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COUNTY OF SAN MATEO

Clinic/Center, Federally Qualified Health Center (FQHC)·REDWOOD CITY, CA·NPI: 1386728533Share

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 $53.7M 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

$53.7M

$53,689,911

Total Claims

454K

Beneficiaries

415K

1.1 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$9.1M
-14%
2019
$7.8M
-17%
2020
$6.5M
+19%
2021
$7.7M
-24%
2022
$5.8M
+43%
2023
$8.4M
+0%
2024
$8.4M

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 84% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$45.2M

160K claims · 84.3%

Your Cost: $283.23/claim|Median: $121.16
2.3× median
00003Top 25%

Anesthesia services

$7.2M

21K claims · 13.4%

Your Cost: $345.39/claim|Median: $223.77
1.5× median
0510Normal range

Revenue code, clinic services

$507K

17K claims · 0.9%

Your Cost: $29.22/claim|Median: $28.38
1.0× median
G0467Top 25%

Federally qualified health center visit, mental health

$221K

4,861 claims · 0.4%

Your Cost: $45.39/claim|Median: $21.91
2.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$202K

15K claims · 0.4%

Your Cost: $13.75/claim|Median: $12.63
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$56K

7,736 claims · 0.1%

Your Cost: $7.29/claim|Median: $7.18
1.0× median
90698Normal range

$32K

4,580 claims · 0.1%

Your Cost: $6.96/claim|Median: $6.32
1.1× median
90670Normal range

$28K

4,389 claims · 0.1%

Your Cost: $6.44/claim|Median: $5.94
1.1× median
90633Normal range

$21K

2,841 claims · 0.0%

Your Cost: $7.25/claim|Median: $3.56
2.0× median
90744Normal range

$19K

2,788 claims · 0.0%

Your Cost: $6.70/claim|Median: $5.00
1.3× median
90651Normal range

HPV vaccine, 9-valent

$17K

2,303 claims · 0.0%

Your Cost: $7.52/claim|Median: $8.93
0.8× median
90681Normal range

$15K

2,318 claims · 0.0%

Your Cost: $6.57/claim|Median: $5.74
1.1× median
85018Normal range

$14K

8,381 claims · 0.0%

Your Cost: $1.69/claim|Median: $1.71
1.0× median
83655Normal range

$14K

2,355 claims · 0.0%

Your Cost: $5.80/claim|Median: $10.49
0.6× median
G2025Normal range

$12K

624 claims · 0.0%

Your Cost: $19.47/claim|Median: $15.63
1.2× median
90716Normal range

$10K

1,366 claims · 0.0%

Your Cost: $7.40/claim|Median: $6.18
1.2× median
90734Normal range

$10K

1,574 claims · 0.0%

Your Cost: $6.14/claim|Median: $6.40
1.0× median
90715Normal range

Tdap vaccine

$10K

1,330 claims · 0.0%

Your Cost: $7.15/claim|Median: $10.32
0.7× median
90707Normal range

MMR vaccine

$8K

1,130 claims · 0.0%

Your Cost: $7.36/claim|Median: $5.76
1.3× median
90710Normal range

MMRV vaccine

$6K

1,147 claims · 0.0%

Your Cost: $5.56/claim|Median: $7.00
0.8× median
90619Normal range

$6K

539 claims · 0.0%

Your Cost: $11.06/claim|Median: $8.36
1.3× median
90696Normal range

DTaP-IPV vaccine

$6K

954 claims · 0.0%

Your Cost: $6.15/claim|Median: $5.95
1.0× median
D4910Normal range

$6K

109 claims · 0.0%

Your Cost: $51.82/claim|Median: $75.56
0.7× median
90677Normal range

$4K

374 claims · 0.0%

Your Cost: $10.51/claim|Median: $12.96
0.8× median
D4341Normal range

Periodontal scaling, per quadrant

$2K

54 claims · 0.0%

Your Cost: $39.72/claim|Median: $70.00
0.6× median
90700Normal range

$930

165 claims · 0.0%

Your Cost: $5.64/claim|Median: $4.56
1.2× median
Z7500Normal range

$693

14K claims · 0.0%

Your Cost: $0.05/claim|Median: $33.71
0.0× median
D1110Normal range

Prophylaxis, adult cleaning

$676

245 claims · 0.0%

Your Cost: $2.76/claim|Median: $43.38
0.1× median
90648Normal range

$432

114 claims · 0.0%

Your Cost: $3.79/claim|Median: $4.08
0.9× median
90381Normal range

$432

39 claims · 0.0%

Your Cost: $11.07/claim|Median: $9.69
1.1× median
D0274Normal range

Bitewings, four radiographic images

$304

1,064 claims · 0.0%

Your Cost: $0.29/claim|Median: $22.54
0.0× median
D0120Normal range

Periodic oral evaluation, established patient

$293

2,504 claims · 0.0%

Your Cost: $0.12/claim|Median: $24.34
0.0× median
99214Normal range

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

$222

8,988 claims · 0.0%

Your Cost: $0.02/claim|Median: $53.41
0.0× median
99213Normal range

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

$201

44K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
0.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$195

2,959 claims · 0.0%

Your Cost: $0.07/claim|Median: $7.33
0.0× median
90682Normal range

$71

16 claims · 0.0%

Your Cost: $4.45/claim|Median: $34.72
0.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$47

1,446 claims · 0.0%

Your Cost: $0.03/claim|Median: $47.08
0.0× median
92015Normal range

Determination of refractive state

$10

3,899 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.36
0.0× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$0

241 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.38
99394Normal range

Preventive medicine, established patient, age 12-17

$0

3,436 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.15
G0071Normal range

$0

65 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.20
90472Normal range

Immunization administration, each additional vaccine

$0

95 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
99215Normal range

Office/outpatient visit, high complexity

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09
80061Normal range

Lipid panel

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.41
90471Normal range

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

$0

5,850 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
99384Normal range

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

$0

681 claims · 0.0%

Your Cost: $0.00/claim|Median: $83.63
96156Normal range

$0

228 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.36
3008FNormal range

$0

114 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
82728Normal range

Ferritin

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.00
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $19.06