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

LIFELONG MEDICAL CARE

Clinic/Center, Community Health·SAN PABLO, CA·NPI: 1487696191Share

Compared to Clinic/Center, Community Health Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $51.2M is at the 25th percentile among 8 Clinic/Center, Community Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$51.2M

$51,178,521

Total Claims

529K

Beneficiaries

393K

1.3 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$9.6M
-14%
2019
$8.3M
-23%
2020
$6.4M
+22%
2021
$7.8M
-21%
2022
$6.1M
+16%
2023
$7.1M
-16%
2024
$6.0M

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 67% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$34.5M

175K claims · 67.4%

Your Cost: $196.93/claim|Median: $121.16
1.6× median
00003Normal range

Anesthesia services

$11.1M

49K claims · 21.8%

Your Cost: $226.99/claim|Median: $223.77
1.0× median
99213Normal range

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

$2.0M

95K claims · 4.0%

Your Cost: $21.49/claim|Median: $37.81
0.6× median
99214Normal range

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

$1.3M

42K claims · 2.6%

Your Cost: $31.66/claim|Median: $53.41
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$446K

9,999 claims · 0.9%

Your Cost: $44.57/claim|Median: $63.65
0.7× median
G0467Top 10%

Federally qualified health center visit, mental health

$395K

3,543 claims · 0.8%

Your Cost: $111.47/claim|Median: $21.91
5.1× median
90832Normal range

Psychotherapy, 30 minutes

$283K

9,945 claims · 0.6%

Your Cost: $28.46/claim|Median: $41.28
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$181K

18K claims · 0.4%

Your Cost: $10.33/claim|Median: $25.06
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$102K

3,613 claims · 0.2%

Your Cost: $28.20/claim|Median: $80.15
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$96K

4,374 claims · 0.2%

Your Cost: $21.89/claim|Median: $74.82
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$77K

1,078 claims · 0.1%

Your Cost: $70.97/claim|Median: $99.21
0.7× median
90471Normal range

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

$58K

23K claims · 0.1%

Your Cost: $2.56/claim|Median: $9.80
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$47K

2,707 claims · 0.1%

Your Cost: $17.50/claim|Median: $75.18
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$47K

1,714 claims · 0.1%

Your Cost: $27.41/claim|Median: $74.09
0.4× median
92081Normal range

$45K

3,007 claims · 0.1%

Your Cost: $15.12/claim|Median: $11.63
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$37K

8,156 claims · 0.1%

Your Cost: $4.60/claim|Median: $6.61
0.7× median
99078Normal range

$33K

3,286 claims · 0.1%

Your Cost: $9.95/claim|Median: $25.66
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$30K

1,393 claims · 0.1%

Your Cost: $21.37/claim|Median: $69.35
0.3× median
97811Normal range

$28K

1,794 claims · 0.1%

Your Cost: $15.74/claim|Median: $19.71
0.8× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$22K

2,008 claims · 0.0%

Your Cost: $10.76/claim|Median: $20.83
0.5× median
85018Normal range

$21K

24K claims · 0.0%

Your Cost: $0.86/claim|Median: $1.71
0.5× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$18K

269 claims · 0.0%

Your Cost: $66.59/claim|Median: $33.85
2.0× median
97810Normal range

$18K

1,832 claims · 0.0%

Your Cost: $9.75/claim|Median: $23.92
0.4× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$17K

255 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.72
2.0× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$17K

256 claims · 0.0%

Your Cost: $66.74/claim|Median: $36.70
1.8× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$17K

253 claims · 0.0%

Your Cost: $65.83/claim|Median: $25.93
2.5× median
90837Normal range

Psychotherapy, 60 minutes

$15K

202 claims · 0.0%

Your Cost: $74.12/claim|Median: $85.66
0.9× median
0071ATop 5%

$10K

154 claims · 0.0%

Your Cost: $67.00/claim|Median: $38.71
1.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$10K

316 claims · 0.0%

Your Cost: $32.35/claim|Median: $40.11
0.8× median
0072ATop 5%

$10K

143 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.57
1.7× median
90739Normal range

$9K

90 claims · 0.0%

Your Cost: $105.44/claim|Median: $74.43
1.4× median
90677Normal range

$9K

452 claims · 0.0%

Your Cost: $20.87/claim|Median: $12.96
1.6× median
0064ATop 5%

$7K

109 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.17
2.0× median
90651Normal range

HPV vaccine, 9-valent

$7K

793 claims · 0.0%

Your Cost: $8.55/claim|Median: $8.93
1.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$6K

854 claims · 0.0%

Your Cost: $7.47/claim|Median: $12.63
0.6× median
0004ATop 5%

$5K

78 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.62
1.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$5K

28 claims · 0.0%

Your Cost: $185.61/claim|Median: $111.09
1.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$5K

3,820 claims · 0.0%

Your Cost: $1.36/claim|Median: $7.18
0.2× median
90480Normal range

$4K

212 claims · 0.0%

Your Cost: $19.80/claim|Median: $25.29
0.8× median
98940Normal range

$4K

463 claims · 0.0%

Your Cost: $8.69/claim|Median: $14.55
0.6× median
90670Normal range

$4K

641 claims · 0.0%

Your Cost: $5.80/claim|Median: $5.94
1.0× median
99204Normal range

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

$4K

101 claims · 0.0%

Your Cost: $36.68/claim|Median: $84.03
0.4× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$4K

444 claims · 0.0%

Your Cost: $7.91/claim|Median: $27.38
0.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

417 claims · 0.0%

Your Cost: $7.72/claim|Median: $12.93
0.6× median
81025Normal range

Urine pregnancy test

$3K

3,329 claims · 0.0%

Your Cost: $0.95/claim|Median: $4.81
0.2× median
99203Normal range

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

$3K

67 claims · 0.0%

Your Cost: $47.01/claim|Median: $57.85
0.8× median
81002Normal range

Urinalysis, non-automated without microscopy

$3K

6,280 claims · 0.0%

Your Cost: $0.46/claim|Median: $2.00
0.2× median
96110Top 25%

Developmental screening, per standardized instrument

$2K

120 claims · 0.0%

Your Cost: $19.57/claim|Median: $9.10
2.2× median
90734Normal range

$2K

568 claims · 0.0%

Your Cost: $3.78/claim|Median: $6.40
0.6× median
J3490Normal range

Unclassified drugs

$2K

147 claims · 0.0%

Your Cost: $14.29/claim|Median: $5.70
2.5× median