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NORTHERN CALIFORNIA CANCER CENTER

Internal Medicine, Medical Oncology·MODESTO, CA·NPI: 1447539374Share
Active Billing Period:2018-01→2024-08(80 months)

Total Paid

$40.0M

$39,950,800

Total Claims

225K

Beneficiaries

96K

2.4 claims/patient

Avg Cost/Claim

$178

Monthly Spending Trend

Yearly Spending

2018
$10.7M
-15%
2019
$9.1M
-27%
2020
$6.6M
-23%
2021
$5.1M
-36%
2022
$3.3M
+8%
2023
$3.5M
-52%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 40 distinct procedure codes. The top code (J9264) accounts for 44% of total spending.

J9264Top 25%

$17.4M

6,494 claims · 43.5%

Your Cost: $2,676.66/claim|Median: $941.67
2.8× median
J9299Top 25%

Nivolumab (Opdivo) injection, 1 mg

$8.1M

1,610 claims · 20.3%

Your Cost: $5,048.48/claim|Median: $3,562.28
1.4× median
J9395Top 10%

Injection, fulvestrant, twenty-five milligrams

$2.3M

1,963 claims · 5.9%

Your Cost: $1,191.98/claim|Median: $367.29
3.2× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$1.8M

262 claims · 4.6%

Your Cost: $6,940.88/claim|Median: $5,391.55
1.3× median
J9355Normal range

Injection, trastuzumab, ten milligrams

$1.6M

1,029 claims · 4.1%

Your Cost: $1,588.95/claim|Median: $1,942.13
0.8× median
J2997Normal range

$1.4M

20K claims · 3.6%

Your Cost: $71.23/claim|Median: $86.25
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$1.4M

26K claims · 3.4%

Your Cost: $52.66/claim|Median: $74.09
0.7× median
J1453Top 5%

$824K

2,113 claims · 2.1%

Your Cost: $389.79/claim|Median: $65.90
5.9× median
96365Normal range

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

$801K

15K claims · 2.0%

Your Cost: $53.57/claim|Median: $54.77
1.0× median
36593Normal range

$523K

20K claims · 1.3%

Your Cost: $26.08/claim|Median: $65.22
0.4× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$471K

13K claims · 1.2%

Your Cost: $35.32/claim|Median: $0.58
60.9× median
J1100Top 1%

$468K

8,229 claims · 1.2%

Your Cost: $56.91/claim|Median: $0.52
109.4× median
J9070Normal range

$465K

3,360 claims · 1.2%

Your Cost: $138.41/claim|Median: $163.22
0.8× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$391K

17K claims · 1.0%

Your Cost: $23.54/claim|Median: $75.28
0.3× median
J0897Top 5%

Injection, denosumab, one milligram

$383K

201 claims · 1.0%

Your Cost: $1,905.93/claim|Median: $493.25
3.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$356K

15K claims · 0.9%

Your Cost: $24.30/claim|Median: $14.92
1.6× median
96367Normal range

$238K

8,185 claims · 0.6%

Your Cost: $29.08/claim|Median: $29.27
1.0× median
J7050Top 25%

Normal saline solution infusion, 250 cc

$144K

18K claims · 0.4%

Your Cost: $7.88/claim|Median: $0.82
9.6× median
96417Normal range

$138K

5,491 claims · 0.3%

Your Cost: $25.11/claim|Median: $37.60
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$136K

8,065 claims · 0.3%

Your Cost: $16.84/claim|Median: $25.06
0.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$100K

5,590 claims · 0.2%

Your Cost: $17.81/claim|Median: $9.56
1.9× median
96415Normal range

Chemotherapy infusion, each additional hour

$93K

3,809 claims · 0.2%

Your Cost: $24.40/claim|Median: $43.68
0.6× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$68K

3,065 claims · 0.2%

Your Cost: $22.27/claim|Median: $40.12
0.6× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$47K

1,098 claims · 0.1%

Your Cost: $43.25/claim|Median: $61.57
0.7× median
J3489Top 25%

Injection, zoledronic acid, one milligram

$47K

847 claims · 0.1%

Your Cost: $55.57/claim|Median: $24.58
2.3× median
J1200Top 25%

$32K

8,003 claims · 0.1%

Your Cost: $4.05/claim|Median: $0.60
6.8× median
99195Normal range

$26K

2,094 claims · 0.1%

Your Cost: $12.47/claim|Median: $34.14
0.4× median
96402Normal range

$21K

2,294 claims · 0.1%

Your Cost: $9.20/claim|Median: $20.95
0.4× median
J3420Top 5%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$18K

3,667 claims · 0.0%

Your Cost: $4.98/claim|Median: $1.04
4.8× median
J0640Top 5%

$14K

147 claims · 0.0%

Your Cost: $97.61/claim|Median: $24.08
4.1× median
99213Normal range

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

$14K

646 claims · 0.0%

Your Cost: $21.23/claim|Median: $37.81
0.6× median
J9045Top 25%

$10K

293 claims · 0.0%

Your Cost: $35.31/claim|Median: $14.63
2.4× median
J7040Top 25%

Normal saline solution infusion, 500 cc

$7K

1,467 claims · 0.0%

Your Cost: $5.10/claim|Median: $1.11
4.6× median
96409Normal range

$6K

524 claims · 0.0%

Your Cost: $10.88/claim|Median: $72.14
0.2× median
J9190Top 10%

$4K

119 claims · 0.0%

Your Cost: $33.24/claim|Median: $9.86
3.4× median
J1642Top 5%

$3K

61 claims · 0.0%

Your Cost: $52.61/claim|Median: $1.11
47.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2K

45 claims · 0.0%

Your Cost: $45.65/claim|Median: $35.30
1.3× median
J1626Normal range

$1K

338 claims · 0.0%

Your Cost: $3.64/claim|Median: $2.63
1.4× median
96416Normal range

$1K

24 claims · 0.0%

Your Cost: $46.00/claim|Median: $118.51
0.4× median
96361Normal range

IV infusion, hydration, each additional hour

$1K

121 claims · 0.0%

Your Cost: $8.87/claim|Median: $38.92
0.2× median

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