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COUNTY OF SANTA CLARA

Clinic/Center, Federally Qualified Health Center (FQHC)·SUNNYVALE, CA·NPI: 1336326974Share

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 $70.5M 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

$70.5M

$70,541,955

Total Claims

630K

Beneficiaries

485K

1.3 claims/patient

Avg Cost/Claim

$112

Monthly Spending Trend

Yearly Spending

2018
$12.4M
-13%
2019
$10.8M
-21%
2020
$8.6M
+20%
2021
$10.3M
-13%
2022
$9.0M
+32%
2023
$11.8M
-35%
2024
$7.7M

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 80% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$56.3M

141K claims · 79.8%

Your Cost: $399.08/claim|Median: $121.16
3.3× median
00003Top 10%

Anesthesia services

$12.5M

27K claims · 17.8%

Your Cost: $457.32/claim|Median: $223.77
2.0× median
G9008Top 10%

Coordination of long-term care services, per month

$395K

1,652 claims · 0.6%

Your Cost: $238.99/claim|Median: $66.78
3.6× median
G0467Top 10%

Federally qualified health center visit, mental health

$338K

3,617 claims · 0.5%

Your Cost: $93.37/claim|Median: $21.91
4.3× median
99213Normal range

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

$294K

123K claims · 0.4%

Your Cost: $2.39/claim|Median: $37.81
0.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$86K

1,439 claims · 0.1%

Your Cost: $59.44/claim|Median: $137.85
0.4× median
99214Normal range

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

$67K

15K claims · 0.1%

Your Cost: $4.48/claim|Median: $53.41
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$65K

41K claims · 0.1%

Your Cost: $1.58/claim|Median: $25.06
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$55K

15K claims · 0.1%

Your Cost: $3.54/claim|Median: $75.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$52K

12K claims · 0.1%

Your Cost: $4.19/claim|Median: $74.82
0.1× median
91320Normal range

$49K

558 claims · 0.1%

Your Cost: $88.23/claim|Median: $72.65
1.2× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$44K

335 claims · 0.1%

Your Cost: $132.24/claim|Median: $45.95
2.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$38K

8,732 claims · 0.1%

Your Cost: $4.36/claim|Median: $80.15
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$34K

8,879 claims · 0.0%

Your Cost: $3.83/claim|Median: $69.35
0.1× median
90750Normal range

$33K

2,587 claims · 0.0%

Your Cost: $12.64/claim|Median: $96.16
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$22K

4,507 claims · 0.0%

Your Cost: $4.78/claim|Median: $63.65
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$14K

21K claims · 0.0%

Your Cost: $0.69/claim|Median: $7.18
0.1× median
90677Normal range

$13K

2,168 claims · 0.0%

Your Cost: $6.01/claim|Median: $12.96
0.5× median
G0071Normal range

$12K

3,345 claims · 0.0%

Your Cost: $3.54/claim|Median: $7.20
0.5× median
90480Normal range

$9K

447 claims · 0.0%

Your Cost: $20.87/claim|Median: $25.29
0.8× median
99188Normal range

$9K

4,079 claims · 0.0%

Your Cost: $2.17/claim|Median: $12.80
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$7K

2,800 claims · 0.0%

Your Cost: $2.57/claim|Median: $41.28
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$7K

4,906 claims · 0.0%

Your Cost: $1.41/claim|Median: $6.61
0.2× median
90471Normal range

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

$7K

15K claims · 0.0%

Your Cost: $0.46/claim|Median: $9.80
0.0× median
90670Normal range

$7K

6,499 claims · 0.0%

Your Cost: $1.03/claim|Median: $5.94
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$6K

2,002 claims · 0.0%

Your Cost: $3.20/claim|Median: $85.66
0.0× median
0124ANormal range

$5K

138 claims · 0.0%

Your Cost: $38.55/claim|Median: $34.32
1.1× median
90715Normal range

Tdap vaccine

$4K

2,013 claims · 0.0%

Your Cost: $2.18/claim|Median: $10.32
0.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$4K

679 claims · 0.0%

Your Cost: $5.88/claim|Median: $108.91
0.1× median
90651Normal range

HPV vaccine, 9-valent

$3K

5,075 claims · 0.0%

Your Cost: $0.59/claim|Median: $8.93
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

425 claims · 0.0%

Your Cost: $7.04/claim|Median: $99.21
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$3K

437 claims · 0.0%

Your Cost: $5.89/claim|Median: $9.10
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$2K

173 claims · 0.0%

Your Cost: $9.69/claim|Median: $74.09
0.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1K

69 claims · 0.0%

Your Cost: $17.55/claim|Median: $24.95
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1K

69 claims · 0.0%

Your Cost: $17.53/claim|Median: $23.39
0.7× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$1K

83 claims · 0.0%

Your Cost: $13.97/claim|Median: $81.92
0.2× median
90662Normal range

$1K

384 claims · 0.0%

Your Cost: $2.87/claim|Median: $6.55
0.4× median
0154ANormal range

$1K

27 claims · 0.0%

Your Cost: $38.52/claim|Median: $39.23
1.0× median
99070Normal range

$909

137 claims · 0.0%

Your Cost: $6.63/claim|Median: $8.08
0.8× median
90698Normal range

$815

6,528 claims · 0.0%

Your Cost: $0.12/claim|Median: $6.32
0.0× median
90678Normal range

$779

96 claims · 0.0%

Your Cost: $8.11/claim|Median: $89.09
0.1× median
90680Normal range

$694

4,249 claims · 0.0%

Your Cost: $0.16/claim|Median: $5.58
0.0× median
90633Normal range

$549

5,097 claims · 0.0%

Your Cost: $0.11/claim|Median: $3.56
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$512

786 claims · 0.0%

Your Cost: $0.65/claim|Median: $17.85
0.0× median
99173Normal range

$500

4,142 claims · 0.0%

Your Cost: $0.12/claim|Median: $2.16
0.1× median
90744Normal range

$462

2,332 claims · 0.0%

Your Cost: $0.20/claim|Median: $5.00
0.0× median
99203Normal range

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

$419

82 claims · 0.0%

Your Cost: $5.11/claim|Median: $57.85
0.1× median
90697Normal range

$408

1,158 claims · 0.0%

Your Cost: $0.35/claim|Median: $7.24
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$321

449 claims · 0.0%

Your Cost: $0.71/claim|Median: $11.79
0.1× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$284

55 claims · 0.0%

Your Cost: $5.15/claim|Median: $83.63
0.1× median