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COUNTY OF SANTA CRUZ

Clinic/Center, Federally Qualified Health Center (FQHC)·SANTA CRUZ, CA·NPI: 1578680310Share

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 $80.3M 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

$80.3M

$80,280,941

Total Claims

561K

Beneficiaries

450K

1.2 claims/patient

Avg Cost/Claim

$143

Monthly Spending Trend

Yearly Spending

2018
$11.2M
-19%
2019
$9.0M
+19%
2020
$10.7M
+16%
2021
$12.4M
-17%
2022
$10.3M
+27%
2023
$13.1M
+3%
2024
$13.5M

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 80% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$64.1M

192K claims · 79.8%

Your Cost: $333.04/claim|Median: $121.16
2.7× median
G0470Top 5%

Chronic care management services, FQHC/RHC

$9.9M

32K claims · 12.4%

Your Cost: $305.19/claim|Median: $45.95
6.6× median
99214Normal range

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

$1.7M

99K claims · 2.1%

Your Cost: $17.25/claim|Median: $53.41
0.3× median
99213Normal range

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

$1.0M

81K claims · 1.3%

Your Cost: $12.85/claim|Median: $37.81
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$832K

43K claims · 1.0%

Your Cost: $19.55/claim|Median: $41.28
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$326K

9,832 claims · 0.4%

Your Cost: $33.12/claim|Median: $74.09
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$190K

11K claims · 0.2%

Your Cost: $16.76/claim|Median: $63.65
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$189K

7,637 claims · 0.2%

Your Cost: $24.80/claim|Median: $85.66
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$175K

2,784 claims · 0.2%

Your Cost: $62.97/claim|Median: $99.21
0.6× median
97811Top 25%

$161K

5,121 claims · 0.2%

Your Cost: $31.46/claim|Median: $19.71
1.6× median
90750Top 25%

$160K

1,046 claims · 0.2%

Your Cost: $152.92/claim|Median: $96.16
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$125K

13K claims · 0.2%

Your Cost: $9.74/claim|Median: $25.06
0.4× median
90677Top 5%

$115K

429 claims · 0.1%

Your Cost: $267.91/claim|Median: $12.96
20.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$108K

8,779 claims · 0.1%

Your Cost: $12.32/claim|Median: $12.93
1.0× median
80305Top 25%

$94K

9,166 claims · 0.1%

Your Cost: $10.24/claim|Median: $7.44
1.4× median
G0442Top 10%

$90K

4,857 claims · 0.1%

Your Cost: $18.63/claim|Median: $4.91
3.8× median
99203Normal range

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

$88K

1,383 claims · 0.1%

Your Cost: $63.94/claim|Median: $57.85
1.1× median
97810Normal range

$87K

9,838 claims · 0.1%

Your Cost: $8.84/claim|Median: $23.92
0.4× median
90739Top 25%

$85K

592 claims · 0.1%

Your Cost: $143.12/claim|Median: $74.43
1.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$77K

1,003 claims · 0.1%

Your Cost: $77.05/claim|Median: $108.91
0.7× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$68K

3,116 claims · 0.1%

Your Cost: $21.82/claim|Median: $7.18
3.0× median
99204Normal range

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

$62K

918 claims · 0.1%

Your Cost: $67.45/claim|Median: $84.03
0.8× median
90732Top 25%

Pneumococcal vaccine (PPSV23)

$47K

459 claims · 0.1%

Your Cost: $102.80/claim|Median: $36.96
2.8× median
90715Top 10%

Tdap vaccine

$45K

1,332 claims · 0.1%

Your Cost: $33.63/claim|Median: $10.32
3.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$43K

1,026 claims · 0.1%

Your Cost: $42.21/claim|Median: $76.06
0.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$35K

1,138 claims · 0.0%

Your Cost: $30.53/claim|Median: $33.72
0.9× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$31K

960 claims · 0.0%

Your Cost: $32.21/claim|Median: $36.70
0.9× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$25K

2,748 claims · 0.0%

Your Cost: $8.96/claim|Median: $5.50
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$24K

359 claims · 0.0%

Your Cost: $68.23/claim|Median: $111.09
0.6× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$23K

748 claims · 0.0%

Your Cost: $31.24/claim|Median: $38.83
0.8× median
0031ANormal range

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

$20K

647 claims · 0.0%

Your Cost: $31.67/claim|Median: $32.49
1.0× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$18K

734 claims · 0.0%

Your Cost: $25.14/claim|Median: $9.70
2.6× median
90682Top 25%

$16K

284 claims · 0.0%

Your Cost: $56.39/claim|Median: $34.72
1.6× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$15K

157 claims · 0.0%

Your Cost: $93.57/claim|Median: $72.71
1.3× median
71046Top 25%

Chest X-ray, 2 views

$14K

536 claims · 0.0%

Your Cost: $26.58/claim|Median: $8.92
3.0× median
90746Top 25%

Hepatitis B vaccine, adult

$14K

214 claims · 0.0%

Your Cost: $65.29/claim|Median: $48.85
1.3× median
87428Top 25%

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

$13K

216 claims · 0.0%

Your Cost: $60.32/claim|Median: $39.63
1.5× median
91320Top 10%

$12K

97 claims · 0.0%

Your Cost: $123.55/claim|Median: $72.65
1.7× median
90662Top 5%

$10K

163 claims · 0.0%

Your Cost: $62.10/claim|Median: $6.55
9.5× median
H0049Top 25%

$10K

297 claims · 0.0%

Your Cost: $32.07/claim|Median: $9.27
3.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$9K

186 claims · 0.0%

Your Cost: $50.88/claim|Median: $40.11
1.3× median
0064ATop 25%

$8K

180 claims · 0.0%

Your Cost: $45.70/claim|Median: $34.17
1.3× median
0004ATop 25%

$8K

187 claims · 0.0%

Your Cost: $41.44/claim|Median: $35.62
1.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$8K

263 claims · 0.0%

Your Cost: $28.96/claim|Median: $33.85
0.9× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$7K

291 claims · 0.0%

Your Cost: $22.66/claim|Median: $25.93
0.9× median
90656Top 5%

$6K

249 claims · 0.0%

Your Cost: $25.24/claim|Median: $8.67
2.9× median
91322Top 10%

$5K

37 claims · 0.0%

Your Cost: $140.00/claim|Median: $76.28
1.8× median
90480Top 25%

$4K

111 claims · 0.0%

Your Cost: $38.83/claim|Median: $25.29
1.5× median
G9920Top 10%

$4K

142 claims · 0.0%

Your Cost: $29.00/claim|Median: $6.56
4.4× median
81025Normal range

Urine pregnancy test

$4K

1,389 claims · 0.0%

Your Cost: $2.82/claim|Median: $4.81
0.6× median