Is CAMARENA HEALTH flagged for Medicaid fraud?

CAMARENA HEALTH (NPI: 1447309885) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does CAMARENA HEALTH bill Medicaid?

CAMARENA HEALTH received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Federally Qualified Health Center (FQHC) provider. Located in CHOWCHILLA, CA.

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CAMARENA HEALTH

Clinic/Center, Federally Qualified Health Center (FQHC)·CHOWCHILLA, CA·NPI: 1447309885Share

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 $25.7M 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

$25.7M

$25,703,506

Total Claims

610K

Beneficiaries

466K

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018

$2.8M

+6%

2019

$2.9M

+9%

2020

$3.2M

+36%

2021

$4.4M

-26%

2022

$3.2M

+25%

2023

$4.0M

+28%

2024

$5.1M

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 57% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$14.6M

100K claims

$145.73

$121.16

1.2×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$14.6M

100K claims · 56.8%

Your Cost: $145.73/claim|Median: $121.16

1.2× median

00003Anesthesia servicesSee all providers →

$10.3M

54K claims

$191.73

$223.77

0.9×

Normal range

00003Normal range

Anesthesia services

$10.3M

54K claims · 39.9%

Your Cost: $191.73/claim|Median: $223.77

0.9× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$183K

53K claims

$3.47

$37.81

0.1×

Normal range

99213Normal range

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

$183K

53K claims · 0.7%

Your Cost: $3.47/claim|Median: $37.81

0.1× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$180K

26K claims

$6.82

$53.41

0.1×

Normal range

99214Normal range

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

$180K

26K claims · 0.7%

Your Cost: $6.82/claim|Median: $53.41

0.1× median

G0467Federally qualified health center visit, mental healthSee all providers →

$175K

3,876 claims

$45.12

$21.91

2.1×

Top 25%

G0467Top 25%

Federally qualified health center visit, mental health

$175K

3,876 claims · 0.7%

Your Cost: $45.12/claim|Median: $21.91

2.1× median

90832Psychotherapy, 30 minutesSee all providers →

$71K

5,918 claims

$12.00

$41.28

0.3×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$71K

5,918 claims · 0.3%

Your Cost: $12.00/claim|Median: $41.28

0.3× median

99212Office/outpatient visit, low complexitySee all providers →

$46K

31K claims

$1.50

$25.06

0.1×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$46K

31K claims · 0.2%

Your Cost: $1.50/claim|Median: $25.06

0.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$44K

1,683 claims

$26.36

$99.21

0.3×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$44K

1,683 claims · 0.2%

Your Cost: $26.36/claim|Median: $99.21

0.3× median

90834Psychotherapy, 45 minutesSee all providers →

$28K

2,236 claims

$12.66

$63.65

0.2×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$28K

2,236 claims · 0.1%

Your Cost: $12.66/claim|Median: $63.65

0.2× median

99393Preventive medicine, established patient, age 5-11See all providers →

$9K

1,004 claims

$8.89

$74.82

0.1×

Normal range

99393Normal range

Preventive medicine, established patient, age 5-11

$9K

1,004 claims · 0.0%

Your Cost: $8.89/claim|Median: $74.82

0.1× median

92551Screening audiometry, pure tone, air onlySee all providers →

$9K

5,163 claims

$1.68

$6.61

0.3×

Normal range

92551Normal range

Screening audiometry, pure tone, air only

$9K

5,163 claims · 0.0%

Your Cost: $1.68/claim|Median: $6.61

0.3× median

99394Preventive medicine, established patient, age 12-17See all providers →

$7K

777 claims

$9.15

$80.15

0.1×

Normal range

99394Normal range

Preventive medicine, established patient, age 12-17

$7K

777 claims · 0.0%

Your Cost: $9.15/claim|Median: $80.15

0.1× median

83036Hemoglobin A1c (glycated hemoglobin)See all providers →

$5K

6,979 claims

$0.76

$5.50

0.1×

Normal range

83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$5K

6,979 claims · 0.0%

Your Cost: $0.76/claim|Median: $5.50

0.1× median

0012ACOVID-19 vaccine admin, Moderna, 2nd doseSee all providers →

$5K

328 claims

$15.26

$33.85

0.5×

Normal range

0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$5K

328 claims · 0.0%

Your Cost: $15.26/claim|Median: $33.85

0.5× median

92004Ophthalmological exam, comprehensive, new patientSee all providers →

$5K

355 claims

$12.93

$59.72

0.2×

Normal range

92004Normal range

Ophthalmological exam, comprehensive, new patient

$5K

355 claims · 0.0%

Your Cost: $12.93/claim|Median: $59.72

0.2× median

98940 See all providers →

$4K

544 claims

$8.20

$14.55

0.6×

Normal range

98940Normal range

$4K

544 claims · 0.0%

Your Cost: $8.20/claim|Median: $14.55

0.6× median

90686Influenza virus vaccine, quadrivalent, preservative-free, IMSee all providers →

