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NORTH EAST MEDICAL SERVICES

Clinic/Center, Federally Qualified Health Center (FQHC)·SAN FRANCISCO, CA·NPI: 1326279852Share

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 $59.1M 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

$59.1M

$59,115,183

Total Claims

865K

Beneficiaries

772K

1.1 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$8.0M
-11%
2019
$7.2M
+10%
2020
$7.9M
+13%
2021
$8.9M
-13%
2022
$7.7M
+29%
2023
$10.0M
-7%
2024
$9.3M

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 79% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$46.9M

321K claims · 79.3%

Your Cost: $146.26/claim|Median: $121.16
1.2× median
00003Normal range

Anesthesia services

$9.8M

50K claims · 16.6%

Your Cost: $197.05/claim|Median: $223.77
0.9× median
G0467Top 10%

Federally qualified health center visit, mental health

$1.2M

14K claims · 2.0%

Your Cost: $84.23/claim|Median: $21.91
3.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$183K

9,194 claims · 0.3%

Your Cost: $19.95/claim|Median: $47.08
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$172K

2,707 claims · 0.3%

Your Cost: $63.57/claim|Median: $63.65
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$125K

2,552 claims · 0.2%

Your Cost: $49.07/claim|Median: $41.28
1.2× median
99213Normal range

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

$116K

97K claims · 0.2%

Your Cost: $1.19/claim|Median: $37.81
0.0× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$71K

1,196 claims · 0.1%

Your Cost: $59.31/claim|Median: $33.72
1.8× median
90791Normal range

Psychiatric diagnostic evaluation

$63K

535 claims · 0.1%

Your Cost: $117.35/claim|Median: $99.21
1.2× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$61K

905 claims · 0.1%

Your Cost: $67.00/claim|Median: $36.70
1.8× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$56K

5,765 claims · 0.1%

Your Cost: $9.64/claim|Median: $59.72
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$50K

76K claims · 0.1%

Your Cost: $0.66/claim|Median: $25.06
0.0× median
0064ATop 10%

$35K

530 claims · 0.1%

Your Cost: $66.14/claim|Median: $34.17
1.9× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$32K

522 claims · 0.1%

Your Cost: $62.14/claim|Median: $25.93
2.4× median
0054ATop 10%

$32K

483 claims · 0.1%

Your Cost: $66.11/claim|Median: $35.83
1.8× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$29K

438 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
99214Normal range

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

$29K

14K claims · 0.0%

Your Cost: $2.13/claim|Median: $53.41
0.0× median
0031ATop 5%

COVID-19 vaccine admin, J&J, single dose

$23K

336 claims · 0.0%

Your Cost: $67.00/claim|Median: $32.49
2.1× median
0004ATop 5%

$21K

320 claims · 0.0%

Your Cost: $66.79/claim|Median: $35.62
1.9× median
0124ANormal range

$19K

839 claims · 0.0%

Your Cost: $23.24/claim|Median: $34.32
0.7× median
0134ANormal range

$9K

410 claims · 0.0%

Your Cost: $22.71/claim|Median: $33.54
0.7× median
G9920Normal range

$9K

4,715 claims · 0.0%

Your Cost: $1.95/claim|Median: $6.56
0.3× median
0071ATop 10%

$9K

136 claims · 0.0%

Your Cost: $66.01/claim|Median: $38.71
1.7× median
0072ATop 10%

$9K

132 claims · 0.0%

Your Cost: $66.49/claim|Median: $39.57
1.7× median
0074ATop 25%

$9K

129 claims · 0.0%

Your Cost: $66.48/claim|Median: $39.19
1.7× median
96110Normal range

Developmental screening, per standardized instrument

$7K

4,960 claims · 0.0%

Your Cost: $1.35/claim|Median: $9.10
0.1× median
90471Normal range

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

$5K

30K claims · 0.0%

Your Cost: $0.18/claim|Median: $9.80
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$3K

172 claims · 0.0%

Your Cost: $19.75/claim|Median: $74.09
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$3K

5,904 claims · 0.0%

Your Cost: $0.56/claim|Median: $74.82
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$3K

3,975 claims · 0.0%

Your Cost: $0.83/claim|Median: $80.15
0.0× median
90480Normal range

$3K

815 claims · 0.0%

Your Cost: $3.96/claim|Median: $25.29
0.2× median
V2020Normal range

Frames, purchases

$3K

9,918 claims · 0.0%

Your Cost: $0.32/claim|Median: $19.33
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3K

4,814 claims · 0.0%

Your Cost: $0.60/claim|Median: $75.18
0.0× median
90688Normal range

$3K

5,968 claims · 0.0%

Your Cost: $0.46/claim|Median: $9.00
0.1× median
90750Normal range

$3K

926 claims · 0.0%

Your Cost: $2.97/claim|Median: $96.16
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$2K

13K claims · 0.0%

Your Cost: $0.19/claim|Median: $6.61
0.0× median
91320Normal range

$2K

256 claims · 0.0%

Your Cost: $8.58/claim|Median: $72.65
0.1× median
90472Normal range

Immunization administration, each additional vaccine

$2K

7,599 claims · 0.0%

Your Cost: $0.29/claim|Median: $11.79
0.0× median
0083ATop 5%

$2K

31 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.40
1.7× median
0094ATop 10%

$2K

33 claims · 0.0%

Your Cost: $56.85/claim|Median: $32.30
1.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

2,748 claims · 0.0%

Your Cost: $0.60/claim|Median: $69.35
0.0× median
0154ATop 5%

$2K

24 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.23
1.7× median
90651Normal range

HPV vaccine, 9-valent

$2K

1,644 claims · 0.0%

Your Cost: $0.97/claim|Median: $8.93
0.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$2K

9,586 claims · 0.0%

Your Cost: $0.16/claim|Median: $19.46
0.0× median
0082ATop 5%

$1K

22 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.88
1.7× median
99203Normal range

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

$1K

406 claims · 0.0%

Your Cost: $3.51/claim|Median: $57.85
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$909

1,457 claims · 0.0%

Your Cost: $0.62/claim|Median: $76.06
0.0× median
99188Normal range

$681

3,492 claims · 0.0%

Your Cost: $0.19/claim|Median: $12.80
0.0× median
91322Normal range

$569

129 claims · 0.0%

Your Cost: $4.41/claim|Median: $76.28
0.1× median
H0049Normal range

$531

2,186 claims · 0.0%

Your Cost: $0.24/claim|Median: $9.27
0.0× median