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COUNTY OF SANTA CLARA

Clinic/Center, Federally Qualified Health Center (FQHC)·MILPITAS, CA·NPI: 1285629899Share

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 $53.8M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$53.8M

$53,780,154

Total Claims

595K

Beneficiaries

422K

1.4 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$7.3M
-17%
2019
$6.1M
-6%
2020
$5.7M
+38%
2021
$7.9M
-2%
2022
$7.7M
+19%
2023
$9.2M
+7%
2024
$9.8M

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 88% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$47.2M

116K claims · 87.7%

Your Cost: $405.72/claim|Median: $121.16
3.3× median
00003Top 10%

Anesthesia services

$5.1M

9,772 claims · 9.5%

Your Cost: $523.83/claim|Median: $223.77
2.3× median
G0467Top 10%

Federally qualified health center visit, mental health

$566K

4,457 claims · 1.1%

Your Cost: $126.94/claim|Median: $21.91
5.8× median
G9012Normal range

Other specified case management service, per 15 minutes

$210K

1,691 claims · 0.4%

Your Cost: $123.92/claim|Median: $137.85
0.9× median
G9008Top 10%

Coordination of long-term care services, per month

$155K

665 claims · 0.3%

Your Cost: $233.72/claim|Median: $66.78
3.5× median
99213Normal range

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

$133K

89K claims · 0.2%

Your Cost: $1.49/claim|Median: $37.81
0.0× median
99214Normal range

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

$57K

25K claims · 0.1%

Your Cost: $2.25/claim|Median: $53.41
0.0× median
86003Normal range

Allergen specific IgE blood test, each allergen

$51K

57K claims · 0.1%

Your Cost: $0.89/claim|Median: $40.67
0.0× median
91320Top 25%

$27K

220 claims · 0.0%

Your Cost: $122.16/claim|Median: $72.65
1.7× median
95004Normal range

Percutaneous allergy skin tests, each

$24K

3,334 claims · 0.0%

Your Cost: $7.23/claim|Median: $134.97
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$14K

15K claims · 0.0%

Your Cost: $0.91/claim|Median: $25.06
0.0× median
99242Normal range

Office consultation, low complexity

$13K

2,256 claims · 0.0%

Your Cost: $5.84/claim|Median: $57.97
0.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$12K

1,905 claims · 0.0%

Your Cost: $6.43/claim|Median: $82.43
0.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$11K

1,275 claims · 0.0%

Your Cost: $9.00/claim|Median: $39.70
0.2× median
90750Normal range

$11K

1,861 claims · 0.0%

Your Cost: $5.98/claim|Median: $96.16
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$10K

4,057 claims · 0.0%

Your Cost: $2.55/claim|Median: $69.35
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

11K claims · 0.0%

Your Cost: $0.93/claim|Median: $7.18
0.1× median
G0071Normal range

$10K

2,358 claims · 0.0%

Your Cost: $4.05/claim|Median: $7.20
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$9K

4,890 claims · 0.0%

Your Cost: $1.77/claim|Median: $75.18
0.0× median
90480Normal range

$8K

318 claims · 0.0%

Your Cost: $24.61/claim|Median: $25.29
1.0× median
80061Normal range

Lipid panel

$7K

5,805 claims · 0.0%

Your Cost: $1.26/claim|Median: $8.41
0.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$7K

5,415 claims · 0.0%

Your Cost: $1.34/claim|Median: $9.87
0.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$7K

11K claims · 0.0%

Your Cost: $0.64/claim|Median: $5.50
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$7K

3,121 claims · 0.0%

Your Cost: $2.19/claim|Median: $74.82
0.0× median
95117Normal range

$7K

4,841 claims · 0.0%

Your Cost: $1.40/claim|Median: $8.34
0.2× median
91322Top 5%

$7K

43 claims · 0.0%

Your Cost: $155.34/claim|Median: $76.28
2.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$6K

1,372 claims · 0.0%

Your Cost: $4.59/claim|Median: $24.95
0.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$6K

1,312 claims · 0.0%

Your Cost: $4.67/claim|Median: $23.39
0.2× median
99245Normal range

Office consultation, high complexity

$6K

230 claims · 0.0%

Your Cost: $26.33/claim|Median: $143.30
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$6K

1,746 claims · 0.0%

Your Cost: $3.32/claim|Median: $63.65
0.1× median
90715Normal range

Tdap vaccine

$5K

1,381 claims · 0.0%

Your Cost: $3.34/claim|Median: $10.32
0.3× median
90471Normal range

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

$4K

15K claims · 0.0%

Your Cost: $0.30/claim|Median: $9.80
0.0× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$4K

2,017 claims · 0.0%

Your Cost: $2.16/claim|Median: $19.06
0.1× median
90677Normal range

$4K

1,585 claims · 0.0%

Your Cost: $2.58/claim|Median: $12.96
0.2× median
90670Normal range

$3K

2,759 claims · 0.0%

Your Cost: $1.25/claim|Median: $5.94
0.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$3K

397 claims · 0.0%

Your Cost: $8.63/claim|Median: $121.58
0.1× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$3K

1,147 claims · 0.0%

Your Cost: $2.96/claim|Median: $18.03
0.2× median
99203Normal range

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

$3K

421 claims · 0.0%

Your Cost: $7.67/claim|Median: $57.85
0.1× median
86481Normal range

$3K

552 claims · 0.0%

Your Cost: $5.71/claim|Median: $52.45
0.1× median
86480Normal range

Tuberculosis test, cell-mediated immunity

$3K

389 claims · 0.0%

Your Cost: $7.76/claim|Median: $38.35
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$3K

1,120 claims · 0.0%

Your Cost: $2.61/claim|Median: $41.28
0.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$3K

5,278 claims · 0.0%

Your Cost: $0.51/claim|Median: $4.71
0.1× median
90732Normal range

Pneumococcal vaccine (PPSV23)

$3K

173 claims · 0.0%

Your Cost: $15.48/claim|Median: $36.96
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$3K

289 claims · 0.0%

Your Cost: $9.18/claim|Median: $74.09
0.1× median
80076Normal range

Hepatic function panel

$2K

3,544 claims · 0.0%

Your Cost: $0.66/claim|Median: $4.59
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2K

1,208 claims · 0.0%

Your Cost: $1.77/claim|Median: $80.15
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$2K

355 claims · 0.0%

Your Cost: $5.48/claim|Median: $85.66
0.1× median
81513Normal range

$2K

92 claims · 0.0%

Your Cost: $18.39/claim|Median: $71.32
0.3× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$2K

168 claims · 0.0%

Your Cost: $9.82/claim|Median: $65.45
0.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$2K

757 claims · 0.0%

Your Cost: $2.01/claim|Median: $39.33
0.1× 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

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