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

TRI-STATE COMMUNITY HEALTHCARE CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·ADELANTO, CA·NPI: 1508379017Share

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 $30.4M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2019-092024-12(64 months)

Total Paid

$30.4M

$30,383,397

Total Claims

865K

Beneficiaries

685K

1.3 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2019
$162K
+1531%
2020
$2.6M
+63%
2021
$4.3M
+18%
2022
$5.1M
+39%
2023
$7.1M
+57%
2024
$11.1M

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 88% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$26.9M

165K claims · 88.5%

Your Cost: $163.18/claim|Median: $121.16
1.3× median
00003Normal range

Anesthesia services

$2.8M

12K claims · 9.1%

Your Cost: $238.69/claim|Median: $223.77
1.1× median
99213Normal range

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

$241K

86K claims · 0.8%

Your Cost: $2.79/claim|Median: $37.81
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$164K

85K claims · 0.5%

Your Cost: $1.93/claim|Median: $25.06
0.1× median
G0071Normal range

$74K

19K claims · 0.2%

Your Cost: $3.96/claim|Median: $7.20
0.6× median
G8431Normal range

$46K

6,134 claims · 0.2%

Your Cost: $7.48/claim|Median: $2.37
3.2× median
96156Normal range

$37K

3,049 claims · 0.1%

Your Cost: $12.01/claim|Median: $22.36
0.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$23K

2,435 claims · 0.1%

Your Cost: $9.35/claim|Median: $59.72
0.2× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$22K

2,681 claims · 0.1%

Your Cost: $8.34/claim|Median: $76.22
0.1× median
G0447Normal range

$18K

6,044 claims · 0.1%

Your Cost: $3.05/claim|Median: $5.19
0.6× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$16K

8,021 claims · 0.1%

Your Cost: $2.02/claim|Median: $12.70
0.2× median
99203Normal range

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

$14K

3,787 claims · 0.0%

Your Cost: $3.82/claim|Median: $57.85
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$13K

4,029 claims · 0.0%

Your Cost: $3.18/claim|Median: $6.61
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$11K

5,677 claims · 0.0%

Your Cost: $1.97/claim|Median: $40.11
0.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$5K

6,055 claims · 0.0%

Your Cost: $0.90/claim|Median: $24.33
0.0× median
99447Normal range

$5K

8,772 claims · 0.0%

Your Cost: $0.62/claim|Median: $9.30
0.1× median
99214Normal range

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

$5K

892 claims · 0.0%

Your Cost: $5.72/claim|Median: $53.41
0.1× median
G2023Normal range

Specimen collection for COVID-19 testing

$5K

377 claims · 0.0%

Your Cost: $13.25/claim|Median: $17.15
0.8× median
99443Normal range

Telephone E/M by physician, 21-30 min

$5K

1,616 claims · 0.0%

Your Cost: $2.95/claim|Median: $32.55
0.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$4K

709 claims · 0.0%

Your Cost: $4.94/claim|Median: $47.08
0.1× median
G8510Normal range

$3K

32K claims · 0.0%

Your Cost: $0.10/claim|Median: $1.96
0.0× median
96110Normal range

Developmental screening, per standardized instrument

$3K

1,374 claims · 0.0%

Your Cost: $2.19/claim|Median: $9.10
0.2× median
99000Normal range

$3K

6,253 claims · 0.0%

Your Cost: $0.48/claim|Median: $2.30
0.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$3K

1,226 claims · 0.0%

Your Cost: $2.04/claim|Median: $72.71
0.0× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$2K

882 claims · 0.0%

Your Cost: $2.83/claim|Median: $87.82
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

21 claims · 0.0%

Your Cost: $114.72/claim|Median: $99.21
1.2× median
99401Normal range

$1K

21K claims · 0.0%

Your Cost: $0.06/claim|Median: $16.53
0.0× median
90471Normal range

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

$911

1,141 claims · 0.0%

Your Cost: $0.80/claim|Median: $9.80
0.1× median
86580Normal range

Tuberculosis (TB) skin test

$869

440 claims · 0.0%

Your Cost: $1.97/claim|Median: $4.46
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$706

272 claims · 0.0%

Your Cost: $2.59/claim|Median: $80.15
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$592

175 claims · 0.0%

Your Cost: $3.38/claim|Median: $5.50
0.6× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$543

124 claims · 0.0%

Your Cost: $4.38/claim|Median: $81.92
0.1× median
85018Normal range

$489

1,494 claims · 0.0%

Your Cost: $0.33/claim|Median: $1.71
0.2× median
G2025Normal range

$452

36 claims · 0.0%

Your Cost: $12.55/claim|Median: $15.63
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$391

288 claims · 0.0%

Your Cost: $1.36/claim|Median: $74.82
0.0× median
99304Top 25%

$374

12 claims · 0.0%

Your Cost: $31.18/claim|Median: $13.51
2.3× median
G9920Normal range

$373

407 claims · 0.0%

Your Cost: $0.92/claim|Median: $6.56
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$312

92 claims · 0.0%

Your Cost: $3.39/claim|Median: $7.18
0.5× median
3079FNormal range

$292

8,949 claims · 0.0%

Your Cost: $0.03/claim|Median: $0.12
0.3× median
G0444Normal range

Annual depression screening, fifteen minutes

$276

16K claims · 0.0%

Your Cost: $0.02/claim|Median: $4.23
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$218

1,253 claims · 0.0%

Your Cost: $0.17/claim|Median: $76.06
0.0× median
3008FNormal range

$175

48K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
0.1× median
H0050Normal range

$170

264 claims · 0.0%

Your Cost: $0.64/claim|Median: $46.71
0.0× median
82948Normal range

$153

672 claims · 0.0%

Your Cost: $0.23/claim|Median: $1.78
0.1× median
G0442Normal range

$147

538 claims · 0.0%

Your Cost: $0.27/claim|Median: $4.91
0.1× median
99406Normal range

$143

472 claims · 0.0%

Your Cost: $0.30/claim|Median: $6.53
0.0× median
99204Normal range

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

$115

178 claims · 0.0%

Your Cost: $0.64/claim|Median: $84.03
0.0× median
1126FNormal range

$104

25K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
0.2× median
92060Normal range

$100

14 claims · 0.0%

Your Cost: $7.17/claim|Median: $35.83
0.2× median
1159FNormal range

$85

47K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.2× median