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CONTRA COSTA COUNTY

Clinic/Center, Federally Qualified Health Center (FQHC)·MARTINEZ, CA·NPI: 1467522284Share

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 $100.6M 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

$100.6M

$100,635,658

Total Claims

1.2M

Beneficiaries

858K

1.4 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2018
$15.0M
-22%
2019
$11.8M
+18%
2020
$13.8M
+25%
2021
$17.3M
-29%
2022
$12.3M
+19%
2023
$14.7M
+7%
2024
$15.7M

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 85% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$85.5M

250K claims · 85.0%

Your Cost: $341.35/claim|Median: $121.16
2.8× median
0510Top 10%

Revenue code, clinic services

$13.9M

171K claims · 13.9%

Your Cost: $81.67/claim|Median: $28.38
2.9× median
G0467Top 5%

Federally qualified health center visit, mental health

$299K

1,548 claims · 0.3%

Your Cost: $193.01/claim|Median: $21.91
8.8× median
0513Top 1%

$291K

3,727 claims · 0.3%

Your Cost: $78.18/claim|Median: $52.79
1.5× median
90853Normal range

Group psychotherapy

$119K

4,286 claims · 0.1%

Your Cost: $27.87/claim|Median: $25.02
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$110K

9,738 claims · 0.1%

Your Cost: $11.34/claim|Median: $108.91
0.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$80K

7,817 claims · 0.1%

Your Cost: $10.26/claim|Median: $36.70
0.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$66K

6,334 claims · 0.1%

Your Cost: $10.37/claim|Median: $33.72
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$46K

2,112 claims · 0.0%

Your Cost: $21.68/claim|Median: $41.28
0.5× median
96152Top 25%

Health behavior intervention, individual

$36K

911 claims · 0.0%

Your Cost: $39.80/claim|Median: $20.02
2.0× median
90791Normal range

Psychiatric diagnostic evaluation

$35K

1,391 claims · 0.0%

Your Cost: $25.18/claim|Median: $99.21
0.3× median
96158Normal range

$20K

936 claims · 0.0%

Your Cost: $21.30/claim|Median: $28.43
0.7× median
0004ANormal range

$14K

354 claims · 0.0%

Your Cost: $39.66/claim|Median: $35.62
1.1× median
0054ANormal range

$10K

265 claims · 0.0%

Your Cost: $37.37/claim|Median: $35.83
1.0× median
99213Normal range

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

$9K

186K claims · 0.0%

Your Cost: $0.05/claim|Median: $37.81
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$9K

5,821 claims · 0.0%

Your Cost: $1.49/claim|Median: $69.35
0.0× median
90863Normal range

$5K

668 claims · 0.0%

Your Cost: $7.86/claim|Median: $29.71
0.3× median
0124ANormal range

$4K

123 claims · 0.0%

Your Cost: $32.14/claim|Median: $34.32
0.9× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$4K

618 claims · 0.0%

Your Cost: $6.35/claim|Median: $33.85
0.2× median
99214Normal range

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

$4K

32K claims · 0.0%

Your Cost: $0.12/claim|Median: $53.41
0.0× median
0064ATop 25%

$3K

86 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.17
1.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$3K

543 claims · 0.0%

Your Cost: $5.48/claim|Median: $25.93
0.2× median
0071ANormal range

$3K

69 claims · 0.0%

Your Cost: $40.00/claim|Median: $38.71
1.0× median
99078Top 5%

$3K

31 claims · 0.0%

Your Cost: $82.04/claim|Median: $25.66
3.2× median
Z7500Normal range

$2K

114K claims · 0.0%

Your Cost: $0.02/claim|Median: $33.71
0.0× median
96110Normal range

Developmental screening, per standardized instrument

$2K

1,621 claims · 0.0%

Your Cost: $1.21/claim|Median: $9.10
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$2K

44 claims · 0.0%

Your Cost: $41.02/claim|Median: $63.65
0.6× median
0003ATop 25%

COVID-19 vaccine admin, Pfizer, 3rd dose

$760

19 claims · 0.0%

Your Cost: $40.00/claim|Median: $36.49
1.1× median
91322Normal range

$650

153 claims · 0.0%

Your Cost: $4.25/claim|Median: $76.28
0.1× median
0052ANormal range

$560

14 claims · 0.0%

Your Cost: $40.00/claim|Median: $37.79
1.1× median
96153Normal range

Health/behavior intervention, group

$410

918 claims · 0.0%

Your Cost: $0.45/claim|Median: $6.67
0.1× median
90480Normal range

$200

212 claims · 0.0%

Your Cost: $0.94/claim|Median: $25.29
0.0× median
99203Normal range

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

$164

9,823 claims · 0.0%

Your Cost: $0.02/claim|Median: $57.85
0.0× median
Q3014Normal range

Telehealth originating site facility fee

$84

125K claims · 0.0%

Your Cost: $0.00/claim|Median: $15.37
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$51

720 claims · 0.0%

Your Cost: $0.07/claim|Median: $39.70
0.0× median
90471Normal range

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

$29

25K claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
0.0× median
81025Normal range

Urine pregnancy test

$0

180 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
84450Normal range

$0

139 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.49
90750Normal range

$0

308 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.16
A9579Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.25
87880Normal range

Streptococcus, Group A, rapid antigen detection

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48
82607Normal range

Cyanocobalamin (vitamin B-12)

$0

804 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.72
84443Normal range

Thyroid stimulating hormone (TSH)

$0

1,123 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.87
90739Normal range

$0

719 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.43
80307Normal range

Drug test, presumptive, by chemistry analyzers

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.43
82306Normal range

Vitamin D, 25 hydroxy

$0

931 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.18
90680Normal range

$0

792 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.58
90632Normal range

$0

105 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.43
82728Normal range

Ferritin

$0

138 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.00
90698Normal range

$0

87 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.32