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

ALAMEDA HEALTH SYSTEM

Clinic/Center, Federally Qualified Health Center (FQHC)·OAKLAND, CA·NPI: 1548551997Share

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 $57.8M 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

$57.8M

$57,798,069

Total Claims

679K

Beneficiaries

641K

1.1 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$5.9M
-39%
2019
$3.6M
+53%
2020
$5.5M
+4%
2021
$5.7M
+56%
2022
$8.9M
+57%
2023
$13.9M
+3%
2024
$14.3M

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 86% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$49.7M

360K claims · 86.0%

Your Cost: $137.91/claim|Median: $121.16
1.1× median
00003Normal range

Anesthesia services

$6.9M

31K claims · 12.0%

Your Cost: $222.15/claim|Median: $223.77
1.0× median
G0467Top 25%

Federally qualified health center visit, mental health

$588K

15K claims · 1.0%

Your Cost: $38.07/claim|Median: $21.91
1.7× median
99214Normal range

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

$278K

75K claims · 0.5%

Your Cost: $3.68/claim|Median: $53.41
0.1× median
99213Normal range

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

$196K

85K claims · 0.3%

Your Cost: $2.32/claim|Median: $37.81
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$52K

7,245 claims · 0.1%

Your Cost: $7.16/claim|Median: $74.09
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$42K

33K claims · 0.1%

Your Cost: $1.29/claim|Median: $25.06
0.1× median
G0466Normal range

$8K

246 claims · 0.0%

Your Cost: $33.47/claim|Median: $63.31
0.5× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$4K

1,416 claims · 0.0%

Your Cost: $2.74/claim|Median: $38.23
0.1× median
99203Normal range

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

$844

1,233 claims · 0.0%

Your Cost: $0.68/claim|Median: $57.85
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$702

1,172 claims · 0.0%

Your Cost: $0.60/claim|Median: $41.28
0.0× median
99204Normal range

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

$549

1,495 claims · 0.0%

Your Cost: $0.37/claim|Median: $84.03
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$505

2,065 claims · 0.0%

Your Cost: $0.24/claim|Median: $40.11
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$67

3,343 claims · 0.0%

Your Cost: $0.02/claim|Median: $7.18
0.0× median
91322Normal range

$44

14 claims · 0.0%

Your Cost: $3.13/claim|Median: $76.28
0.0× median
90647Normal range

$0

1,739 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.31
90697Normal range

$0

1,018 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.24
90670Normal range

$0

1,106 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
99392Normal range

Preventive medicine, established patient, age 1-4

$0

5,911 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
92014Normal range

Ophthalmological exam, comprehensive, established patient

$0

102 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.08
90715Normal range

Tdap vaccine

$0

108 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
51705Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.41
90471Normal range

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

$0

8,139 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

24 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$0

208 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.65
90474Normal range

$0

85 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.42
Z6410Normal range

$0

249 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.08
88720Normal range

$0

654 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.88
99443Normal range

Telephone E/M by physician, 21-30 min

$0

138 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.55
99243Normal range

Office or other outpatient consultation, low complexity

$0

78 claims · 0.0%

Your Cost: $0.00/claim|Median: $82.43
90723Normal range

DTaP-HepB-IPV vaccine

$0

1,965 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.78
90680Normal range

$0

762 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.58
Z1032Normal range

$0

264 claims · 0.0%

Your Cost: $0.00/claim|Median: $147.33
82962Normal range

Blood glucose test by monitoring device

$0

217 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.40
Z6412Normal range

$0

89 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.32
Z6400Normal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.65
99394Normal range

Preventive medicine, established patient, age 12-17

$0

254 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.15
90473Normal range

Immunization admin, intranasal, first

$0

72 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.17
52000Normal range

$0

88 claims · 0.0%

Your Cost: $0.00/claim|Median: $89.88
31575Normal range

$0

320 claims · 0.0%

Your Cost: $0.00/claim|Median: $68.78
90707Normal range

MMR vaccine

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.76
90472Normal range

Immunization administration, each additional vaccine

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
G0470Normal range

Chronic care management services, FQHC/RHC

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.95
G9919Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.66
Z6414Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.50
90853Normal range

Group psychotherapy

$0

68 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02
99391Normal range

Preventive medicine, established patient, infant (under 1)

$0

9,410 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.35
G2211Normal range

$0

60 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.40
20611Normal range

Aspiration or injection of intermediate joint or bursa

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $42.51
76815Normal range

Ultrasound, pregnant uterus, limited

$0

114 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.79