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NORTH EAST MEDICAL SERVICES

Clinic/Center, Federally Qualified Health Center (FQHC)·SAN JOSE, CA·NPI: 1548697444Share

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 $38.9M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$38.9M

$38,876,200

Total Claims

606K

Beneficiaries

464K

1.3 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+157%
2019
$4.5M
+17%
2020
$5.2M
+21%
2021
$6.4M
-19%
2022
$5.1M
+57%
2023
$8.1M
-4%
2024
$7.8M

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 84% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$32.5M

169K claims · 83.6%

Your Cost: $192.09/claim|Median: $121.16
1.6× median
00003Normal range

Anesthesia services

$4.7M

18K claims · 12.0%

Your Cost: $263.33/claim|Median: $223.77
1.2× median
G9012Normal range

Other specified case management service, per 15 minutes

$469K

6,424 claims · 1.2%

Your Cost: $73.01/claim|Median: $137.85
0.5× median
99213Normal range

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

$174K

130K claims · 0.4%

Your Cost: $1.34/claim|Median: $37.81
0.0× median
97810Normal range

$147K

22K claims · 0.4%

Your Cost: $6.73/claim|Median: $23.92
0.3× median
97811Normal range

$121K

20K claims · 0.3%

Your Cost: $6.18/claim|Median: $19.71
0.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$80K

2,601 claims · 0.2%

Your Cost: $30.87/claim|Median: $39.33
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$78K

2,089 claims · 0.2%

Your Cost: $37.34/claim|Median: $63.65
0.6× median
99214Normal range

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

$48K

23K claims · 0.1%

Your Cost: $2.05/claim|Median: $53.41
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$44K

1,794 claims · 0.1%

Your Cost: $24.37/claim|Median: $21.91
1.1× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$43K

979 claims · 0.1%

Your Cost: $43.61/claim|Median: $25.93
1.7× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$37K

555 claims · 0.1%

Your Cost: $67.00/claim|Median: $36.70
1.8× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$35K

528 claims · 0.1%

Your Cost: $67.00/claim|Median: $33.72
2.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$30K

3,984 claims · 0.1%

Your Cost: $7.54/claim|Median: $59.72
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$28K

2,822 claims · 0.1%

Your Cost: $9.79/claim|Median: $74.82
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$27K

497 claims · 0.1%

Your Cost: $54.59/claim|Median: $99.21
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$26K

2,593 claims · 0.1%

Your Cost: $10.17/claim|Median: $41.28
0.2× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$25K

416 claims · 0.1%

Your Cost: $61.13/claim|Median: $33.85
1.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$25K

2,375 claims · 0.1%

Your Cost: $10.67/claim|Median: $80.15
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$22K

1,832 claims · 0.1%

Your Cost: $12.24/claim|Median: $75.18
0.2× median
76700Normal range

Ultrasound, abdominal, complete

$20K

883 claims · 0.1%

Your Cost: $22.44/claim|Median: $50.69
0.4× median
0031ATop 5%

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

$19K

292 claims · 0.0%

Your Cost: $66.08/claim|Median: $32.49
2.0× median
92551Normal range

Screening audiometry, pure tone, air only

$19K

7,020 claims · 0.0%

Your Cost: $2.64/claim|Median: $6.61
0.4× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$17K

2,054 claims · 0.0%

Your Cost: $8.51/claim|Median: $21.41
0.4× median
96110Normal range

Developmental screening, per standardized instrument

$17K

1,569 claims · 0.0%

Your Cost: $11.08/claim|Median: $9.10
1.2× median
0064ATop 10%

$17K

262 claims · 0.0%

Your Cost: $64.52/claim|Median: $34.17
1.9× median
90688Normal range

$14K

5,130 claims · 0.0%

Your Cost: $2.80/claim|Median: $9.00
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$12K

14K claims · 0.0%

Your Cost: $0.83/claim|Median: $25.06
0.0× median
0124ATop 10%

$11K

177 claims · 0.0%

Your Cost: $62.74/claim|Median: $34.32
1.8× median
0134ATop 25%

$11K

187 claims · 0.0%

Your Cost: $58.38/claim|Median: $33.54
1.7× median
90739Normal range

$8K

147 claims · 0.0%

Your Cost: $51.53/claim|Median: $74.43
0.7× median
0054ATop 5%

$7K

110 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.83
1.9× median
99490Top 25%

Chronic care management services, 20 minutes per month

$7K

516 claims · 0.0%

Your Cost: $14.12/claim|Median: $6.31
2.2× median
0004ATop 5%

$7K

104 claims · 0.0%

Your Cost: $66.36/claim|Median: $35.62
1.9× median
71046Normal range

Chest X-ray, 2 views

$7K

866 claims · 0.0%

Your Cost: $7.51/claim|Median: $8.92
0.8× median
G9920Normal range

$6K

1,920 claims · 0.0%

Your Cost: $3.36/claim|Median: $6.56
0.5× median
90756Normal range

Influenza virus vaccine, quadrivalent

$5K

613 claims · 0.0%

Your Cost: $7.93/claim|Median: $14.34
0.6× median
90670Normal range

$5K

513 claims · 0.0%

Your Cost: $8.80/claim|Median: $5.94
1.5× median
90471Normal range

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

$4K

17K claims · 0.0%

Your Cost: $0.24/claim|Median: $9.80
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$4K

259 claims · 0.0%

Your Cost: $14.72/claim|Median: $69.35
0.2× median
77080Normal range

Dual-energy x-ray absorptiometry (DEXA) bone density scan

$4K

375 claims · 0.0%

Your Cost: $10.08/claim|Median: $18.93
0.5× median
0071ATop 10%

$3K

43 claims · 0.0%

Your Cost: $65.44/claim|Median: $38.71
1.7× median
76641Normal range

Ultrasound imaging of one breast, complete

$3K

113 claims · 0.0%

Your Cost: $24.66/claim|Median: $49.03
0.5× median
90662Normal range

$3K

1,284 claims · 0.0%

Your Cost: $2.15/claim|Median: $6.55
0.3× median
0072ATop 5%

$3K

40 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.57
1.7× median
90651Normal range

HPV vaccine, 9-valent

$3K

991 claims · 0.0%

Your Cost: $2.53/claim|Median: $8.93
0.3× median
90472Normal range

Immunization administration, each additional vaccine

$2K

2,389 claims · 0.0%

Your Cost: $1.04/claim|Median: $11.79
0.1× median
90750Normal range

$2K

219 claims · 0.0%

Your Cost: $10.93/claim|Median: $96.16
0.1× median
72110Normal range

$2K

189 claims · 0.0%

Your Cost: $12.45/claim|Median: $21.02
0.6× median
G0071Normal range

$2K

955 claims · 0.0%

Your Cost: $2.23/claim|Median: $7.20
0.3× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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Neighborhood Healthcare

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Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

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$157.3M

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