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LA CLINICA DE LA RAZA INC

Clinic/Center, Federally Qualified Health Center (FQHC)·CONCORD, CA·NPI: 1538181482Share

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 $41.2M 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

$41.2M

$41,188,228

Total Claims

400K

Beneficiaries

307K

1.3 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$6.6M
-19%
2019
$5.4M
-3%
2020
$5.2M
+32%
2021
$6.9M
-28%
2022
$5.0M
+21%
2023
$6.0M
+3%
2024
$6.2M

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 50% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$20.8M

111K claims · 50.4%

Your Cost: $186.47/claim|Median: $121.16
1.5× median
00003Normal range

Anesthesia services

$17.0M

73K claims · 41.3%

Your Cost: $234.61/claim|Median: $223.77
1.0× median
99213Normal range

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

$1.3M

78K claims · 3.2%

Your Cost: $16.82/claim|Median: $37.81
0.4× median
99214Normal range

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

$395K

20K claims · 1.0%

Your Cost: $19.89/claim|Median: $53.41
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$276K

27K claims · 0.7%

Your Cost: $10.24/claim|Median: $25.06
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$196K

4,077 claims · 0.5%

Your Cost: $47.98/claim|Median: $63.65
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$140K

1,778 claims · 0.3%

Your Cost: $78.54/claim|Median: $99.21
0.8× median
G0442Normal range

$102K

8,619 claims · 0.2%

Your Cost: $11.78/claim|Median: $4.91
2.4× median
G0467Top 5%

Federally qualified health center visit, mental health

$98K

769 claims · 0.2%

Your Cost: $127.41/claim|Median: $21.91
5.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$79K

3,229 claims · 0.2%

Your Cost: $24.44/claim|Median: $75.18
0.3× median
90739Normal range

$74K

674 claims · 0.2%

Your Cost: $109.12/claim|Median: $74.43
1.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$69K

1,891 claims · 0.2%

Your Cost: $36.63/claim|Median: $59.72
0.6× median
90677Top 25%

$65K

639 claims · 0.2%

Your Cost: $101.78/claim|Median: $12.96
7.9× median
90750Normal range

$62K

755 claims · 0.2%

Your Cost: $82.76/claim|Median: $96.16
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$51K

1,919 claims · 0.1%

Your Cost: $26.74/claim|Median: $74.82
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$49K

1,291 claims · 0.1%

Your Cost: $37.81/claim|Median: $80.15
0.5× median
G9920Top 25%

$40K

1,608 claims · 0.1%

Your Cost: $24.94/claim|Median: $6.56
3.8× median
99078Normal range

$37K

2,171 claims · 0.1%

Your Cost: $17.16/claim|Median: $25.66
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$35K

1,607 claims · 0.1%

Your Cost: $21.56/claim|Median: $74.09
0.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$31K

1,041 claims · 0.1%

Your Cost: $30.24/claim|Median: $25.93
1.2× median
V2020Normal range

Frames, purchases

$29K

1,653 claims · 0.1%

Your Cost: $17.75/claim|Median: $19.33
0.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$28K

3,765 claims · 0.1%

Your Cost: $7.56/claim|Median: $12.63
0.6× median
90471Normal range

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

$22K

15K claims · 0.1%

Your Cost: $1.51/claim|Median: $9.80
0.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$20K

716 claims · 0.0%

Your Cost: $28.01/claim|Median: $69.35
0.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$19K

556 claims · 0.0%

Your Cost: $34.28/claim|Median: $33.85
1.0× median
92015Normal range

Determination of refractive state

$14K

2,916 claims · 0.0%

Your Cost: $4.92/claim|Median: $10.36
0.5× median
92340Normal range

Fitting of spectacles, except for aphakia

$13K

808 claims · 0.0%

Your Cost: $16.43/claim|Median: $19.46
0.8× median
92250Normal range

Fundus photography with interpretation and report

$13K

384 claims · 0.0%

Your Cost: $34.01/claim|Median: $27.95
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

4,803 claims · 0.0%

Your Cost: $2.15/claim|Median: $7.18
0.3× median
90715Normal range

Tdap vaccine

$9K

557 claims · 0.0%

Your Cost: $16.72/claim|Median: $10.32
1.6× median
92341Normal range

$9K

523 claims · 0.0%

Your Cost: $16.70/claim|Median: $22.77
0.7× median
90656Normal range

$6K

890 claims · 0.0%

Your Cost: $7.19/claim|Median: $8.67
0.8× median
0124ANormal range

$6K

375 claims · 0.0%

Your Cost: $16.54/claim|Median: $34.32
0.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$6K

263 claims · 0.0%

Your Cost: $23.36/claim|Median: $47.08
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$6K

64 claims · 0.0%

Your Cost: $88.27/claim|Median: $76.06
1.2× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$6K

85 claims · 0.0%

Your Cost: $64.91/claim|Median: $12.70
5.1× median
82947Normal range

Blood glucose level test

$5K

2,517 claims · 0.0%

Your Cost: $2.13/claim|Median: $2.38
0.9× median
0004ANormal range

$5K

188 claims · 0.0%

Your Cost: $28.52/claim|Median: $35.62
0.8× median
99173Normal range

$5K

4,814 claims · 0.0%

Your Cost: $1.09/claim|Median: $2.16
0.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$5K

1,765 claims · 0.0%

Your Cost: $2.91/claim|Median: $5.50
0.5× median
0031ATop 25%

COVID-19 vaccine admin, J&J, single dose

$5K

117 claims · 0.0%

Your Cost: $40.00/claim|Median: $32.49
1.2× median
99203Normal range

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

$4K

360 claims · 0.0%

Your Cost: $12.12/claim|Median: $57.85
0.2× median
96156Normal range

$4K

140 claims · 0.0%

Your Cost: $30.46/claim|Median: $22.36
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$4K

151 claims · 0.0%

Your Cost: $25.79/claim|Median: $41.28
0.6× median
90688Top 25%

$3K

211 claims · 0.0%

Your Cost: $15.37/claim|Median: $9.00
1.7× median
96110Top 10%

Developmental screening, per standardized instrument

$3K

108 claims · 0.0%

Your Cost: $26.68/claim|Median: $9.10
2.9× median
90472Normal range

Immunization administration, each additional vaccine

$3K

5,358 claims · 0.0%

Your Cost: $0.49/claim|Median: $11.79
0.0× median
90662Top 25%

$3K

63 claims · 0.0%

Your Cost: $41.77/claim|Median: $6.55
6.4× median
0054ANormal range

$3K

138 claims · 0.0%

Your Cost: $18.81/claim|Median: $35.83
0.5× median
0072ANormal range

$2K

47 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.57
1.0× median