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COMMUNITY MEDICAL CENTERS, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·STOCKTON, CA·NPI: 1578552543Share

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 $37.9M 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

$37.9M

$37,928,712

Total Claims

1.2M

Beneficiaries

867K

1.3 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$4.9M
+60%
2019
$7.8M
-1%
2020
$7.7M
-3%
2021
$7.5M
-38%
2022
$4.7M
-33%
2023
$3.2M
-34%
2024
$2.1M

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 84% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$31.9M

244K claims · 84.1%

Your Cost: $130.87/claim|Median: $121.16
1.1× median
90471Normal range

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

$879K

79K claims · 2.3%

Your Cost: $11.19/claim|Median: $9.80
1.1× median
59425Normal range

Antepartum care only, 4-6 visits

$693K

9,576 claims · 1.8%

Your Cost: $72.37/claim|Median: $63.63
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$629K

6,975 claims · 1.7%

Your Cost: $90.21/claim|Median: $99.21
0.9× median
00003Normal range

Anesthesia services

$627K

3,364 claims · 1.7%

Your Cost: $186.39/claim|Median: $223.77
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$290K

7,575 claims · 0.8%

Your Cost: $38.31/claim|Median: $41.28
0.9× median
99213Normal range

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

$287K

154K claims · 0.8%

Your Cost: $1.86/claim|Median: $37.81
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$249K

80K claims · 0.7%

Your Cost: $3.13/claim|Median: $3.67
0.9× median
90746Normal range

Hepatitis B vaccine, adult

$198K

3,307 claims · 0.5%

Your Cost: $59.87/claim|Median: $48.85
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$197K

3,403 claims · 0.5%

Your Cost: $57.74/claim|Median: $63.65
0.9× median
99214Normal range

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

$156K

66K claims · 0.4%

Your Cost: $2.36/claim|Median: $53.41
0.0× median
96110Top 10%

Developmental screening, per standardized instrument

$148K

4,529 claims · 0.4%

Your Cost: $32.68/claim|Median: $9.10
3.6× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$140K

7,088 claims · 0.4%

Your Cost: $19.80/claim|Median: $20.83
1.0× median
98940Normal range

$119K

6,785 claims · 0.3%

Your Cost: $17.49/claim|Median: $14.55
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$105K

36K claims · 0.3%

Your Cost: $2.91/claim|Median: $7.18
0.4× median
D1206Normal range

Topical application of fluoride varnish

$93K

7,766 claims · 0.2%

Your Cost: $11.92/claim|Median: $18.12
0.7× median
99173Normal range

$91K

37K claims · 0.2%

Your Cost: $2.42/claim|Median: $2.16
1.1× median
H1003Top 10%

$81K

2,405 claims · 0.2%

Your Cost: $33.52/claim|Median: $10.04
3.3× median
G9012Normal range

Other specified case management service, per 15 minutes

$79K

1,745 claims · 0.2%

Your Cost: $45.08/claim|Median: $137.85
0.3× median
G0467Normal range

Federally qualified health center visit, mental health

$65K

2,498 claims · 0.2%

Your Cost: $26.07/claim|Median: $21.91
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$60K

11K claims · 0.2%

Your Cost: $5.32/claim|Median: $69.35
0.1× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$56K

766 claims · 0.1%

Your Cost: $72.91/claim|Median: $12.70
5.7× median
99401Normal range

$52K

2,536 claims · 0.1%

Your Cost: $20.61/claim|Median: $16.53
1.2× median
90715Normal range

Tdap vaccine

$52K

5,518 claims · 0.1%

Your Cost: $9.46/claim|Median: $10.32
0.9× median
0500FTop 25%

$50K

832 claims · 0.1%

Your Cost: $59.69/claim|Median: $39.34
1.5× median
59430Normal range

$46K

714 claims · 0.1%

Your Cost: $63.78/claim|Median: $80.32
0.8× median
J3490Top 25%

Unclassified drugs

$43K

953 claims · 0.1%

Your Cost: $45.32/claim|Median: $5.70
8.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$39K

2,386 claims · 0.1%

Your Cost: $16.31/claim|Median: $76.06
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$31K

12K claims · 0.1%

Your Cost: $2.64/claim|Median: $25.06
0.1× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$30K

2,235 claims · 0.1%

Your Cost: $13.42/claim|Median: $73.46
0.2× median
G0466Normal range

$29K

1,229 claims · 0.1%

Your Cost: $23.22/claim|Median: $63.31
0.4× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$28K

1,283 claims · 0.1%

Your Cost: $21.97/claim|Median: $24.33
0.9× median
81003Normal range

Urinalysis, automated without microscopy

$26K

25K claims · 0.1%

Your Cost: $1.02/claim|Median: $1.48
0.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$25K

816 claims · 0.1%

Your Cost: $30.29/claim|Median: $47.08
0.6× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$24K

377 claims · 0.1%

Your Cost: $63.64/claim|Median: $25.93
2.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$24K

2,283 claims · 0.1%

Your Cost: $10.34/claim|Median: $72.71
0.1× median
96156Normal range

$22K

1,977 claims · 0.1%

Your Cost: $11.35/claim|Median: $22.36
0.5× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$17K

217 claims · 0.0%

Your Cost: $79.13/claim|Median: $59.25
1.3× median
83655Normal range

$13K

1,097 claims · 0.0%

Your Cost: $11.42/claim|Median: $10.49
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$10K

16K claims · 0.0%

Your Cost: $0.63/claim|Median: $75.18
0.0× median
81025Normal range

Urine pregnancy test

$10K

5,096 claims · 0.0%

Your Cost: $1.92/claim|Median: $4.81
0.4× median
0072ATop 10%

$10K

148 claims · 0.0%

Your Cost: $65.64/claim|Median: $39.57
1.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$9K

2,947 claims · 0.0%

Your Cost: $3.14/claim|Median: $40.11
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$9K

212 claims · 0.0%

Your Cost: $42.72/claim|Median: $85.66
0.5× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$9K

129 claims · 0.0%

Your Cost: $66.74/claim|Median: $33.85
2.0× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$8K

2,622 claims · 0.0%

Your Cost: $3.13/claim|Median: $38.23
0.1× median
92227Top 25%

$8K

434 claims · 0.0%

Your Cost: $17.92/claim|Median: $7.85
2.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$8K

15K claims · 0.0%

Your Cost: $0.53/claim|Median: $74.82
0.0× median
71046Top 25%

Chest X-ray, 2 views

$8K

386 claims · 0.0%

Your Cost: $19.63/claim|Median: $8.92
2.2× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$7K

128 claims · 0.0%

Your Cost: $56.40/claim|Median: $33.72
1.7× median