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M A C T HEALTH BOARD INCORPORATED

Clinic/Center, Federally Qualified Health Center (FQHC)·SAN ANDREAS, CA·NPI: 1366519431Share

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 $108.2M 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

$108.2M

$108,181,582

Total Claims

325K

Beneficiaries

251K

1.3 claims/patient

Avg Cost/Claim

$333

Monthly Spending Trend

Yearly Spending

2018
$12.1M
-2%
2019
$11.9M
-18%
2020
$9.7M
+23%
2021
$11.9M
+78%
2022
$21.3M
-7%
2023
$19.8M
+9%
2024
$21.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (00003 (Anesthesia services)) accounts for 51% of total spending.

00003Top 10%

Anesthesia services

$55.6M

101K claims · 51.4%

Your Cost: $552.33/claim|Median: $223.77
2.5× median
T1015Top 5%

Clinic visit/encounter, all-inclusive

$41.9M

74K claims · 38.8%

Your Cost: $564.48/claim|Median: $121.16
4.7× median
G0467Top 5%

Federally qualified health center visit, mental health

$5.0M

20K claims · 4.6%

Your Cost: $247.91/claim|Median: $21.91
11.3× median
99214Normal range

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

$1.7M

29K claims · 1.6%

Your Cost: $58.82/claim|Median: $53.41
1.1× median
99213Normal range

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

$974K

30K claims · 0.9%

Your Cost: $32.35/claim|Median: $37.81
0.9× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$880K

3,800 claims · 0.8%

Your Cost: $231.58/claim|Median: $59.72
3.9× median
90834Normal range

Psychotherapy, 45 minutes

$562K

7,446 claims · 0.5%

Your Cost: $75.46/claim|Median: $63.65
1.2× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$458K

1,436 claims · 0.4%

Your Cost: $318.95/claim|Median: $47.08
6.8× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$230K

718 claims · 0.2%

Your Cost: $320.03/claim|Median: $20.83
15.4× median
G0470Top 5%

Chronic care management services, FQHC/RHC

$205K

453 claims · 0.2%

Your Cost: $453.33/claim|Median: $45.95
9.9× median
G0466Top 5%

$95K

327 claims · 0.1%

Your Cost: $291.38/claim|Median: $63.31
4.6× median
G0469Normal range

$91K

1,390 claims · 0.1%

Your Cost: $65.34/claim|Median: $70.42
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$70K

2,266 claims · 0.1%

Your Cost: $30.87/claim|Median: $76.06
0.4× median
0900Normal range

$61K

1,064 claims · 0.1%

Your Cost: $57.09/claim|Median: $2.08
27.4× median
90837Normal range

Psychotherapy, 60 minutes

$45K

544 claims · 0.0%

Your Cost: $83.32/claim|Median: $85.66
1.0× median
G0468Top 5%

$45K

114 claims · 0.0%

Your Cost: $395.66/claim|Median: $43.74
9.0× median
99212Normal range

Office/outpatient visit, low complexity

$41K

3,680 claims · 0.0%

Your Cost: $11.07/claim|Median: $25.06
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$23K

491 claims · 0.0%

Your Cost: $46.32/claim|Median: $99.21
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$21K

2,280 claims · 0.0%

Your Cost: $9.35/claim|Median: $9.56
1.0× median
S0620Top 1%

$20K

125 claims · 0.0%

Your Cost: $157.61/claim|Median: $43.56
3.6× median
99203Normal range

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

$19K

1,040 claims · 0.0%

Your Cost: $18.64/claim|Median: $57.85
0.3× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$17K

474 claims · 0.0%

Your Cost: $35.18/claim|Median: $36.70
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$14K

790 claims · 0.0%

Your Cost: $17.97/claim|Median: $41.28
0.4× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$13K

425 claims · 0.0%

Your Cost: $30.22/claim|Median: $33.72
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$12K

187 claims · 0.0%

Your Cost: $64.65/claim|Median: $74.82
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

2,001 claims · 0.0%

Your Cost: $5.63/claim|Median: $7.18
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$10K

1,065 claims · 0.0%

Your Cost: $9.02/claim|Median: $72.71
0.1× median
G9920Normal range

$6K

925 claims · 0.0%

Your Cost: $6.77/claim|Median: $6.56
1.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$6K

3,467 claims · 0.0%

Your Cost: $1.79/claim|Median: $2.00
0.9× median
82962Top 25%

Blood glucose test by monitoring device

$6K

1,699 claims · 0.0%

Your Cost: $3.60/claim|Median: $1.40
2.6× median
90471Normal range

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

$5K

3,765 claims · 0.0%

Your Cost: $1.39/claim|Median: $9.80
0.1× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$5K

12 claims · 0.0%

Your Cost: $427.00/claim|Median: $75.18
5.7× median
G0439Top 1%

Annual wellness visit, subsequent visit

$4K

28 claims · 0.0%

Your Cost: $150.46/claim|Median: $5.42
27.8× median
99215Normal range

Office/outpatient visit, high complexity

$4K

520 claims · 0.0%

Your Cost: $8.05/claim|Median: $74.09
0.1× median
99211Top 1%

Office/outpatient visit, minimal complexity

$4K

12 claims · 0.0%

Your Cost: $320.25/claim|Median: $12.93
24.8× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$3K

126 claims · 0.0%

Your Cost: $27.71/claim|Median: $36.49
0.8× median
G2025Normal range

$3K

950 claims · 0.0%

Your Cost: $3.66/claim|Median: $15.63
0.2× median
V2020Normal range

Frames, purchases

$3K

1,080 claims · 0.0%

Your Cost: $2.36/claim|Median: $19.33
0.1× median
99000Normal range

$2K

4,194 claims · 0.0%

Your Cost: $0.52/claim|Median: $2.30
0.2× median
88142Normal range

$2K

358 claims · 0.0%

Your Cost: $6.03/claim|Median: $14.75
0.4× median
G9919Normal range

$2K

192 claims · 0.0%

Your Cost: $8.03/claim|Median: $8.66
0.9× median
99173Normal range

$910

762 claims · 0.0%

Your Cost: $1.19/claim|Median: $2.16
0.6× median
G0071Normal range

$773

320 claims · 0.0%

Your Cost: $2.41/claim|Median: $7.20
0.3× median
92015Normal range

Determination of refractive state

$728

3,296 claims · 0.0%

Your Cost: $0.22/claim|Median: $10.36
0.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$671

538 claims · 0.0%

Your Cost: $1.25/claim|Median: $30.04
0.0× median
0124ANormal range

$468

13 claims · 0.0%

Your Cost: $36.00/claim|Median: $34.32
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$444

3,425 claims · 0.0%

Your Cost: $0.13/claim|Median: $1.57
0.1× median
G0008Normal range

$325

446 claims · 0.0%

Your Cost: $0.73/claim|Median: $2.54
0.3× median
99204Normal range

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

$257

453 claims · 0.0%

Your Cost: $0.57/claim|Median: $84.03
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$221

837 claims · 0.0%

Your Cost: $0.26/claim|Median: $39.70
0.0× 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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Neighborhood Healthcare

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Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

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