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MISSION AREA HEALTH ASSOCIATES

Clinic/Center, Federally Qualified Health Center (FQHC)·SAN FRANCISCO, CA·NPI: 1457427411Share

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 $26.8M 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

$26.8M

$26,758,318

Total Claims

367K

Beneficiaries

286K

1.3 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-3%
2019
$2.9M
+21%
2020
$3.5M
+37%
2021
$4.8M
-33%
2022
$3.2M
+23%
2023
$4.0M
+33%
2024
$5.3M

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 89% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$23.8M

127K claims · 88.8%

Your Cost: $187.52/claim|Median: $121.16
1.5× median
00003Normal range

Anesthesia services

$1.5M

5,478 claims · 5.6%

Your Cost: $274.87/claim|Median: $223.77
1.2× median
G0467Top 10%

Federally qualified health center visit, mental health

$553K

5,923 claims · 2.1%

Your Cost: $93.31/claim|Median: $21.91
4.3× median
G9012Top 5%

Other specified case management service, per 15 minutes

$228K

394 claims · 0.9%

Your Cost: $579.70/claim|Median: $137.85
4.2× median
99213Normal range

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

$168K

68K claims · 0.6%

Your Cost: $2.46/claim|Median: $37.81
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$125K

1,897 claims · 0.5%

Your Cost: $66.08/claim|Median: $63.65
1.0× median
90837Top 25%

Psychotherapy, 60 minutes

$70K

672 claims · 0.3%

Your Cost: $103.60/claim|Median: $85.66
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$64K

1,367 claims · 0.2%

Your Cost: $46.84/claim|Median: $41.28
1.1× median
99214Normal range

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

$49K

16K claims · 0.2%

Your Cost: $3.01/claim|Median: $53.41
0.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$31K

199 claims · 0.1%

Your Cost: $154.31/claim|Median: $99.21
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$25K

6,777 claims · 0.1%

Your Cost: $3.64/claim|Median: $80.15
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$24K

20K claims · 0.1%

Your Cost: $1.16/claim|Median: $25.06
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$23K

7,796 claims · 0.1%

Your Cost: $2.98/claim|Median: $75.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$23K

9,224 claims · 0.1%

Your Cost: $2.47/claim|Median: $74.82
0.0× median
90471Normal range

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

$18K

27K claims · 0.1%

Your Cost: $0.66/claim|Median: $9.80
0.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$10K

443 claims · 0.0%

Your Cost: $22.63/claim|Median: $47.08
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$9K

3,430 claims · 0.0%

Your Cost: $2.60/claim|Median: $69.35
0.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$7K

185 claims · 0.0%

Your Cost: $38.03/claim|Median: $33.72
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$6K

6,086 claims · 0.0%

Your Cost: $1.05/claim|Median: $11.79
0.1× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$6K

97 claims · 0.0%

Your Cost: $63.55/claim|Median: $25.93
2.5× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$6K

104 claims · 0.0%

Your Cost: $57.66/claim|Median: $33.85
1.7× median
92552Normal range

Pure tone audiometry, air only, each ear

$6K

12K claims · 0.0%

Your Cost: $0.48/claim|Median: $12.63
0.0× median
H1001Normal range

$6K

302 claims · 0.0%

Your Cost: $18.98/claim|Median: $60.48
0.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$5K

69 claims · 0.0%

Your Cost: $68.39/claim|Median: $77.33
0.9× median
90715Normal range

Tdap vaccine

$3K

954 claims · 0.0%

Your Cost: $3.44/claim|Median: $10.32
0.3× median
96110Normal range

Developmental screening, per standardized instrument

$3K

592 claims · 0.0%

Your Cost: $4.63/claim|Median: $9.10
0.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$3K

1,625 claims · 0.0%

Your Cost: $1.67/claim|Median: $5.50
0.3× median
99203Normal range

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

$2K

272 claims · 0.0%

Your Cost: $8.80/claim|Median: $57.85
0.2× median
0124ATop 10%

$2K

37 claims · 0.0%

Your Cost: $59.76/claim|Median: $34.32
1.7× median
87811Normal range

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

$2K

149 claims · 0.0%

Your Cost: $13.85/claim|Median: $30.53
0.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

1,960 claims · 0.0%

Your Cost: $0.96/claim|Median: $12.93
0.1× median
G0466Top 25%

$2K

16 claims · 0.0%

Your Cost: $95.36/claim|Median: $63.31
1.5× median
90750Normal range

$2K

17 claims · 0.0%

Your Cost: $88.41/claim|Median: $96.16
0.9× median
90739Normal range

$1K

44 claims · 0.0%

Your Cost: $33.70/claim|Median: $74.43
0.5× median
90677Top 25%

$1K

14 claims · 0.0%

Your Cost: $104.69/claim|Median: $12.96
8.1× median
99173Normal range

$1K

12K claims · 0.0%

Your Cost: $0.10/claim|Median: $2.16
0.0× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$1K

22 claims · 0.0%

Your Cost: $56.34/claim|Median: $36.70
1.5× median
91320Normal range

$1K

75 claims · 0.0%

Your Cost: $16.39/claim|Median: $72.65
0.2× median
J3490Normal range

Unclassified drugs

$1K

185 claims · 0.0%

Your Cost: $6.29/claim|Median: $5.70
1.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$1K

691 claims · 0.0%

Your Cost: $1.53/claim|Median: $38.23
0.0× median
90688Normal range

$979

2,845 claims · 0.0%

Your Cost: $0.34/claim|Median: $9.00
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$928

237 claims · 0.0%

Your Cost: $3.91/claim|Median: $9.56
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$776

2,791 claims · 0.0%

Your Cost: $0.28/claim|Median: $7.18
0.0× median
82274Normal range

$651

178 claims · 0.0%

Your Cost: $3.66/claim|Median: $12.83
0.3× median
90656Normal range

$594

139 claims · 0.0%

Your Cost: $4.27/claim|Median: $8.67
0.5× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$594

37 claims · 0.0%

Your Cost: $16.05/claim|Median: $41.92
0.4× median
99401Normal range

$574

608 claims · 0.0%

Your Cost: $0.94/claim|Median: $16.53
0.1× median
81025Normal range

Urine pregnancy test

$481

1,235 claims · 0.0%

Your Cost: $0.39/claim|Median: $4.81
0.1× median
86580Normal range

Tuberculosis (TB) skin test

$445

1,646 claims · 0.0%

Your Cost: $0.27/claim|Median: $4.46
0.1× median
82948Normal range

$371

563 claims · 0.0%

Your Cost: $0.66/claim|Median: $1.78
0.4× median

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

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