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SACRAMENTO NATIVE AMERICAN HEALTH CENTER INC

Clinic/Center, Federally Qualified Health Center (FQHC)·SACRAMENTO, CA·NPI: 1588756530Share

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 $95.1M 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

$95.1M

$95,109,192

Total Claims

1.2M

Beneficiaries

770K

1.5 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$12.4M
-9%
2019
$11.2M
+7%
2020
$12.1M
+20%
2021
$14.4M
-23%
2022
$11.1M
+44%
2023
$16.0M
+12%
2024
$17.9M

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 89% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$84.9M

325K claims · 89.2%

Your Cost: $260.84/claim|Median: $121.16
2.2× median
00003Top 25%

Anesthesia services

$3.8M

12K claims · 4.0%

Your Cost: $311.15/claim|Median: $223.77
1.4× median
G9012Normal range

Other specified case management service, per 15 minutes

$1.2M

19K claims · 1.3%

Your Cost: $64.21/claim|Median: $137.85
0.5× median
G0467Top 10%

Federally qualified health center visit, mental health

$1.2M

14K claims · 1.2%

Your Cost: $82.31/claim|Median: $21.91
3.8× median
90837Normal range

Psychotherapy, 60 minutes

$771K

20K claims · 0.8%

Your Cost: $38.77/claim|Median: $85.66
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$422K

23K claims · 0.4%

Your Cost: $18.07/claim|Median: $41.28
0.4× median
G9008Top 10%

Coordination of long-term care services, per month

$393K

1,353 claims · 0.4%

Your Cost: $290.82/claim|Median: $66.78
4.4× median
90834Normal range

Psychotherapy, 45 minutes

$324K

11K claims · 0.3%

Your Cost: $28.97/claim|Median: $63.65
0.5× median
99213Normal range

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

$246K

148K claims · 0.3%

Your Cost: $1.67/claim|Median: $37.81
0.0× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$237K

2,035 claims · 0.2%

Your Cost: $116.65/claim|Median: $45.95
2.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$152K

12K claims · 0.2%

Your Cost: $12.38/claim|Median: $71.00
0.2× median
99214Normal range

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

$148K

82K claims · 0.2%

Your Cost: $1.79/claim|Median: $53.41
0.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$133K

4,859 claims · 0.1%

Your Cost: $27.40/claim|Median: $47.08
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$106K

2,007 claims · 0.1%

Your Cost: $52.78/claim|Median: $99.21
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$96K

13K claims · 0.1%

Your Cost: $7.10/claim|Median: $32.07
0.2× median
D1206Normal range

Topical application of fluoride varnish

$95K

20K claims · 0.1%

Your Cost: $4.77/claim|Median: $18.12
0.3× median
D4341Normal range

Periodontal scaling, per quadrant

$93K

8,052 claims · 0.1%

Your Cost: $11.50/claim|Median: $70.00
0.2× median
D1120Normal range

Prophylaxis, adult

$89K

7,403 claims · 0.1%

Your Cost: $12.05/claim|Median: $33.86
0.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$73K

9,372 claims · 0.1%

Your Cost: $7.83/claim|Median: $46.33
0.2× median
D0120Normal range

Periodic oral evaluation, established patient

$70K

17K claims · 0.1%

Your Cost: $4.18/claim|Median: $24.34
0.2× median
D9430Normal range

$68K

20K claims · 0.1%

Your Cost: $3.43/claim|Median: $31.69
0.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$67K

6,441 claims · 0.1%

Your Cost: $10.33/claim|Median: $54.60
0.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$64K

28K claims · 0.1%

Your Cost: $2.31/claim|Median: $10.51
0.2× median
98940Normal range

$56K

13K claims · 0.1%

Your Cost: $4.27/claim|Median: $14.55
0.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$54K

5,764 claims · 0.1%

Your Cost: $9.28/claim|Median: $57.39
0.2× median
D1110Normal range

Prophylaxis, adult cleaning

$49K

6,216 claims · 0.1%

Your Cost: $7.85/claim|Median: $43.38
0.2× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$46K

3,202 claims · 0.0%

Your Cost: $14.22/claim|Median: $59.72
0.2× median
D0274Normal range

Bitewings, four radiographic images

$37K

13K claims · 0.0%

Your Cost: $2.87/claim|Median: $22.54
0.1× median
V2020Normal range

Frames, purchases

$26K

2,092 claims · 0.0%

Your Cost: $12.59/claim|Median: $19.33
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$23K

24K claims · 0.0%

Your Cost: $0.95/claim|Median: $7.33
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$16K

763 claims · 0.0%

Your Cost: $21.16/claim|Median: $74.09
0.3× median
G2025Normal range

$15K

2,850 claims · 0.0%

Your Cost: $5.22/claim|Median: $15.63
0.3× median
92015Normal range

Determination of refractive state

$13K

7,002 claims · 0.0%

Your Cost: $1.88/claim|Median: $10.36
0.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$12K

786 claims · 0.0%

Your Cost: $14.80/claim|Median: $84.26
0.2× median
D4910Normal range

$11K

635 claims · 0.0%

Your Cost: $17.77/claim|Median: $75.56
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$11K

29K claims · 0.0%

Your Cost: $0.37/claim|Median: $25.06
0.0× median
92341Normal range

$10K

591 claims · 0.0%

Your Cost: $17.33/claim|Median: $22.77
0.8× median
92340Normal range

Fitting of spectacles, except for aphakia

$10K

881 claims · 0.0%

Your Cost: $11.45/claim|Median: $19.46
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$6K

281 claims · 0.0%

Your Cost: $20.59/claim|Median: $108.91
0.2× median
D0270Normal range

$5K

7,719 claims · 0.0%

Your Cost: $0.70/claim|Median: $5.46
0.1× median
D0330Normal range

Panoramic radiographic image

$5K

1,489 claims · 0.0%

Your Cost: $3.25/claim|Median: $37.36
0.1× median
D4342Normal range

$4K

565 claims · 0.0%

Your Cost: $7.76/claim|Median: $42.00
0.2× median
V2200Normal range

$4K

242 claims · 0.0%

Your Cost: $15.95/claim|Median: $28.94
0.6× median
D9999Normal range

Unspecified adjunctive procedure, by report

$4K

31 claims · 0.0%

Your Cost: $117.61/claim|Median: $37.60
3.1× median
D1351Normal range

Sealant, per tooth

$3K

513 claims · 0.0%

Your Cost: $4.94/claim|Median: $26.10
0.2× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$2K

244 claims · 0.0%

Your Cost: $9.29/claim|Median: $109.42
0.1× median
99204Normal range

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

$2K

804 claims · 0.0%

Your Cost: $2.45/claim|Median: $84.03
0.0× median
D0603Normal range

$2K

17K claims · 0.0%

Your Cost: $0.11/claim|Median: $6.54
0.0× median
G0466Top 25%

$2K

15 claims · 0.0%

Your Cost: $120.82/claim|Median: $63.31
1.9× median
90471Normal range

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

$2K

6,202 claims · 0.0%

Your Cost: $0.28/claim|Median: $9.80
0.0× median