Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

CLINICA SIERRA VISTA

Clinic/Center, Federally Qualified Health Center (FQHC)·FRESNO, CA·NPI: 1427207000Share

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 $23.9M 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

$23.9M

$23,939,282

Total Claims

434K

Beneficiaries

339K

1.3 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-34%
2019
$1.3M
+63%
2020
$2.1M
+119%
2021
$4.5M
-15%
2022
$3.9M
+27%
2023
$4.9M
+11%
2024
$5.4M

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 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$23.7M

133K claims · 98.9%

Your Cost: $178.02/claim|Median: $121.16
1.5× median
00003Normal range

Anesthesia services

$185K

1,359 claims · 0.8%

Your Cost: $135.84/claim|Median: $223.77
0.6× median
G0467Normal range

Federally qualified health center visit, mental health

$31K

2,090 claims · 0.1%

Your Cost: $14.89/claim|Median: $21.91
0.7× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$17K

264 claims · 0.1%

Your Cost: $65.73/claim|Median: $33.85
1.9× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$14K

273 claims · 0.1%

Your Cost: $51.54/claim|Median: $25.93
2.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$11K

1,826 claims · 0.0%

Your Cost: $5.78/claim|Median: $20.83
0.3× median
0064ANormal range

$7K

271 claims · 0.0%

Your Cost: $27.20/claim|Median: $34.17
0.8× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$2K

981 claims · 0.0%

Your Cost: $1.85/claim|Median: $30.53
0.1× median
99213Normal range

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

$1K

81K claims · 0.0%

Your Cost: $0.01/claim|Median: $37.81
0.0× median
H1001Normal range

$546

2,949 claims · 0.0%

Your Cost: $0.19/claim|Median: $60.48
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$520

3,406 claims · 0.0%

Your Cost: $0.15/claim|Median: $69.35
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$331

19K claims · 0.0%

Your Cost: $0.02/claim|Median: $25.06
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$300

2,428 claims · 0.0%

Your Cost: $0.12/claim|Median: $80.15
0.0× median
99214Normal range

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

$274

10K claims · 0.0%

Your Cost: $0.03/claim|Median: $53.41
0.0× median
0134ANormal range

$268

62 claims · 0.0%

Your Cost: $4.32/claim|Median: $33.54
0.1× median
99203Normal range

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

$247

2,554 claims · 0.0%

Your Cost: $0.10/claim|Median: $57.85
0.0× median
90750Normal range

$166

872 claims · 0.0%

Your Cost: $0.19/claim|Median: $96.16
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$147

4,795 claims · 0.0%

Your Cost: $0.03/claim|Median: $75.18
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$142

4,459 claims · 0.0%

Your Cost: $0.03/claim|Median: $12.63
0.0× median
59425Normal range

Antepartum care only, 4-6 visits

$121

1,615 claims · 0.0%

Your Cost: $0.07/claim|Median: $63.63
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$106

1,978 claims · 0.0%

Your Cost: $0.05/claim|Median: $41.28
0.0× median
S9445Normal range

$99

446 claims · 0.0%

Your Cost: $0.22/claim|Median: $12.72
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$98

120 claims · 0.0%

Your Cost: $0.82/claim|Median: $85.66
0.0× median
99204Normal range

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

$68

568 claims · 0.0%

Your Cost: $0.12/claim|Median: $84.03
0.0× median
96156Normal range

$41

783 claims · 0.0%

Your Cost: $0.05/claim|Median: $22.36
0.0× median
90715Normal range

Tdap vaccine

$38

861 claims · 0.0%

Your Cost: $0.04/claim|Median: $10.32
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$36

1,113 claims · 0.0%

Your Cost: $0.03/claim|Median: $12.93
0.0× median
H1003Normal range

$33

502 claims · 0.0%

Your Cost: $0.07/claim|Median: $10.04
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$30

5,459 claims · 0.0%

Your Cost: $0.01/claim|Median: $11.79
0.0× median
71046Normal range

Chest X-ray, 2 views

$27

30 claims · 0.0%

Your Cost: $0.90/claim|Median: $8.92
0.1× median
90471Normal range

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

$26

12K claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
0.0× median
85018Normal range

$25

9,891 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
0.0× median
99401Normal range

$25

402 claims · 0.0%

Your Cost: $0.06/claim|Median: $16.53
0.0× median
81025Normal range

Urine pregnancy test

$23

3,481 claims · 0.0%

Your Cost: $0.01/claim|Median: $4.81
0.0× median
99173Normal range

$22

4,540 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$20

14K claims · 0.0%

Your Cost: $0.00/claim|Median: $2.00
0.0× median
99188Normal range

$18

537 claims · 0.0%

Your Cost: $0.03/claim|Median: $12.80
0.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$17

110 claims · 0.0%

Your Cost: $0.15/claim|Median: $24.33
0.0× median
83655Normal range

$11

896 claims · 0.0%

Your Cost: $0.01/claim|Median: $10.49
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$10

6,555 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
0.0× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$8

26 claims · 0.0%

Your Cost: $0.32/claim|Median: $114.71
0.0× median
90662Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
99215Normal range

Office/outpatient visit, high complexity

$0

174 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09
90473Normal range

Immunization admin, intranasal, first

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.17
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.91
59430Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.32
3074FNormal range

$0

18K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
90744Normal range

$0

1,113 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.00
Z6400Normal range

$0

851 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.65
90707Normal range

MMR vaccine

$0

325 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.76