$4K

2,709 claims

$1.60

$7.18

0.2×

Normal range

90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

2,709 claims · 0.0%

Your Cost: $1.60/claim|Median: $7.18

0.2× median

99392Preventive medicine, established patient, age 1-4See all providers →

$4K

600 claims

$6.93

$75.18

0.1×

Normal range

99392Normal range

Preventive medicine, established patient, age 1-4

$4K

600 claims · 0.0%

Your Cost: $6.93/claim|Median: $75.18

0.1× median

82948 See all providers →

$4K

4,135 claims

$0.89

$1.78

0.5×

Normal range

82948Normal range

$4K

4,135 claims · 0.0%

Your Cost: $0.89/claim|Median: $1.78

0.5× median

85018 See all providers →

$3K

5,182 claims

$0.67

$1.71

0.4×

Normal range

85018Normal range

$3K

5,182 claims · 0.0%

Your Cost: $0.67/claim|Median: $1.71

0.4× median

59425Antepartum care only, 4-6 visitsSee all providers →

$3K

121 claims

$28.84

$63.63

0.5×

Normal range

59425Normal range

Antepartum care only, 4-6 visits

$3K

121 claims · 0.0%

Your Cost: $28.84/claim|Median: $63.63

0.5× median

87635COVID-19 SARS-CoV-2 amplified probe detectionSee all providers →

$3K

2,010 claims

$1.25

$39.70

0.0×

Normal range

87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$3K

2,010 claims · 0.0%

Your Cost: $1.25/claim|Median: $39.70

0.0× median

0001ACOVID-19 vaccine admin, Pfizer, 1st doseSee all providers →

$2K

153 claims

$15.79

$33.72

0.5×

Normal range

0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$2K

153 claims · 0.0%

Your Cost: $15.79/claim|Median: $33.72

0.5× median

99395Preventive medicine, established patient, age 18-39See all providers →

$2K

774 claims

$3.05

$72.71

0.0×

Normal range

99395Normal range

Preventive medicine, established patient, age 18-39

$2K

774 claims · 0.0%

Your Cost: $3.05/claim|Median: $72.71

0.0× median

0011ACOVID-19 vaccine admin, Moderna, 1st doseSee all providers →

$2K

157 claims

$15.00

$25.93

0.6×

Normal range

0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$2K

157 claims · 0.0%

Your Cost: $15.00/claim|Median: $25.93

0.6× median

99173 See all providers →

$2K

5,987 claims

$0.37

$2.16

0.2×

Normal range

99173Normal range

$2K

5,987 claims · 0.0%

Your Cost: $0.37/claim|Median: $2.16

0.2× median

H1001 See all providers →

$2K

205 claims

$10.84

$60.48

0.2×

Normal range

H1001Normal range

$2K

205 claims · 0.0%

Your Cost: $10.84/claim|Median: $60.48

0.2× median

0002ACOVID-19 vaccine admin, Pfizer, 2nd doseSee all providers →

$2K

130 claims

$16.18

$36.70

0.4×

Normal range

0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$2K

130 claims · 0.0%

Your Cost: $16.18/claim|Median: $36.70

0.4× median

81000Urinalysis with microscopy, non-automatedSee all providers →

$2K

2,882 claims

$0.66

$2.51

0.3×

Normal range

81000Normal range

Urinalysis with microscopy, non-automated

$2K

2,882 claims · 0.0%

Your Cost: $0.66/claim|Median: $2.51

0.3× median

S9445 See all providers →

$2K

306 claims

$6.08

$12.72

0.5×

Normal range

S9445Normal range

$2K

306 claims · 0.0%

Your Cost: $6.08/claim|Median: $12.72

0.5× median

G2025 See all providers →

$2K

95 claims

$19.25

$15.63

1.2×

Normal range

G2025Normal range

$2K

95 claims · 0.0%

Your Cost: $19.25/claim|Median: $15.63

1.2× median

99396Preventive medicine, established patient, age 40-64See all providers →

$2K

457 claims

$3.31

$76.06

0.0×

Normal range

99396Normal range

Preventive medicine, established patient, age 40-64

$2K

457 claims · 0.0%

Your Cost: $3.31/claim|Median: $76.06

0.0× median

87880Streptococcus, Group A, rapid antigen detectionSee all providers →

$1K

1,232 claims

$1.15

$11.48

0.1×

Normal range

87880Normal range

Streptococcus, Group A, rapid antigen detection

$1K

1,232 claims · 0.0%

Your Cost: $1.15/claim|Median: $11.48

0.1× median

81025Urine pregnancy testSee all providers →

$1K

3,558 claims

$0.38

$4.81

0.1×

Normal range

81025Normal range

Urine pregnancy test

$1K

