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

VISTA COMMUNITY CLINIC

Clinic/Center, Federally Qualified Health Center (FQHC)·VISTA, CA·NPI: 1295822658Share

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 $118.1M 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

$118.1M

$118,093,670

Total Claims

3.4M

Beneficiaries

2.7M

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$17.3M
+2%
2019
$17.6M
-15%
2020
$14.9M
+29%
2021
$19.2M
-24%
2022
$14.5M
+13%
2023
$16.3M
+11%
2024
$18.2M

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 70% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$83.1M

637K claims · 70.4%

Your Cost: $130.41/claim|Median: $121.16
1.1× median
00003Normal range

Anesthesia services

$24.4M

123K claims · 20.6%

Your Cost: $197.71/claim|Median: $223.77
0.9× median
99213Normal range

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

$1.9M

434K claims · 1.6%

Your Cost: $4.47/claim|Median: $37.81
0.1× median
99214Normal range

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

$1.5M

203K claims · 1.3%

Your Cost: $7.58/claim|Median: $53.41
0.1× median
G9920Normal range

$1.0M

77K claims · 0.8%

Your Cost: $12.96/claim|Median: $6.56
2.0× median
G9008Top 10%

Coordination of long-term care services, per month

$954K

3,129 claims · 0.8%

Your Cost: $305.02/claim|Median: $66.78
4.6× median
G9012Normal range

Other specified case management service, per 15 minutes

$827K

7,828 claims · 0.7%

Your Cost: $105.65/claim|Median: $137.85
0.8× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$716K

1,929 claims · 0.6%

Your Cost: $371.37/claim|Median: $786.43
0.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$301K

27K claims · 0.3%

Your Cost: $11.35/claim|Median: $47.08
0.2× median
98940Normal range

$248K

40K claims · 0.2%

Your Cost: $6.25/claim|Median: $14.55
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$216K

73K claims · 0.2%

Your Cost: $2.95/claim|Median: $25.06
0.1× median
11981Normal range

$156K

1,617 claims · 0.1%

Your Cost: $96.68/claim|Median: $117.16
0.8× median
59425Normal range

Antepartum care only, 4-6 visits

$149K

3,810 claims · 0.1%

Your Cost: $39.12/claim|Median: $63.63
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$145K

32K claims · 0.1%

Your Cost: $4.54/claim|Median: $41.28
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$123K

8,584 claims · 0.1%

Your Cost: $14.38/claim|Median: $99.21
0.1× median
97810Normal range

$107K

16K claims · 0.1%

Your Cost: $6.68/claim|Median: $23.92
0.3× median
G0467Normal range

Federally qualified health center visit, mental health

$94K

5,708 claims · 0.1%

Your Cost: $16.43/claim|Median: $21.91
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$90K

8,642 claims · 0.1%

Your Cost: $10.41/claim|Median: $72.71
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$89K

73K claims · 0.1%

Your Cost: $1.21/claim|Median: $2.00
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$87K

5,655 claims · 0.1%

Your Cost: $15.33/claim|Median: $108.91
0.1× median
81025Normal range

Urine pregnancy test

$70K

21K claims · 0.1%

Your Cost: $3.40/claim|Median: $4.81
0.7× median
92250Normal range

Fundus photography with interpretation and report

$70K

21K claims · 0.1%

Your Cost: $3.40/claim|Median: $27.95
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$69K

11K claims · 0.1%

Your Cost: $6.52/claim|Median: $63.65
0.1× median
99203Normal range

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

$66K

2,687 claims · 0.1%

Your Cost: $24.70/claim|Median: $57.85
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$66K

48K claims · 0.1%

Your Cost: $1.38/claim|Median: $17.85
0.1× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$62K

922 claims · 0.1%

Your Cost: $67.00/claim|Median: $36.70
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$61K

5,882 claims · 0.1%

Your Cost: $10.45/claim|Median: $74.09
0.1× median
J3490Top 25%

Unclassified drugs

$58K

1,129 claims · 0.0%

Your Cost: $51.35/claim|Median: $5.70
9.0× median
11976Normal range

$56K

1,052 claims · 0.0%

Your Cost: $52.92/claim|Median: $57.06
0.9× median
58300Normal range

$53K

925 claims · 0.0%

Your Cost: $57.62/claim|Median: $74.77
0.8× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$48K

714 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.72
2.0× median
92015Normal range

Determination of refractive state

$45K

25K claims · 0.0%

Your Cost: $1.78/claim|Median: $10.36
0.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$42K

5,448 claims · 0.0%

Your Cost: $7.72/claim|Median: $12.93
0.6× median
99401Normal range

$42K

11K claims · 0.0%

Your Cost: $3.96/claim|Median: $16.53
0.2× median
96110Normal range

Developmental screening, per standardized instrument

$42K

14K claims · 0.0%

Your Cost: $2.92/claim|Median: $9.10
0.3× median
99402Normal range

$40K

7,833 claims · 0.0%

Your Cost: $5.14/claim|Median: $31.79
0.2× median
G9902Top 25%

$39K

48K claims · 0.0%

Your Cost: $0.83/claim|Median: $0.01
82.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$37K

1,883 claims · 0.0%

Your Cost: $19.61/claim|Median: $40.11
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$34K

19K claims · 0.0%

Your Cost: $1.83/claim|Median: $75.18
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$34K

18K claims · 0.0%

Your Cost: $1.93/claim|Median: $80.15
0.0× median
99204Normal range

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

$33K

969 claims · 0.0%

Your Cost: $34.21/claim|Median: $84.03
0.4× median
90471Normal range

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

$32K

38K claims · 0.0%

Your Cost: $0.85/claim|Median: $9.80
0.1× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$32K

474 claims · 0.0%

Your Cost: $66.80/claim|Median: $25.93
2.6× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$29K

432 claims · 0.0%

Your Cost: $66.92/claim|Median: $33.85
2.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$29K

21K claims · 0.0%

Your Cost: $1.34/claim|Median: $74.82
0.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$27K

8,880 claims · 0.0%

Your Cost: $3.06/claim|Median: $20.83
0.1× median
0064ATop 5%

$27K

406 claims · 0.0%

Your Cost: $66.50/claim|Median: $34.17
1.9× median
90715Normal range

Tdap vaccine

$25K

9,708 claims · 0.0%

Your Cost: $2.55/claim|Median: $10.32
0.2× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$24K

12K claims · 0.0%

Your Cost: $2.00/claim|Median: $38.23
0.1× median
0072ATop 10%

$24K

363 claims · 0.0%

Your Cost: $66.40/claim|Median: $39.57
1.7× median