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COMMUNITY MEDICAL CENTERS, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·STOCKTON, CA·NPI: 1285059923Share

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 $77.9M 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

$77.9M

$77,880,199

Total Claims

1.8M

Beneficiaries

1.3M

1.3 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$3.7M
+18%
2019
$4.4M
+107%
2020
$9.0M
+14%
2021
$10.2M
+15%
2022
$11.8M
+62%
2023
$19.1M
+4%
2024
$19.7M

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 80% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$62.5M

345K claims · 80.3%

Your Cost: $181.46/claim|Median: $121.16
1.5× median
00003Normal range

Anesthesia services

$8.8M

39K claims · 11.4%

Your Cost: $228.56/claim|Median: $223.77
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$935K

14K claims · 1.2%

Your Cost: $66.00/claim|Median: $99.21
0.7× median
90471Normal range

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

$861K

91K claims · 1.1%

Your Cost: $9.49/claim|Median: $9.80
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$582K

19K claims · 0.7%

Your Cost: $30.52/claim|Median: $41.28
0.7× median
99213Normal range

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

$562K

240K claims · 0.7%

Your Cost: $2.34/claim|Median: $37.81
0.1× median
96110Top 25%

Developmental screening, per standardized instrument

$432K

23K claims · 0.6%

Your Cost: $19.01/claim|Median: $9.10
2.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$401K

164K claims · 0.5%

Your Cost: $2.45/claim|Median: $3.67
0.7× median
99214Normal range

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

$233K

81K claims · 0.3%

Your Cost: $2.88/claim|Median: $53.41
0.1× median
90746Normal range

Hepatitis B vaccine, adult

$195K

3,153 claims · 0.3%

Your Cost: $61.86/claim|Median: $48.85
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$188K

6,605 claims · 0.2%

Your Cost: $28.49/claim|Median: $63.65
0.4× median
G0467Top 10%

Federally qualified health center visit, mental health

$166K

2,140 claims · 0.2%

Your Cost: $77.57/claim|Median: $21.91
3.5× median
59425Normal range

Antepartum care only, 4-6 visits

$148K

2,034 claims · 0.2%

Your Cost: $72.58/claim|Median: $63.63
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$148K

7,856 claims · 0.2%

Your Cost: $18.79/claim|Median: $72.71
0.3× median
G9012Normal range

Other specified case management service, per 15 minutes

$108K

2,754 claims · 0.1%

Your Cost: $39.21/claim|Median: $137.85
0.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$98K

5,711 claims · 0.1%

Your Cost: $17.12/claim|Median: $76.06
0.2× median
D1206Normal range

Topical application of fluoride varnish

$91K

8,131 claims · 0.1%

Your Cost: $11.13/claim|Median: $18.12
0.6× median
99173Normal range

$89K

56K claims · 0.1%

Your Cost: $1.59/claim|Median: $2.16
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$80K

1,718 claims · 0.1%

Your Cost: $46.81/claim|Median: $108.91
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$74K

19K claims · 0.1%

Your Cost: $3.85/claim|Median: $69.35
0.1× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$74K

179 claims · 0.1%

Your Cost: $414.75/claim|Median: $786.43
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$66K

36K claims · 0.1%

Your Cost: $1.85/claim|Median: $7.18
0.3× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$62K

1,048 claims · 0.1%

Your Cost: $59.22/claim|Median: $33.72
1.8× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$61K

4,127 claims · 0.1%

Your Cost: $14.79/claim|Median: $73.46
0.2× median
J3490Top 25%

Unclassified drugs

$56K

1,384 claims · 0.1%

Your Cost: $40.76/claim|Median: $5.70
7.2× median
99212Normal range

Office/outpatient visit, low complexity

$55K

22K claims · 0.1%

Your Cost: $2.49/claim|Median: $25.06
0.1× median
90715Normal range

Tdap vaccine

$51K

8,154 claims · 0.1%

Your Cost: $6.27/claim|Median: $10.32
0.6× median
G0466Normal range

$44K

632 claims · 0.1%

Your Cost: $69.16/claim|Median: $63.31
1.1× median
G9920Normal range

$42K

2,657 claims · 0.1%

Your Cost: $15.71/claim|Median: $6.56
2.4× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$41K

636 claims · 0.1%

Your Cost: $63.79/claim|Median: $25.93
2.5× median
97802Top 10%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$40K

390 claims · 0.1%

Your Cost: $103.10/claim|Median: $12.70
8.1× median
0500FNormal range

$37K

968 claims · 0.0%

Your Cost: $38.01/claim|Median: $39.34
1.0× median
83655Normal range

$30K

6,811 claims · 0.0%

Your Cost: $4.47/claim|Median: $10.49
0.4× median
99188Normal range

$30K

3,861 claims · 0.0%

Your Cost: $7.78/claim|Median: $12.80
0.6× median
0072ATop 10%

$30K

465 claims · 0.0%

Your Cost: $64.26/claim|Median: $39.57
1.6× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$27K

414 claims · 0.0%

Your Cost: $65.30/claim|Median: $36.70
1.8× median
0071ATop 10%

$26K

496 claims · 0.0%

Your Cost: $51.92/claim|Median: $38.71
1.3× median
59430Normal range

$25K

411 claims · 0.0%

Your Cost: $61.43/claim|Median: $80.32
0.8× median
92552Normal range

Pure tone audiometry, air only, each ear

$22K

59K claims · 0.0%

Your Cost: $0.38/claim|Median: $12.63
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$22K

25K claims · 0.0%

Your Cost: $0.86/claim|Median: $74.82
0.0× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$21K

354 claims · 0.0%

Your Cost: $59.66/claim|Median: $24.33
2.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$21K

21K claims · 0.0%

Your Cost: $1.02/claim|Median: $80.15
0.0× median
11981Normal range

$20K

221 claims · 0.0%

Your Cost: $92.52/claim|Median: $117.16
0.8× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$19K

287 claims · 0.0%

Your Cost: $66.71/claim|Median: $33.85
2.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$18K

26K claims · 0.0%

Your Cost: $0.69/claim|Median: $75.18
0.0× median
81003Normal range

Urinalysis, automated without microscopy

$11K

12K claims · 0.0%

Your Cost: $0.93/claim|Median: $1.48
0.6× median
17110Normal range

Destruction of benign lesions, up to fourteen

$10K

189 claims · 0.0%

Your Cost: $55.22/claim|Median: $59.25
0.9× median
90839Normal range

Psychotherapy for crisis, first 60 min

$10K

263 claims · 0.0%

Your Cost: $39.50/claim|Median: $83.98
0.5× median
80305Normal range

$9K

1,369 claims · 0.0%

Your Cost: $6.90/claim|Median: $7.44
0.9× median
81025Normal range

Urine pregnancy test

$8K

4,825 claims · 0.0%

Your Cost: $1.63/claim|Median: $4.81
0.3× median