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SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Health Maintenance Organization·PANORAMA CITY, CA·NPI: 1407888928Share

Compared to Health Maintenance Organization Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.6M is at the 25th percentile among 10 Health Maintenance Organization providers.

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

Total Paid

$35.6M

$35,557,774

Total Claims

1.4M

Beneficiaries

1.3M

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$171K
+174%
2019
$469K
+416%
2020
$2.4M
+100%
2021
$4.8M
+19%
2022
$5.7M
+56%
2023
$9.0M
+45%
2024
$13.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 24% of total spending.

99214Normal range

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

$8.6M

117K claims · 24.2%

Your Cost: $73.76/claim|Median: $53.41
1.4× median
99284Top 25%

Emergency dept visit, high complexity

$4.7M

45K claims · 13.2%

Your Cost: $105.51/claim|Median: $69.51
1.5× median
99213Normal range

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

$2.3M

145K claims · 6.5%

Your Cost: $15.83/claim|Median: $37.81
0.4× median
91320Top 5%

$1.3M

7,612 claims · 3.6%

Your Cost: $168.70/claim|Median: $72.65
2.3× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$1.1M

24K claims · 3.2%

Your Cost: $47.66/claim|Median: $38.23
1.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.1M

7,071 claims · 3.1%

Your Cost: $156.51/claim|Median: $85.65
1.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$935K

22K claims · 2.6%

Your Cost: $43.17/claim|Median: $39.33
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$743K

30K claims · 2.1%

Your Cost: $25.08/claim|Median: $35.80
0.7× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$713K

4,481 claims · 2.0%

Your Cost: $159.04/claim|Median: $54.68
2.9× median
90471Normal range

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

$608K

96K claims · 1.7%

Your Cost: $6.32/claim|Median: $9.80
0.6× median
90662Top 5%

$520K

4,665 claims · 1.5%

Your Cost: $111.46/claim|Median: $6.55
17.0× median
90480Top 5%

$487K

9,344 claims · 1.4%

Your Cost: $52.10/claim|Median: $25.29
2.1× median
67028Top 10%

Intravitreal injection of a pharmacologic agent

$453K

2,158 claims · 1.3%

Your Cost: $209.85/claim|Median: $58.82
3.6× median
99212Normal range

Office/outpatient visit, low complexity

$408K

32K claims · 1.1%

Your Cost: $12.67/claim|Median: $25.06
0.5× median
97110Normal range

Therapeutic exercises, each 15 min

$381K

15K claims · 1.1%

Your Cost: $25.36/claim|Median: $24.49
1.0× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$378K

1,378 claims · 1.1%

Your Cost: $274.58/claim|Median: $75.28
3.6× median
92015Normal range

Determination of refractive state

$366K

44K claims · 1.0%

Your Cost: $8.39/claim|Median: $10.36
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$361K

3,497 claims · 1.0%

Your Cost: $103.26/claim|Median: $65.76
1.6× median
71046Normal range

Chest X-ray, 2 views

$341K

40K claims · 1.0%

Your Cost: $8.54/claim|Median: $8.92
1.0× median
77080Normal range

Dual-energy x-ray absorptiometry (DEXA) bone density scan

$313K

11K claims · 0.9%

Your Cost: $27.99/claim|Median: $18.93
1.5× median
70450Normal range

CT head/brain without contrast

$304K

4,933 claims · 0.9%

Your Cost: $61.53/claim|Median: $45.53
1.4× median
11721Top 1%

$291K

3,129 claims · 0.8%

Your Cost: $92.99/claim|Median: $8.56
10.9× median
92002Normal range

Intermediate eye exam, new patient

$272K

8,680 claims · 0.8%

Your Cost: $31.33/claim|Median: $41.61
0.8× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$249K

2,660 claims · 0.7%

Your Cost: $93.74/claim|Median: $29.03
3.2× median
99441Normal range

Telephone E/M by physician, 5-10 min

$243K

11K claims · 0.7%

Your Cost: $21.96/claim|Median: $13.30
1.7× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$231K

2,767 claims · 0.6%

Your Cost: $83.40/claim|Median: $54.77
1.5× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$227K

2,408 claims · 0.6%

Your Cost: $94.30/claim|Median: $25.43
3.7× median
93970Top 5%

Duplex scan of extremity veins, complete, bilateral

$216K

1,043 claims · 0.6%

Your Cost: $207.28/claim|Median: $43.07
4.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$197K

4,996 claims · 0.6%

Your Cost: $39.33/claim|Median: $36.70
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$196K

5,596 claims · 0.6%

Your Cost: $34.98/claim|Median: $42.48
0.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$195K

5,022 claims · 0.5%

Your Cost: $38.82/claim|Median: $33.72
1.2× median
73562Normal range

$177K

10K claims · 0.5%

Your Cost: $17.60/claim|Median: $12.28
1.4× median
71045Normal range

Chest X-ray, single view

$174K

26K claims · 0.5%

Your Cost: $6.80/claim|Median: $4.93
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$162K

21K claims · 0.5%

Your Cost: $7.67/claim|Median: $5.60
1.4× median
90674Normal range

$156K

9,824 claims · 0.4%

Your Cost: $15.90/claim|Median: $15.16
1.0× median
73564Top 25%

$142K

4,385 claims · 0.4%

Your Cost: $32.36/claim|Median: $15.00
2.2× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$140K

1,417 claims · 0.4%

Your Cost: $98.72/claim|Median: $106.14
0.9× median
73030Normal range

$139K

8,204 claims · 0.4%

Your Cost: $16.95/claim|Median: $10.94
1.5× median
0064ATop 25%

$127K

3,097 claims · 0.4%

Your Cost: $41.14/claim|Median: $34.17
1.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$127K

1,111 claims · 0.4%

Your Cost: $114.10/claim|Median: $67.32
1.7× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$119K

13K claims · 0.3%

Your Cost: $8.95/claim|Median: $12.06
0.7× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$111K

1,981 claims · 0.3%

Your Cost: $56.07/claim|Median: $97.61
0.6× median
99203Normal range

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

$109K

2,815 claims · 0.3%

Your Cost: $38.59/claim|Median: $57.85
0.7× median
99204Top 25%

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

$108K

946 claims · 0.3%

Your Cost: $114.05/claim|Median: $84.03
1.4× median
76705Normal range

Ultrasound, abdominal, limited

$104K

5,051 claims · 0.3%

Your Cost: $20.58/claim|Median: $23.81
0.9× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$102K

2,646 claims · 0.3%

Your Cost: $38.67/claim|Median: $33.85
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$97K

31K claims · 0.3%

Your Cost: $3.07/claim|Median: $7.18
0.4× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$97K

1,747 claims · 0.3%

Your Cost: $55.26/claim|Median: $27.28
2.0× median
76856Normal range

Ultrasound, pelvic, complete

$95K

7,203 claims · 0.3%

Your Cost: $13.13/claim|Median: $47.58
0.3× median
76830Normal range

Ultrasound, transvaginal

$94K

6,765 claims · 0.3%

Your Cost: $13.95/claim|Median: $57.47
0.2× median

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$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

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$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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