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COUNTY OF VENTURA

Clinic/Center, Federally Qualified Health Center (FQHC)·SIMI VALLEY, CA·NPI: 1386886117Share

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 $47.7M 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

$47.7M

$47,728,011

Total Claims

908K

Beneficiaries

818K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$5.6M
+19%
2019
$6.7M
+9%
2020
$7.2M
+4%
2021
$7.5M
-19%
2022
$6.1M
+21%
2023
$7.3M
-1%
2024
$7.3M

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.

T1015Normal range

Clinic visit/encounter, all-inclusive

$38.0M

258K claims · 79.7%

Your Cost: $147.70/claim|Median: $121.16
1.2× median
99213Normal range

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

$1.9M

220K claims · 4.1%

Your Cost: $8.80/claim|Median: $37.81
0.2× median
99214Normal range

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

$1.5M

111K claims · 3.1%

Your Cost: $13.25/claim|Median: $53.41
0.2× median
59425Normal range

Antepartum care only, 4-6 visits

$415K

5,522 claims · 0.9%

Your Cost: $75.12/claim|Median: $63.63
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$361K

12K claims · 0.8%

Your Cost: $29.19/claim|Median: $75.18
0.4× median
96110Top 5%

Developmental screening, per standardized instrument

$323K

6,133 claims · 0.7%

Your Cost: $52.68/claim|Median: $9.10
5.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$312K

8,814 claims · 0.7%

Your Cost: $35.42/claim|Median: $74.82
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$261K

5,093 claims · 0.5%

Your Cost: $51.18/claim|Median: $80.15
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$250K

2,898 claims · 0.5%

Your Cost: $86.10/claim|Median: $72.71
1.2× median
99203Normal range

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

$248K

6,956 claims · 0.5%

Your Cost: $35.59/claim|Median: $57.85
0.6× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$198K

3,291 claims · 0.4%

Your Cost: $60.15/claim|Median: $12.70
4.7× median
99215Normal range

Office/outpatient visit, high complexity

$195K

2,431 claims · 0.4%

Your Cost: $80.14/claim|Median: $74.09
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$192K

7,667 claims · 0.4%

Your Cost: $25.08/claim|Median: $69.35
0.4× median
G2025Normal range

$182K

8,554 claims · 0.4%

Your Cost: $21.29/claim|Median: $15.63
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$171K

17K claims · 0.4%

Your Cost: $9.96/claim|Median: $7.18
1.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$150K

1,689 claims · 0.3%

Your Cost: $88.71/claim|Median: $121.58
0.7× median
87426Normal range

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

$143K

5,745 claims · 0.3%

Your Cost: $24.84/claim|Median: $30.04
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$135K

2,006 claims · 0.3%

Your Cost: $67.25/claim|Median: $76.06
0.9× median
99204Normal range

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

$135K

2,551 claims · 0.3%

Your Cost: $52.85/claim|Median: $84.03
0.6× median
90750Top 25%

$130K

824 claims · 0.3%

Your Cost: $157.77/claim|Median: $96.16
1.6× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$122K

5,411 claims · 0.3%

Your Cost: $22.59/claim|Median: $9.56
2.4× median
99406Normal range

$114K

13K claims · 0.2%

Your Cost: $8.91/claim|Median: $6.53
1.4× median
90715Top 25%

Tdap vaccine

$113K

4,088 claims · 0.2%

Your Cost: $27.56/claim|Median: $10.32
2.7× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$111K

745 claims · 0.2%

Your Cost: $148.71/claim|Median: $54.68
2.7× median
99174Top 5%

$103K

2,809 claims · 0.2%

Your Cost: $36.63/claim|Median: $5.27
7.0× median
92250Top 10%

Fundus photography with interpretation and report

$97K

2,042 claims · 0.2%

Your Cost: $47.51/claim|Median: $27.95
1.7× median
92551Normal range

Screening audiometry, pure tone, air only

$97K

19K claims · 0.2%

Your Cost: $5.02/claim|Median: $6.61
0.8× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$92K

2,652 claims · 0.2%

Your Cost: $34.53/claim|Median: $24.33
1.4× median
90670Top 25%

$79K

5,936 claims · 0.2%

Your Cost: $13.24/claim|Median: $5.94
2.2× median
90471Normal range

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

$76K

10K claims · 0.2%

Your Cost: $7.53/claim|Median: $9.80
0.8× median
99188Normal range

$66K

3,734 claims · 0.1%

Your Cost: $17.79/claim|Median: $12.80
1.4× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$60K

1,142 claims · 0.1%

Your Cost: $52.96/claim|Median: $36.70
1.4× median
90651Normal range

HPV vaccine, 9-valent

$57K

3,060 claims · 0.1%

Your Cost: $18.52/claim|Median: $8.93
2.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$55K

9,037 claims · 0.1%

Your Cost: $6.10/claim|Median: $11.48
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$54K

9,073 claims · 0.1%

Your Cost: $5.90/claim|Median: $25.06
0.2× median
H1003Top 25%

$53K

2,109 claims · 0.1%

Your Cost: $25.13/claim|Median: $10.04
2.5× median
71046Top 25%

Chest X-ray, 2 views

$46K

2,086 claims · 0.1%

Your Cost: $22.13/claim|Median: $8.92
2.5× median
95886Normal range

$46K

752 claims · 0.1%

Your Cost: $60.90/claim|Median: $67.70
0.9× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$45K

857 claims · 0.1%

Your Cost: $52.95/claim|Median: $33.72
1.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$43K

5,397 claims · 0.1%

Your Cost: $8.03/claim|Median: $12.93
0.6× median
J3490Normal range

Unclassified drugs

$43K

1,736 claims · 0.1%

Your Cost: $24.66/claim|Median: $5.70
4.3× median
G0467Normal range

Federally qualified health center visit, mental health

$40K

18K claims · 0.1%

Your Cost: $2.24/claim|Median: $21.91
0.1× median
93010Top 5%

Electrocardiogram, interpretation and report only

$37K

2,597 claims · 0.1%

Your Cost: $14.31/claim|Median: $5.60
2.6× median
90633Normal range

$32K

4,309 claims · 0.1%

Your Cost: $7.35/claim|Median: $3.56
2.1× median
H1001Normal range

$31K

383 claims · 0.1%

Your Cost: $81.25/claim|Median: $60.48
1.3× median
17110Top 10%

Destruction of benign lesions, up to fourteen

$31K

274 claims · 0.1%

Your Cost: $112.02/claim|Median: $59.25
1.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$29K

2,567 claims · 0.1%

Your Cost: $11.42/claim|Median: $7.50
1.5× median
90647Normal range

$29K

4,281 claims · 0.1%

Your Cost: $6.84/claim|Median: $4.31
1.6× median
0072ATop 25%

$28K

531 claims · 0.1%

Your Cost: $53.00/claim|Median: $39.57
1.3× median
90723Normal range

DTaP-HepB-IPV vaccine

$28K

4,200 claims · 0.1%

Your Cost: $6.65/claim|Median: $5.78
1.2× 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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Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

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

San Ysidro, CA

$157.3M

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