3,558 claims · 0.0%

Your Cost: $0.38/claim|Median: $4.81

0.1× median

99000 See all providers →

$1K

18K claims

$0.06

$2.30

0.0×

Normal range

99000Normal range

$1K

18K claims · 0.0%

Your Cost: $0.06/claim|Median: $2.30

0.0× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$1K

153 claims

$6.89

$57.85

0.1×

Normal range

99203Normal range

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

$1K

153 claims · 0.0%

Your Cost: $6.89/claim|Median: $57.85

0.1× median

96127Brief emotional/behavioral assessment, per standardized instrumentSee all providers →

$1K

11K claims

$0.10

$3.67

0.0×

Normal range

96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$1K

11K claims · 0.0%

Your Cost: $0.10/claim|Median: $3.67

0.0× median

92014Ophthalmological exam, comprehensive, established patientSee all providers →

$1K

4,520 claims

$0.23

$47.08

0.0×

Normal range

92014Normal range

Ophthalmological exam, comprehensive, established patient

$1K

4,520 claims · 0.0%

Your Cost: $0.23/claim|Median: $47.08

0.0× median

H1003 See all providers →

$1K

93 claims

$10.91

$10.04

1.1×

Normal range

H1003Normal range

$1K

93 claims · 0.0%

Your Cost: $10.91/claim|Median: $10.04

1.1× median

99205Office/outpatient visit, new patient, high complexitySee all providers →

$1K

299 claims

$3.35

$111.09

0.0×

Normal range

99205Normal range

Office/outpatient visit, new patient, high complexity

$1K

299 claims · 0.0%

Your Cost: $3.35/claim|Median: $111.09

0.0× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$987

230 claims

$4.29

$84.03

0.1×

Normal range

99204Normal range

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

$987

230 claims · 0.0%

Your Cost: $4.29/claim|Median: $84.03

0.1× median

S9449 See all providers →

$510

17 claims

$30.00

$0.93

32.3×

Top 5%

S9449Top 5%

$510

17 claims · 0.0%

Your Cost: $30.00/claim|Median: $0.93

32.3× median

81002Urinalysis, non-automated without microscopySee all providers →

$458

3,624 claims

$0.13

$2.00

0.1×

Normal range

81002Normal range

Urinalysis, non-automated without microscopy

$458

3,624 claims · 0.0%

Your Cost: $0.13/claim|Median: $2.00

0.1× median

98941Chiropractic manipulative treatment, 3-4 spinal regionsSee all providers →

$422

69 claims

$6.12

$20.83

0.3×

Normal range

98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$422

69 claims · 0.0%

Your Cost: $6.12/claim|Median: $20.83

0.3× median

93000Electrocardiogram, complete, with interpretation and reportSee all providers →

$413

173 claims

$2.39

$9.70

0.2×

Normal range

93000Normal range

Electrocardiogram, complete, with interpretation and report

$413

173 claims · 0.0%

Your Cost: $2.39/claim|Median: $9.70

0.2× median

87811SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-readSee all providers →

$371

53 claims

$7.00

$30.53

0.2×

Normal range

87811Normal range

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

$371

53 claims · 0.0%

Your Cost: $7.00/claim|Median: $30.53

0.2× median

99202Office/outpatient visit, new patient, low complexitySee all providers →

$361

381 claims

$0.95

$40.11

0.0×

Normal range

99202Normal range

Office/outpatient visit, new patient, low complexity

$361

381 claims · 0.0%

Your Cost: $0.95/claim|Median: $40.11

0.0× median

90649 See all providers →

$351

53 claims

$6.62

$6.42

1.0×

Normal range

90649Normal range

$351

53 claims · 0.0%

Your Cost: $6.62/claim|Median: $6.42

1.0× median

90715Tdap vaccineSee all providers →

$347

344 claims

$1.01

$10.32

0.1×

Normal range

90715Normal range

Tdap vaccine

$347

344 claims · 0.0%

Your Cost: $1.01/claim|Median: $10.32

0.1× median

82962Blood glucose test by monitoring deviceSee all providers →

$311

9,022 claims

$0.03

$1.40

0.0×

Normal range

82962Normal range

Blood glucose test by monitoring device

$311

9,022 claims · 0.0%

Your Cost: $0.03/claim|Median: $1.40

0.0× median

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