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CAMINO HEALTH CENTER

Clinic/Center, Community Health·SAN JUAN CAPISTRANO, CA·NPI: 1366560393Share

Compared to Clinic/Center, Community Health Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.7M is at the 25th percentile among 8 Clinic/Center, Community Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$29.7M

$29,687,834

Total Claims

332K

Beneficiaries

294K

1.1 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$5.1M
-25%
2019
$3.8M
-16%
2020
$3.2M
+12%
2021
$3.6M
+8%
2022
$3.9M
+18%
2023
$4.6M
+19%
2024
$5.5M

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 63% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$18.8M

98K claims · 63.4%

Your Cost: $192.39/claim|Median: $121.16
1.6× median
00003Normal range

Anesthesia services

$8.7M

35K claims · 29.4%

Your Cost: $247.57/claim|Median: $223.77
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$406K

46K claims · 1.4%

Your Cost: $8.91/claim|Median: $25.06
0.4× median
99213Normal range

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

$394K

39K claims · 1.3%

Your Cost: $10.02/claim|Median: $37.81
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$213K

2,353 claims · 0.7%

Your Cost: $90.52/claim|Median: $99.21
0.9× median
99214Normal range

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

$112K

7,831 claims · 0.4%

Your Cost: $14.24/claim|Median: $53.41
0.3× median
G0442Normal range

$110K

11K claims · 0.4%

Your Cost: $9.85/claim|Median: $4.91
2.0× median
96156Normal range

$94K

3,177 claims · 0.3%

Your Cost: $29.62/claim|Median: $22.36
1.3× median
G9920Normal range

$86K

5,831 claims · 0.3%

Your Cost: $14.69/claim|Median: $6.56
2.2× median
98960Normal range

$83K

4,212 claims · 0.3%

Your Cost: $19.66/claim|Median: $12.74
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$75K

1,323 claims · 0.3%

Your Cost: $56.49/claim|Median: $85.66
0.7× median
G9012Top 5%

Other specified case management service, per 15 minutes

$63K

104 claims · 0.2%

Your Cost: $606.74/claim|Median: $137.85
4.4× median
90832Normal range

Psychotherapy, 30 minutes

$60K

1,473 claims · 0.2%

Your Cost: $40.80/claim|Median: $41.28
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$47K

546 claims · 0.2%

Your Cost: $86.95/claim|Median: $76.06
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$44K

1,678 claims · 0.1%

Your Cost: $26.05/claim|Median: $74.09
0.4× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$28K

322 claims · 0.1%

Your Cost: $88.43/claim|Median: $87.82
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$26K

1,926 claims · 0.1%

Your Cost: $13.30/claim|Median: $40.11
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$24K

519 claims · 0.1%

Your Cost: $46.87/claim|Median: $63.65
0.7× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$20K

276 claims · 0.1%

Your Cost: $72.38/claim|Median: $76.22
0.9× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$18K

846 claims · 0.1%

Your Cost: $20.82/claim|Median: $9.70
2.1× median
G0467Normal range

Federally qualified health center visit, mental health

$17K

1,327 claims · 0.1%

Your Cost: $12.61/claim|Median: $21.91
0.6× median
92552Normal range

Pure tone audiometry, air only, each ear

$16K

1,161 claims · 0.1%

Your Cost: $14.03/claim|Median: $12.63
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$15K

220 claims · 0.1%

Your Cost: $70.22/claim|Median: $72.71
1.0× median
99204Normal range

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

$14K

422 claims · 0.0%

Your Cost: $33.96/claim|Median: $84.03
0.4× median
G2025Normal range

$14K

1,144 claims · 0.0%

Your Cost: $12.16/claim|Median: $15.63
0.8× median
G8510Normal range

$14K

8,977 claims · 0.0%

Your Cost: $1.54/claim|Median: $1.96
0.8× median
99203Normal range

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

$13K

1,005 claims · 0.0%

Your Cost: $13.35/claim|Median: $57.85
0.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$12K

290 claims · 0.0%

Your Cost: $40.48/claim|Median: $69.35
0.6× median
G9919Normal range

$11K

741 claims · 0.0%

Your Cost: $15.45/claim|Median: $8.66
1.8× median
H1003Top 25%

$10K

406 claims · 0.0%

Your Cost: $25.59/claim|Median: $10.04
2.5× median
G8431Normal range

$9K

2,855 claims · 0.0%

Your Cost: $3.33/claim|Median: $2.37
1.4× median
96150Normal range

Health behavior assessment, initial

$7K

329 claims · 0.0%

Your Cost: $22.42/claim|Median: $17.83
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$7K

10K claims · 0.0%

Your Cost: $0.68/claim|Median: $3.67
0.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$7K

444 claims · 0.0%

Your Cost: $14.69/claim|Median: $80.15
0.2× median
G0071Normal range

$6K

452 claims · 0.0%

Your Cost: $13.69/claim|Median: $7.20
1.9× median
99406Normal range

$5K

569 claims · 0.0%

Your Cost: $8.64/claim|Median: $6.53
1.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$4K

1,196 claims · 0.0%

Your Cost: $3.68/claim|Median: $5.50
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$4K

497 claims · 0.0%

Your Cost: $8.72/claim|Median: $12.93
0.7× median
81003Normal range

Urinalysis, automated without microscopy

$3K

4,596 claims · 0.0%

Your Cost: $0.72/claim|Median: $1.48
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3K

172 claims · 0.0%

Your Cost: $17.95/claim|Median: $75.18
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$3K

38 claims · 0.0%

Your Cost: $72.94/claim|Median: $111.09
0.7× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

139 claims · 0.0%

Your Cost: $19.62/claim|Median: $7.18
2.7× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$2K

266 claims · 0.0%

Your Cost: $9.24/claim|Median: $12.70
0.7× median
90688Normal range

$2K

238 claims · 0.0%

Your Cost: $10.14/claim|Median: $9.00
1.1× median
90715Top 25%

Tdap vaccine

$2K

103 claims · 0.0%

Your Cost: $20.87/claim|Median: $10.32
2.0× median
90471Normal range

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

$2K

339 claims · 0.0%

Your Cost: $6.05/claim|Median: $9.80
0.6× median
92551Top 25%

Screening audiometry, pure tone, air only

$2K

157 claims · 0.0%

Your Cost: $11.53/claim|Median: $6.61
1.7× median
0013ATop 10%

$2K

23 claims · 0.0%

Your Cost: $66.27/claim|Median: $35.38
1.9× median
99384Normal range

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

$1K

38 claims · 0.0%

Your Cost: $37.44/claim|Median: $83.63
0.4× median
90480Normal range

$1K

40 claims · 0.0%

Your Cost: $34.50/claim|Median: $25.29
1.4× 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

Similar Providers

Other top providers in Clinic/Center, Community Health

Sac Health System

San Bernardino, CA

$260.2M

Medical Associates of Ebnhc

East Boston, MA

$179.3M

Trilogy, Inc.

Chicago, IL

$143.5M

Lynn Community Health, Inc.

Lynn, MA

$138.3M

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