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

NEIGHBORHOOD HEALTHCARE

Clinic/Center, Federally Qualified Health Center (FQHC)·ESCONDIDO, CA·NPI: 1437335353Share

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 $38.4M 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

$38.4M

$38,374,016

Total Claims

1.1M

Beneficiaries

971K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$5.3M
-23%
2019
$4.1M
-11%
2020
$3.6M
+78%
2021
$6.4M
-1%
2022
$6.4M
+1%
2023
$6.4M
-4%
2024
$6.2M

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 52% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$19.8M

120K claims · 51.5%

Your Cost: $164.59/claim|Median: $121.16
1.4× median
00003Normal range

Anesthesia services

$18.5M

89K claims · 48.1%

Your Cost: $208.42/claim|Median: $223.77
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$32K

1,439 claims · 0.1%

Your Cost: $22.03/claim|Median: $21.91
1.0× median
99213Normal range

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

$28K

376K claims · 0.1%

Your Cost: $0.07/claim|Median: $37.81
0.0× median
G2025Normal range

$20K

1,372 claims · 0.1%

Your Cost: $14.53/claim|Median: $15.63
0.9× median
G0470Normal range

Chronic care management services, FQHC/RHC

$14K

408 claims · 0.0%

Your Cost: $33.25/claim|Median: $45.95
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$9K

53K claims · 0.0%

Your Cost: $0.16/claim|Median: $25.06
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$7K

62K claims · 0.0%

Your Cost: $0.12/claim|Median: $41.28
0.0× median
0502FNormal range

$5K

7,605 claims · 0.0%

Your Cost: $0.64/claim|Median: $44.10
0.0× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$5K

207 claims · 0.0%

Your Cost: $22.60/claim|Median: $9.70
2.3× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$4K

9,292 claims · 0.0%

Your Cost: $0.41/claim|Median: $20.83
0.0× median
99214Normal range

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

$3K

71K claims · 0.0%

Your Cost: $0.05/claim|Median: $53.41
0.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

13K claims · 0.0%

Your Cost: $0.25/claim|Median: $22.44
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

2,082 claims · 0.0%

Your Cost: $1.39/claim|Median: $99.21
0.0× median
98940Normal range

$3K

3,345 claims · 0.0%

Your Cost: $0.78/claim|Median: $14.55
0.1× median
99401Normal range

$1K

6,210 claims · 0.0%

Your Cost: $0.24/claim|Median: $16.53
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$1K

17K claims · 0.0%

Your Cost: $0.08/claim|Median: $12.63
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$1K

11K claims · 0.0%

Your Cost: $0.12/claim|Median: $2.00
0.1× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$1K

428 claims · 0.0%

Your Cost: $2.85/claim|Median: $11.35
0.3× median
H1001Normal range

$1K

21 claims · 0.0%

Your Cost: $54.72/claim|Median: $60.48
0.9× median
87426Normal range

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

$671

1,813 claims · 0.0%

Your Cost: $0.37/claim|Median: $30.04
0.0× median
3044FNormal range

$649

4,688 claims · 0.0%

Your Cost: $0.14/claim|Median: $0.16
0.9× median
G0442Normal range

$552

14K claims · 0.0%

Your Cost: $0.04/claim|Median: $4.91
0.0× median
99203Normal range

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

$470

3,635 claims · 0.0%

Your Cost: $0.13/claim|Median: $57.85
0.0× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$370

4,883 claims · 0.0%

Your Cost: $0.08/claim|Median: $0.79
0.1× median
3074FNormal range

$344

21K claims · 0.0%

Your Cost: $0.02/claim|Median: $0.11
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$336

6,261 claims · 0.0%

Your Cost: $0.05/claim|Median: $63.65
0.0× median
11721Normal range

$334

1,962 claims · 0.0%

Your Cost: $0.17/claim|Median: $8.56
0.0× median
G8510Normal range

$281

43K claims · 0.0%

Your Cost: $0.01/claim|Median: $1.96
0.0× median
H1003Normal range

$263

2,797 claims · 0.0%

Your Cost: $0.09/claim|Median: $10.04
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$240

383 claims · 0.0%

Your Cost: $0.63/claim|Median: $40.11
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$205

849 claims · 0.0%

Your Cost: $0.24/claim|Median: $108.91
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$102

377 claims · 0.0%

Your Cost: $0.27/claim|Median: $72.71
0.0× median
99441Normal range

Telephone E/M by physician, 5-10 min

$72

7,789 claims · 0.0%

Your Cost: $0.01/claim|Median: $13.30
0.0× median
0500FNormal range

$69

39 claims · 0.0%

Your Cost: $1.77/claim|Median: $39.34
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$63

13K claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
0.0× median
59430Normal range

$60

27 claims · 0.0%

Your Cost: $2.24/claim|Median: $80.32
0.0× median
96110Normal range

Developmental screening, per standardized instrument

$59

423 claims · 0.0%

Your Cost: $0.14/claim|Median: $9.10
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$43

4,004 claims · 0.0%

Your Cost: $0.01/claim|Median: $74.82
0.0× median
11720Normal range

$39

105 claims · 0.0%

Your Cost: $0.37/claim|Median: $4.64
0.1× median
3078FNormal range

$37

24K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$37

4,003 claims · 0.0%

Your Cost: $0.01/claim|Median: $75.18
0.0× median
99070Normal range

$36

9,218 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.08
0.0× median
92250Normal range

Fundus photography with interpretation and report

$28

477 claims · 0.0%

Your Cost: $0.06/claim|Median: $27.95
0.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$28

1,113 claims · 0.0%

Your Cost: $0.02/claim|Median: $32.55
0.0× median
97810Normal range

$20

6,523 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.92
0.0× median
81025Normal range

Urine pregnancy test

$14

2,721 claims · 0.0%

Your Cost: $0.01/claim|Median: $4.81
0.0× median
85018Normal range

$12

22K claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
0.0× median
90674Normal range

$9

59 claims · 0.0%

Your Cost: $0.15/claim|Median: $15.16
0.0× median
90715Normal range

Tdap vaccine

$9

1,363 claims · 0.0%

Your Cost: $0.01/claim|Median: $10.32
0.0× median