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

⚖️ Compare🖨️ Print Report

COUNTY OF TULARE

Clinic/Center, Federally Qualified Health Center (FQHC)·VISALIA, CA·NPI: 1457385163Share

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 $38.0M 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

$38.0M

$37,991,184

Total Claims

389K

Beneficiaries

322K

1.2 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$6.3M
-6%
2019
$5.9M
-23%
2020
$4.5M
+14%
2021
$5.1M
-15%
2022
$4.4M
+39%
2023
$6.1M
-6%
2024
$5.7M

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 94% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$35.6M

118K claims · 93.8%

Your Cost: $302.93/claim|Median: $121.16
2.5× median
G0467Top 5%

Federally qualified health center visit, mental health

$2.2M

15K claims · 5.7%

Your Cost: $143.98/claim|Median: $21.91
6.6× median
99213Normal range

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

$86K

63K claims · 0.2%

Your Cost: $1.37/claim|Median: $37.81
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$49K

16K claims · 0.1%

Your Cost: $3.01/claim|Median: $25.06
0.1× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$12K

260 claims · 0.0%

Your Cost: $45.43/claim|Median: $33.85
1.3× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$11K

250 claims · 0.0%

Your Cost: $43.68/claim|Median: $25.93
1.7× median
99214Normal range

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

$10K

12K claims · 0.0%

Your Cost: $0.85/claim|Median: $53.41
0.0× median
J3490Top 25%

Unclassified drugs

$8K

135 claims · 0.0%

Your Cost: $60.70/claim|Median: $5.70
10.6× median
H1001Normal range

$5K

1,127 claims · 0.0%

Your Cost: $4.30/claim|Median: $60.48
0.1× median
0072ATop 25%

$4K

92 claims · 0.0%

Your Cost: $45.28/claim|Median: $39.57
1.1× median
0013ATop 25%

$4K

78 claims · 0.0%

Your Cost: $46.41/claim|Median: $35.38
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$4K

1,571 claims · 0.0%

Your Cost: $2.29/claim|Median: $23.99
0.1× median
0071ATop 25%

$4K

82 claims · 0.0%

Your Cost: $43.16/claim|Median: $38.71
1.1× median
G2025Normal range

$2K

1,148 claims · 0.0%

Your Cost: $1.40/claim|Median: $15.63
0.1× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$1K

20 claims · 0.0%

Your Cost: $50.35/claim|Median: $33.72
1.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$939

157 claims · 0.0%

Your Cost: $5.98/claim|Median: $35.30
0.2× median
3725FNormal range

$826

15K claims · 0.0%

Your Cost: $0.06/claim|Median: $0.03
1.9× median
1125FNormal range

$762

6,360 claims · 0.0%

Your Cost: $0.12/claim|Median: $0.03
4.0× median
3008FNormal range

$662

31K claims · 0.0%

Your Cost: $0.02/claim|Median: $0.06
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$542

1,301 claims · 0.0%

Your Cost: $0.42/claim|Median: $69.35
0.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$407

36 claims · 0.0%

Your Cost: $11.30/claim|Median: $73.46
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$377

2,270 claims · 0.0%

Your Cost: $0.17/claim|Median: $75.18
0.0× median
1126FNormal range

$372

25K claims · 0.0%

Your Cost: $0.02/claim|Median: $0.02
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$289

2,371 claims · 0.0%

Your Cost: $0.12/claim|Median: $74.82
0.0× median
81003Normal range

Urinalysis, automated without microscopy

$243

4,503 claims · 0.0%

Your Cost: $0.05/claim|Median: $1.48
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$205

132 claims · 0.0%

Your Cost: $1.55/claim|Median: $72.71
0.0× median
99203Normal range

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

$185

103 claims · 0.0%

Your Cost: $1.80/claim|Median: $57.85
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$180

1,530 claims · 0.0%

Your Cost: $0.12/claim|Median: $7.18
0.0× median
81025Normal range

Urine pregnancy test

$134

395 claims · 0.0%

Your Cost: $0.34/claim|Median: $4.81
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$119

3,063 claims · 0.0%

Your Cost: $0.04/claim|Median: $6.61
0.0× median
82962Normal range

Blood glucose test by monitoring device

$99

3,200 claims · 0.0%

Your Cost: $0.03/claim|Median: $1.40
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$97

1,889 claims · 0.0%

Your Cost: $0.05/claim|Median: $5.50
0.0× median
90670Normal range

$76

595 claims · 0.0%

Your Cost: $0.13/claim|Median: $5.94
0.0× median
85018Normal range

$72

5,023 claims · 0.0%

Your Cost: $0.01/claim|Median: $1.71
0.0× median
90682Normal range

$70

139 claims · 0.0%

Your Cost: $0.51/claim|Median: $34.72
0.0× median
90471Normal range

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

$64

1,484 claims · 0.0%

Your Cost: $0.04/claim|Median: $9.80
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$57

1,966 claims · 0.0%

Your Cost: $0.03/claim|Median: $80.15
0.0× median
90715Normal range

Tdap vaccine

$55

221 claims · 0.0%

Your Cost: $0.25/claim|Median: $10.32
0.0× median
96156Normal range

$43

120 claims · 0.0%

Your Cost: $0.36/claim|Median: $22.36
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$39

92 claims · 0.0%

Your Cost: $0.43/claim|Median: $9.56
0.0× median
Q0091Normal range

$37

98 claims · 0.0%

Your Cost: $0.37/claim|Median: $11.15
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$26

308 claims · 0.0%

Your Cost: $0.09/claim|Median: $12.93
0.0× median
99173Normal range

$22

3,020 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.16
0.0× median
86580Normal range

Tuberculosis (TB) skin test

$17

257 claims · 0.0%

Your Cost: $0.07/claim|Median: $4.46
0.0× median
99401Normal range

$17

103 claims · 0.0%

Your Cost: $0.16/claim|Median: $16.53
0.0× median
90696Normal range

DTaP-IPV vaccine

$9

64 claims · 0.0%

Your Cost: $0.15/claim|Median: $5.95
0.0× median
99000Normal range

$7

121 claims · 0.0%

Your Cost: $0.06/claim|Median: $2.30
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$2

93 claims · 0.0%

Your Cost: $0.03/claim|Median: $2.00
0.0× median
0502FNormal range

$0

307 claims · 0.0%

Your Cost: $0.00/claim|Median: $44.10
90710Normal range

MMRV vaccine

$0

124 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.00

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$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

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providersAll providers in California →How we detect fraud →