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SANTA ROSA COMMUNITY HEALTH CENTERS

Clinic/Center, Federally Qualified Health Center (FQHC)·SANTA ROSA, CA·NPI: 1578631172Share

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 $63.5M 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

$63.5M

$63,549,806

Total Claims

1.2M

Beneficiaries

980K

1.3 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+63%
2019
$4.2M
+179%
2020
$11.9M
+2%
2021
$12.1M
-27%
2022
$8.9M
+27%
2023
$11.3M
+12%
2024
$12.6M

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 96% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$61.1M

299K claims · 96.2%

Your Cost: $204.12/claim|Median: $121.16
1.7× median
99213Normal range

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

$761K

319K claims · 1.2%

Your Cost: $2.39/claim|Median: $37.81
0.1× median
H1001Normal range

$191K

3,032 claims · 0.3%

Your Cost: $63.05/claim|Median: $60.48
1.0× median
99214Normal range

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

$185K

35K claims · 0.3%

Your Cost: $5.28/claim|Median: $53.41
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$144K

9,091 claims · 0.2%

Your Cost: $15.81/claim|Median: $63.65
0.2× median
80305Normal range

$102K

13K claims · 0.2%

Your Cost: $8.00/claim|Median: $7.44
1.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$100K

10K claims · 0.2%

Your Cost: $9.82/claim|Median: $47.08
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$96K

9,910 claims · 0.2%

Your Cost: $9.73/claim|Median: $41.28
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$80K

10K claims · 0.1%

Your Cost: $7.85/claim|Median: $7.18
1.1× median
0004ATop 5%

$47K

697 claims · 0.1%

Your Cost: $66.93/claim|Median: $35.62
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$44K

6,030 claims · 0.1%

Your Cost: $7.35/claim|Median: $69.35
0.1× median
59425Normal range

Antepartum care only, 4-6 visits

$41K

610 claims · 0.1%

Your Cost: $67.35/claim|Median: $63.63
1.1× median
G0442Normal range

$40K

5,339 claims · 0.1%

Your Cost: $7.42/claim|Median: $4.91
1.5× median
0071ATop 10%

$31K

459 claims · 0.0%

Your Cost: $66.48/claim|Median: $38.71
1.7× median
G9920Normal range

$30K

1,724 claims · 0.0%

Your Cost: $17.12/claim|Median: $6.56
2.6× median
0072ATop 10%

$29K

426 claims · 0.0%

Your Cost: $66.96/claim|Median: $39.57
1.7× median
97810Normal range

$28K

2,112 claims · 0.0%

Your Cost: $13.23/claim|Median: $23.92
0.6× median
0064ATop 5%

$24K

355 claims · 0.0%

Your Cost: $66.83/claim|Median: $34.17
2.0× median
92015Normal range

Determination of refractive state

$22K

11K claims · 0.0%

Your Cost: $2.11/claim|Median: $10.36
0.2× median
96110Top 10%

Developmental screening, per standardized instrument

$21K

851 claims · 0.0%

Your Cost: $25.09/claim|Median: $9.10
2.8× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$20K

364 claims · 0.0%

Your Cost: $54.33/claim|Median: $36.70
1.5× median
90715Normal range

Tdap vaccine

$20K

1,646 claims · 0.0%

Your Cost: $12.00/claim|Median: $10.32
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$20K

494 claims · 0.0%

Your Cost: $39.92/claim|Median: $85.66
0.5× median
90670Normal range

$20K

3,661 claims · 0.0%

Your Cost: $5.35/claim|Median: $5.94
0.9× median
0134ATop 10%

$18K

277 claims · 0.0%

Your Cost: $66.03/claim|Median: $33.54
2.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$18K

6,615 claims · 0.0%

Your Cost: $2.73/claim|Median: $75.18
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$18K

2,046 claims · 0.0%

Your Cost: $8.79/claim|Median: $9.56
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$17K

15K claims · 0.0%

Your Cost: $1.15/claim|Median: $25.06
0.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$16K

3,254 claims · 0.0%

Your Cost: $4.98/claim|Median: $5.78
0.9× median
90647Normal range

$15K

3,103 claims · 0.0%

Your Cost: $4.93/claim|Median: $4.31
1.1× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$15K

373 claims · 0.0%

Your Cost: $40.92/claim|Median: $33.72
1.2× median
H1000Top 10%

Prenatal care, at-risk assessment

$14K

112 claims · 0.0%

Your Cost: $128.07/claim|Median: $50.36
2.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$14K

4,929 claims · 0.0%

Your Cost: $2.79/claim|Median: $74.82
0.0× median
96156Normal range

$11K

755 claims · 0.0%

Your Cost: $15.15/claim|Median: $22.36
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$11K

3,537 claims · 0.0%

Your Cost: $3.22/claim|Median: $80.15
0.0× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$11K

402 claims · 0.0%

Your Cost: $26.57/claim|Median: $39.63
0.7× median
97811Normal range

$10K

664 claims · 0.0%

Your Cost: $15.41/claim|Median: $19.71
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$10K

1,121 claims · 0.0%

Your Cost: $8.72/claim|Median: $40.11
0.2× median
99401Normal range

$10K

814 claims · 0.0%

Your Cost: $11.70/claim|Median: $16.53
0.7× median
90633Normal range

$9K

1,810 claims · 0.0%

Your Cost: $5.18/claim|Median: $3.56
1.5× median
98926Normal range

$7K

321 claims · 0.0%

Your Cost: $21.86/claim|Median: $22.66
1.0× median
90680Normal range

$6K

1,373 claims · 0.0%

Your Cost: $4.65/claim|Median: $5.58
0.8× median
90651Top 25%

HPV vaccine, 9-valent

$6K

226 claims · 0.0%

Your Cost: $25.68/claim|Median: $8.93
2.9× median
81025Normal range

Urine pregnancy test

$6K

4,314 claims · 0.0%

Your Cost: $1.31/claim|Median: $4.81
0.3× median
92551Normal range

Screening audiometry, pure tone, air only

$5K

8,386 claims · 0.0%

Your Cost: $0.61/claim|Median: $6.61
0.1× median
90656Normal range

$5K

858 claims · 0.0%

Your Cost: $5.95/claim|Median: $8.67
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$5K

1,323 claims · 0.0%

Your Cost: $3.53/claim|Median: $74.09
0.0× median
90649Normal range

$5K

873 claims · 0.0%

Your Cost: $5.22/claim|Median: $6.42
0.8× median
11750Normal range

$5K

180 claims · 0.0%

Your Cost: $25.05/claim|Median: $82.40
0.3× median
S9445Normal range

$4K

272 claims · 0.0%

Your Cost: $15.64/claim|Median: $12.72
1.2× median