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PETALUMA HEALTH CENTER INC

Clinic/Center, Federally Qualified Health Center (FQHC)·PETALUMA, CA·NPI: 1588656268Share

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 $102.1M 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

$102.1M

$102,098,291

Total Claims

1.0M

Beneficiaries

727K

1.4 claims/patient

Avg Cost/Claim

$101

Monthly Spending Trend

Yearly Spending

2018
$14.7M
-7%
2019
$13.6M
+7%
2020
$14.5M
+1%
2021
$14.7M
-19%
2022
$11.9M
+20%
2023
$14.3M
+30%
2024
$18.5M

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 79% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$80.8M

387K claims · 79.2%

Your Cost: $208.87/claim|Median: $121.16
1.7× median
00003Normal range

Anesthesia services

$16.3M

63K claims · 15.9%

Your Cost: $257.88/claim|Median: $223.77
1.2× median
99213Normal range

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

$1.4M

227K claims · 1.3%

Your Cost: $5.95/claim|Median: $37.81
0.2× median
98941Top 25%

Chiropractic manipulative treatment, 3-4 spinal regions

$530K

20K claims · 0.5%

Your Cost: $26.02/claim|Median: $20.83
1.2× median
99214Normal range

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

$454K

69K claims · 0.4%

Your Cost: $6.60/claim|Median: $53.41
0.1× median
H1001Normal range

$381K

5,548 claims · 0.4%

Your Cost: $68.69/claim|Median: $60.48
1.1× median
97810Normal range

$309K

28K claims · 0.3%

Your Cost: $11.06/claim|Median: $23.92
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$291K

18K claims · 0.3%

Your Cost: $15.86/claim|Median: $63.65
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$233K

21K claims · 0.2%

Your Cost: $11.36/claim|Median: $41.28
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$232K

57K claims · 0.2%

Your Cost: $4.07/claim|Median: $25.06
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$137K

11K claims · 0.1%

Your Cost: $11.98/claim|Median: $7.18
1.7× median
98940Normal range

$136K

9,058 claims · 0.1%

Your Cost: $15.03/claim|Median: $14.55
1.0× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$97K

1,874 claims · 0.1%

Your Cost: $51.89/claim|Median: $36.70
1.4× median
59425Normal range

Antepartum care only, 4-6 visits

$73K

1,189 claims · 0.1%

Your Cost: $61.52/claim|Median: $63.63
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$72K

1,624 claims · 0.1%

Your Cost: $44.55/claim|Median: $99.21
0.4× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$68K

1,304 claims · 0.1%

Your Cost: $52.29/claim|Median: $33.72
1.6× median
0004ATop 10%

$59K

1,202 claims · 0.1%

Your Cost: $49.00/claim|Median: $35.62
1.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$48K

3,762 claims · 0.0%

Your Cost: $12.83/claim|Median: $47.08
0.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$47K

1,195 claims · 0.0%

Your Cost: $39.27/claim|Median: $12.70
3.1× median
J3490Top 10%

Unclassified drugs

$45K

540 claims · 0.0%

Your Cost: $82.78/claim|Median: $5.70
14.5× median
0064ATop 10%

$44K

911 claims · 0.0%

Your Cost: $47.76/claim|Median: $34.17
1.4× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$38K

1,460 claims · 0.0%

Your Cost: $26.26/claim|Median: $24.33
1.1× median
S9445Normal range

$34K

2,814 claims · 0.0%

Your Cost: $12.04/claim|Median: $12.72
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$31K

3,905 claims · 0.0%

Your Cost: $8.03/claim|Median: $69.35
0.1× median
99401Normal range

$26K

1,860 claims · 0.0%

Your Cost: $14.24/claim|Median: $16.53
0.9× median
59409Normal range

Vaginal delivery only

$22K

41 claims · 0.0%

Your Cost: $544.28/claim|Median: $619.91
0.9× median
90656Normal range

$18K

1,703 claims · 0.0%

Your Cost: $10.70/claim|Median: $8.67
1.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$12K

625 claims · 0.0%

Your Cost: $19.42/claim|Median: $37.22
0.5× median
90670Normal range

$11K

1,807 claims · 0.0%

Your Cost: $6.22/claim|Median: $5.94
1.0× median
99203Normal range

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

$11K

231 claims · 0.0%

Your Cost: $47.68/claim|Median: $57.85
0.8× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$11K

12 claims · 0.0%

Your Cost: $890.30/claim|Median: $786.43
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$9K

2,816 claims · 0.0%

Your Cost: $3.28/claim|Median: $74.82
0.0× median
0003ATop 10%

COVID-19 vaccine admin, Pfizer, 3rd dose

$8K

168 claims · 0.0%

Your Cost: $49.41/claim|Median: $36.49
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$8K

2,908 claims · 0.0%

Your Cost: $2.79/claim|Median: $75.18
0.0× median
99283Normal range

Emergency dept visit, moderate complexity

$8K

18K claims · 0.0%

Your Cost: $0.44/claim|Median: $42.48
0.0× median
96110Top 10%

Developmental screening, per standardized instrument

$8K

248 claims · 0.0%

Your Cost: $30.73/claim|Median: $9.10
3.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$7K

2,025 claims · 0.0%

Your Cost: $3.59/claim|Median: $80.15
0.0× median
76815Normal range

Ultrasound, pregnant uterus, limited

$7K

235 claims · 0.0%

Your Cost: $30.87/claim|Median: $36.79
0.8× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$7K

430 claims · 0.0%

Your Cost: $16.43/claim|Median: $114.71
0.1× median
99381Normal range

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

$7K

366 claims · 0.0%

Your Cost: $19.29/claim|Median: $73.46
0.3× median
59430Normal range

$7K

99 claims · 0.0%

Your Cost: $67.99/claim|Median: $80.32
0.8× median
57455Normal range

$6K

114 claims · 0.0%

Your Cost: $56.24/claim|Median: $115.46
0.5× median
G9920Top 10%

$6K

198 claims · 0.0%

Your Cost: $29.00/claim|Median: $6.56
4.4× median
99215Normal range

Office/outpatient visit, high complexity

$5K

513 claims · 0.0%

Your Cost: $10.61/claim|Median: $74.09
0.1× median
58300Normal range

$5K

58 claims · 0.0%

Your Cost: $90.85/claim|Median: $74.77
1.2× median
96156Normal range

$5K

375 claims · 0.0%

Your Cost: $13.70/claim|Median: $22.36
0.6× median
90697Normal range

$5K

685 claims · 0.0%

Your Cost: $7.18/claim|Median: $7.24
1.0× median
11981Normal range

$5K

24 claims · 0.0%

Your Cost: $202.95/claim|Median: $117.16
1.7× median
90723Normal range

DTaP-HepB-IPV vaccine

$5K

892 claims · 0.0%

Your Cost: $5.30/claim|Median: $5.78
0.9× median
87428Normal range

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

$5K

136 claims · 0.0%

Your Cost: $34.18/claim|Median: $39.63
0.9× 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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