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SANTA ROSA COMMUNITY HEALTH CENTERS

Clinic/Center, Federally Qualified Health Center (FQHC)·SANTA ROSA, CA·NPI: 1386712065Share

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 $45.5M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-11(82 months)

Total Paid

$45.5M

$45,467,205

Total Claims

647K

Beneficiaries

487K

1.3 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$8.5M
-12%
2019
$7.5M
+6%
2020
$8.0M
-8%
2021
$7.4M
-16%
2022
$6.2M
-2%
2023
$6.0M
-69%
2024
$1.8M

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 91% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$41.3M

205K claims · 90.9%

Your Cost: $201.38/claim|Median: $121.16
1.7× median
00003Normal range

Anesthesia services

$1.8M

7,597 claims · 3.9%

Your Cost: $234.91/claim|Median: $223.77
1.0× median
99213Normal range

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

$961K

175K claims · 2.1%

Your Cost: $5.48/claim|Median: $37.81
0.1× median
H1001Normal range

$375K

5,243 claims · 0.8%

Your Cost: $71.51/claim|Median: $60.48
1.2× median
59425Normal range

Antepartum care only, 4-6 visits

$158K

2,340 claims · 0.3%

Your Cost: $67.53/claim|Median: $63.63
1.1× median
99214Normal range

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

$72K

12K claims · 0.2%

Your Cost: $5.95/claim|Median: $53.41
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$67K

8,595 claims · 0.1%

Your Cost: $7.84/claim|Median: $7.18
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$63K

7,719 claims · 0.1%

Your Cost: $8.11/claim|Median: $63.65
0.1× median
96156Normal range

$55K

4,991 claims · 0.1%

Your Cost: $10.97/claim|Median: $22.36
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$47K

1,251 claims · 0.1%

Your Cost: $37.96/claim|Median: $85.66
0.4× median
H1003Normal range

$47K

2,999 claims · 0.1%

Your Cost: $15.59/claim|Median: $10.04
1.6× median
G0442Normal range

$41K

3,795 claims · 0.1%

Your Cost: $10.68/claim|Median: $4.91
2.2× median
99401Normal range

$34K

3,064 claims · 0.1%

Your Cost: $11.12/claim|Median: $16.53
0.7× median
S9445Normal range

$31K

1,863 claims · 0.1%

Your Cost: $16.71/claim|Median: $12.72
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$30K

16K claims · 0.1%

Your Cost: $1.87/claim|Median: $25.06
0.1× median
87428Normal range

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

$27K

784 claims · 0.1%

Your Cost: $34.96/claim|Median: $39.63
0.9× median
76815Normal range

Ultrasound, pregnant uterus, limited

$20K

1,869 claims · 0.0%

Your Cost: $10.63/claim|Median: $36.79
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$18K

2,709 claims · 0.0%

Your Cost: $6.59/claim|Median: $69.35
0.1× median
0004ATop 5%

$18K

265 claims · 0.0%

Your Cost: $66.94/claim|Median: $35.62
1.9× median
90832Normal range

Psychotherapy, 30 minutes

$17K

2,202 claims · 0.0%

Your Cost: $7.77/claim|Median: $41.28
0.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$16K

1,426 claims · 0.0%

Your Cost: $11.05/claim|Median: $24.33
0.5× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$15K

1,589 claims · 0.0%

Your Cost: $9.66/claim|Median: $114.71
0.1× median
80305Normal range

$15K

2,557 claims · 0.0%

Your Cost: $5.77/claim|Median: $7.44
0.8× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$12K

567 claims · 0.0%

Your Cost: $21.67/claim|Median: $12.70
1.7× median
0134ATop 10%

$11K

167 claims · 0.0%

Your Cost: $66.60/claim|Median: $33.54
2.0× median
S9452Normal range

$10K

1,137 claims · 0.0%

Your Cost: $9.16/claim|Median: $6.85
1.3× median
0071ATop 10%

$10K

153 claims · 0.0%

Your Cost: $66.28/claim|Median: $38.71
1.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$9K

349 claims · 0.0%

Your Cost: $26.73/claim|Median: $47.08
0.6× median
99402Normal range

$8K

464 claims · 0.0%

Your Cost: $18.07/claim|Median: $31.79
0.6× median
0072ATop 10%

$8K

125 claims · 0.0%

Your Cost: $66.87/claim|Median: $39.57
1.7× median
0064ATop 5%

$8K

124 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.17
2.0× median
81025Normal range

Urine pregnancy test

$8K

4,313 claims · 0.0%

Your Cost: $1.91/claim|Median: $4.81
0.4× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$8K

223 claims · 0.0%

Your Cost: $34.80/claim|Median: $38.23
0.9× median
59409Normal range

Vaginal delivery only

$8K

14 claims · 0.0%

Your Cost: $544.28/claim|Median: $619.91
0.9× median
97810Normal range

$7K

1,471 claims · 0.0%

Your Cost: $4.55/claim|Median: $23.92
0.2× median
97811Normal range

$7K

1,467 claims · 0.0%

Your Cost: $4.55/claim|Median: $19.71
0.2× median
90649Normal range

$7K

1,277 claims · 0.0%

Your Cost: $5.18/claim|Median: $6.42
0.8× median
90715Normal range

Tdap vaccine

$6K

793 claims · 0.0%

Your Cost: $7.53/claim|Median: $10.32
0.7× median
90670Normal range

$6K

1,755 claims · 0.0%

Your Cost: $3.18/claim|Median: $5.94
0.5× median
90656Normal range

$5K

540 claims · 0.0%

Your Cost: $8.99/claim|Median: $8.67
1.0× median
96110Top 25%

Developmental screening, per standardized instrument

$4K

296 claims · 0.0%

Your Cost: $15.18/claim|Median: $9.10
1.7× median
90647Normal range

$4K

1,428 claims · 0.0%

Your Cost: $3.12/claim|Median: $4.31
0.7× median
90723Normal range

DTaP-HepB-IPV vaccine

$4K

1,330 claims · 0.0%

Your Cost: $3.28/claim|Median: $5.78
0.6× median
95250Top 25%

$4K

43 claims · 0.0%

Your Cost: $97.73/claim|Median: $59.66
1.6× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$4K

59 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$4K

67 claims · 0.0%

Your Cost: $56.42/claim|Median: $33.72
1.7× median
90680Normal range

$3K

858 claims · 0.0%

Your Cost: $3.81/claim|Median: $5.58
0.7× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$3K

47 claims · 0.0%

Your Cost: $67.00/claim|Median: $36.70
1.8× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$3K

110 claims · 0.0%

Your Cost: $27.26/claim|Median: $25.93
1.1× median
90633Normal range

$3K

885 claims · 0.0%

Your Cost: $3.34/claim|Median: $3.56
0.9× median