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TUOLUMNE MEWUK INDIAN HEALTH CENTER, INC

Family Medicine·TUOLUMNE, CA·NPI: 1619952397Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.3M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$21.3M

$21,323,381

Total Claims

80K

Beneficiaries

61K

1.3 claims/patient

Avg Cost/Claim

$267

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-36%
2019
$1.5M
+40%
2020
$2.1M
+49%
2021
$3.1M
+8%
2022
$3.4M
+28%
2023
$4.3M
+6%
2024
$4.6M

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 82% of total spending.

T1015Top 1%

Clinic visit/encounter, all-inclusive

$17.6M

31K claims · 82.4%

Your Cost: $575.56/claim|Median: $121.16
4.8× median
G0467Top 1%

Federally qualified health center visit, mental health

$1.8M

3,867 claims · 8.5%

Your Cost: $470.95/claim|Median: $21.91
21.5× median
99213Top 5%

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

$892K

10K claims · 4.2%

Your Cost: $86.44/claim|Median: $37.81
2.3× median
99214Normal range

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

$416K

12K claims · 2.0%

Your Cost: $35.31/claim|Median: $53.41
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$128K

3,179 claims · 0.6%

Your Cost: $40.21/claim|Median: $63.65
0.6× median
H0047Top 10%

Alcohol and/or drug abuse, not otherwise specified

$99K

232 claims · 0.5%

Your Cost: $427.00/claim|Median: $81.37
5.2× median
90833Top 5%

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

$88K

870 claims · 0.4%

Your Cost: $101.53/claim|Median: $38.83
2.6× median
G0466Top 1%

$73K

131 claims · 0.3%

Your Cost: $560.95/claim|Median: $63.31
8.9× median
90832Top 10%

Psychotherapy, 30 minutes

$72K

611 claims · 0.3%

Your Cost: $118.22/claim|Median: $41.28
2.9× median
99212Top 10%

Office/outpatient visit, low complexity

$47K

682 claims · 0.2%

Your Cost: $68.95/claim|Median: $25.06
2.8× median
90837Normal range

Psychotherapy, 60 minutes

$38K

1,186 claims · 0.2%

Your Cost: $31.75/claim|Median: $85.66
0.4× median
98942Top 1%

$29K

67 claims · 0.1%

Your Cost: $427.00/claim|Median: $28.40
15.0× median
0561Normal range

$17K

1,137 claims · 0.1%

Your Cost: $15.17/claim|Median: $123.61
0.1× median
90853Top 5%

Group psychotherapy

$16K

178 claims · 0.1%

Your Cost: $88.76/claim|Median: $25.02
3.5× median
99203Top 1%

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

$8K

18 claims · 0.0%

Your Cost: $427.00/claim|Median: $57.85
7.4× median
90836Top 1%

Psychotherapy, 45 min, add-on to E/M

$6K

15 claims · 0.0%

Your Cost: $370.07/claim|Median: $56.18
6.6× median
90471Normal range

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

$5K

571 claims · 0.0%

Your Cost: $8.43/claim|Median: $9.80
0.9× median
80305Normal range

$725

1,125 claims · 0.0%

Your Cost: $0.64/claim|Median: $7.44
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$455

653 claims · 0.0%

Your Cost: $0.70/claim|Median: $74.09
0.0× median
3074FNormal range

$315

619 claims · 0.0%

Your Cost: $0.51/claim|Median: $0.11
4.6× median
97110Normal range

Therapeutic exercises, each 15 min

$105

3,594 claims · 0.0%

Your Cost: $0.03/claim|Median: $24.49
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
90662Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
G9622Normal range

$0

78 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
85018Normal range

$0

72 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
92552Normal range

Pure tone audiometry, air only, each ear

$0

124 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.63
G8427Normal range

$0

64 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
87804Normal range

Influenza virus detection, rapid test

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

275 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.53
3075FNormal range

$0

63 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
90674Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.16
G2211Normal range

$0

268 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.40
1159FNormal range

$0

1,218 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01

$0

88 claims · 0.0%

99204Normal range

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

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.03
97161Normal range

Physical therapy evaluation, low complexity

$0

214 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.89
99393Normal range

Preventive medicine, established patient, age 5-11

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
97140Normal range

Manual therapy techniques, per 15 minutes

$0

521 claims · 0.0%

Your Cost: $0.00/claim|Median: $16.79
3078FNormal range

$0

672 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
83051Normal range

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.37
99173Normal range

$0

171 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
3077FNormal range

$0

279 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
90791Normal range

Psychiatric diagnostic evaluation

$0

179 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21
G8510Normal range

$0

100 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$0

245 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
0510Normal range

Revenue code, clinic services

$0

1,200 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.38
99392Normal range

Preventive medicine, established patient, age 1-4

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
G0008Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
92551Normal range

Screening audiometry, pure tone, air only

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61