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PEDIATRIC AND FAMILY MEDICAL CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·LOS ANGELES, CA·NPI: 1316044522Share

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 $45.3M 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

$45.3M

$45,332,449

Total Claims

1.3M

Beneficiaries

1.0M

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$13.7M
-30%
2019
$9.5M
-28%
2020
$6.9M
-9%
2021
$6.3M
-39%
2022
$3.8M
+1%
2023
$3.9M
-68%
2024
$1.2M

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 73% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$33.2M

255K claims · 73.2%

Your Cost: $130.11/claim|Median: $121.16
1.1× median
00003Normal range

Anesthesia services

$8.5M

52K claims · 18.8%

Your Cost: $164.69/claim|Median: $223.77
0.7× median
99213Normal range

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

$643K

294K claims · 1.4%

Your Cost: $2.19/claim|Median: $37.81
0.1× median
99214Normal range

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

$316K

95K claims · 0.7%

Your Cost: $3.32/claim|Median: $53.41
0.1× median
G9008Normal range

Coordination of long-term care services, per month

$307K

4,367 claims · 0.7%

Your Cost: $70.40/claim|Median: $66.78
1.1× median
D8670Top 10%

Periodic orthodontic treatment visit

$272K

840 claims · 0.6%

Your Cost: $323.45/claim|Median: $185.01
1.7× median
G9012Normal range

Other specified case management service, per 15 minutes

$227K

2,990 claims · 0.5%

Your Cost: $75.89/claim|Median: $137.85
0.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$171K

5,385 claims · 0.4%

Your Cost: $31.73/claim|Median: $62.48
0.5× median
99203Top 25%

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

$144K

1,495 claims · 0.3%

Your Cost: $96.63/claim|Median: $57.85
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$130K

17K claims · 0.3%

Your Cost: $7.64/claim|Median: $75.18
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$123K

14K claims · 0.3%

Your Cost: $8.78/claim|Median: $74.82
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$100K

57K claims · 0.2%

Your Cost: $1.77/claim|Median: $25.06
0.1× median
59409Normal range

Vaginal delivery only

$100K

275 claims · 0.2%

Your Cost: $364.13/claim|Median: $619.91
0.6× median
99401Normal range

$82K

9,995 claims · 0.2%

Your Cost: $8.24/claim|Median: $16.53
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$81K

10K claims · 0.2%

Your Cost: $7.89/claim|Median: $69.35
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$68K

7,405 claims · 0.1%

Your Cost: $9.18/claim|Median: $80.15
0.1× median
99204Normal range

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

$66K

2,044 claims · 0.1%

Your Cost: $32.31/claim|Median: $84.03
0.4× median
96110Normal range

Developmental screening, per standardized instrument

$58K

7,439 claims · 0.1%

Your Cost: $7.77/claim|Median: $9.10
0.9× median
59425Normal range

Antepartum care only, 4-6 visits

$55K

2,146 claims · 0.1%

Your Cost: $25.62/claim|Median: $63.63
0.4× median
99462Normal range

$49K

2,340 claims · 0.1%

Your Cost: $21.10/claim|Median: $27.49
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$49K

3,160 claims · 0.1%

Your Cost: $15.61/claim|Median: $37.22
0.4× median
A4267Normal range

$46K

6,442 claims · 0.1%

Your Cost: $7.15/claim|Median: $7.86
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$34K

30K claims · 0.1%

Your Cost: $1.13/claim|Median: $7.18
0.2× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$30K

465 claims · 0.1%

Your Cost: $63.79/claim|Median: $25.93
2.5× median
90670Normal range

$29K

12K claims · 0.1%

Your Cost: $2.54/claim|Median: $5.94
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$28K

3,747 claims · 0.1%

Your Cost: $7.47/claim|Median: $63.65
0.1× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$27K

420 claims · 0.1%

Your Cost: $64.12/claim|Median: $33.85
1.9× median
92551Normal range

Screening audiometry, pure tone, air only

$26K

29K claims · 0.1%

Your Cost: $0.88/claim|Median: $6.61
0.1× median
G0467Normal range

Federally qualified health center visit, mental health

$22K

2,262 claims · 0.0%

Your Cost: $9.58/claim|Median: $21.91
0.4× median
0072ATop 10%

$20K

364 claims · 0.0%

Your Cost: $54.63/claim|Median: $39.57
1.4× median
0071ATop 10%

$18K

327 claims · 0.0%

Your Cost: $55.08/claim|Median: $38.71
1.4× median
0064ATop 10%

$17K

326 claims · 0.0%

Your Cost: $52.73/claim|Median: $34.17
1.5× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$16K

255 claims · 0.0%

Your Cost: $63.52/claim|Median: $33.72
1.9× median
90723Normal range

DTaP-HepB-IPV vaccine

$16K

7,641 claims · 0.0%

Your Cost: $2.07/claim|Median: $5.78
0.4× median
0004ATop 10%

$14K

252 claims · 0.0%

Your Cost: $54.79/claim|Median: $35.62
1.5× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$14K

222 claims · 0.0%

Your Cost: $61.72/claim|Median: $36.70
1.7× median
J3490Normal range

Unclassified drugs

$12K

670 claims · 0.0%

Your Cost: $18.31/claim|Median: $5.70
3.2× median
90647Normal range

$12K

5,913 claims · 0.0%

Your Cost: $1.97/claim|Median: $4.31
0.5× median
76815Normal range

Ultrasound, pregnant uterus, limited

$11K

651 claims · 0.0%

Your Cost: $17.33/claim|Median: $36.79
0.5× median
90633Normal range

$10K

4,917 claims · 0.0%

Your Cost: $2.03/claim|Median: $3.56
0.6× median
90681Normal range

$9K

2,683 claims · 0.0%

Your Cost: $3.36/claim|Median: $5.74
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$8K

4,653 claims · 0.0%

Your Cost: $1.74/claim|Median: $41.28
0.0× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$7K

3,104 claims · 0.0%

Your Cost: $2.28/claim|Median: $114.71
0.0× median
90471Normal range

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

$6K

4,467 claims · 0.0%

Your Cost: $1.42/claim|Median: $9.80
0.1× median
59025Normal range

Fetal non-stress test

$6K

669 claims · 0.0%

Your Cost: $9.30/claim|Median: $26.45
0.4× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$6K

5,005 claims · 0.0%

Your Cost: $1.11/claim|Median: $59.72
0.0× median
A4268Normal range

$5K

392 claims · 0.0%

Your Cost: $13.93/claim|Median: $7.39
1.9× median
H1001Normal range

$5K

24K claims · 0.0%

Your Cost: $0.22/claim|Median: $60.48
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$5K

14K claims · 0.0%

Your Cost: $0.36/claim|Median: $2.00
0.2× median
90716Normal range

$5K

1,417 claims · 0.0%

Your Cost: $3.49/claim|Median: $6.18
0.6× 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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