,942 claims · 0.0%

Your Cost: $0.01/claim|Median: $9.80
0.0× median
81003Normal range

Urinalysis, automated without microscopy

$11

19 claims · 0.0%

Your Cost: $0.58/claim|Median: $1.48
0.4× median