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

THE WEST OAKLAND HEALTH COUNCIL

Clinic/Center, Federally Qualified Health Center (FQHC)·OAKLAND, CA·NPI: 1306967021Share

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 $44.0M 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

$44.0M

$44,028,856

Total Claims

266K

Beneficiaries

234K

1.1 claims/patient

Avg Cost/Claim

$166

Monthly Spending Trend

Yearly Spending

2018
$5.7M
-2%
2019
$5.6M
+12%
2020
$6.2M
+29%
2021
$8.1M
-38%
2022
$5.0M
+29%
2023
$6.5M
+6%
2024
$6.9M

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 83% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$36.6M

136K claims · 83.1%

Your Cost: $269.07/claim|Median: $121.16
2.2× median
00003Top 25%

Anesthesia services

$7.0M

23K claims · 15.9%

Your Cost: $303.16/claim|Median: $223.77
1.4× median
G0467Top 25%

Federally qualified health center visit, mental health

$449K

7,023 claims · 1.0%

Your Cost: $63.99/claim|Median: $21.91
2.9× median
G0466Normal range

$991

15 claims · 0.0%

Your Cost: $66.07/claim|Median: $63.31
1.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$657

477 claims · 0.0%

Your Cost: $1.38/claim|Median: $59.72
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.06
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$0

145 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.85
81025Normal range

Urine pregnancy test

$0

246 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
59425Normal range

Antepartum care only, 4-6 visits

$0

188 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.63
90656Normal range

$0

551 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
J3490Normal range

Unclassified drugs

$0

4,170 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.70
92012Normal range

Ophthalmological exam, intermediate, established patient

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.23
99391Normal range

Preventive medicine, established patient, infant (under 1)

$0

49 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.35
90658Normal range

$0

180 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.96
99204Normal range

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

$0

153 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.03
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

71 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
99393Normal range

Preventive medicine, established patient, age 5-11

$0

751 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$0

812 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.70
Z6500Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $123.51
82948Normal range

$0

196 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.78
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$0

1,867 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.33
99442Normal range

Telephone E/M by physician, 11-20 minutes

$0

327 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.44
99212Normal range

Office/outpatient visit, low complexity

$0

16K claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
92133Normal range

$0

98 claims · 0.0%

Your Cost: $0.00/claim|Median: $19.09
Z6410Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.08
90723Normal range

DTaP-HepB-IPV vaccine

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.78
90744Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.00
85018Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
90633Normal range

$0

182 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.56
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

1,464 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
Z6302Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.72
90480Normal range

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.29
90834Normal range

Psychotherapy, 45 minutes

$0

533 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65
90651Normal range

HPV vaccine, 9-valent

$0

72 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.93
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$0

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.67
90677Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.96
90710Normal range

MMRV vaccine

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.00
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$0

1,304 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
99000Normal range

$0

1,604 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
G9920Normal range

$0

317 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.56
90657Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.90
99441Normal range

Telephone E/M by physician, 5-10 min

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.30
90837Normal range

Psychotherapy, 60 minutes

$0

1,445 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66
92551Normal range

Screening audiometry, pure tone, air only

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
92250Normal range

Fundus photography with interpretation and report

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.95
90734Normal range

$0

48 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.40
99203Normal range

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

$0

778 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85
81002Normal range

Urinalysis, non-automated without microscopy

$0

1,594 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.00
99211Normal range

Office/outpatient visit, minimal complexity

$0

226 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.93
90649Normal range

$0

83 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.42