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NORTH COUNTY HEALTH PROJECT, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·OCEANSIDE, CA·NPI: 1639185317Share

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 $57.5M 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

$57.5M

$57,496,608

Total Claims

672K

Beneficiaries

580K

1.2 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$6.3M
+7%
2019
$6.7M
+1%
2020
$6.8M
+26%
2021
$8.5M
+2%
2022
$8.7M
+26%
2023
$11.0M
-13%
2024
$9.5M

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

$45.7M

247K claims · 79.5%

Your Cost: $184.99/claim|Median: $121.16
1.5× median
00003Normal range

Anesthesia services

$10.7M

43K claims · 18.6%

Your Cost: $245.40/claim|Median: $223.77
1.1× median
99213Normal range

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

$328K

76K claims · 0.6%

Your Cost: $4.34/claim|Median: $37.81
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$274K

26K claims · 0.5%

Your Cost: $10.59/claim|Median: $41.28
0.3× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$118K

26K claims · 0.2%

Your Cost: $4.46/claim|Median: $20.83
0.2× median
G0467Normal range

Federally qualified health center visit, mental health

$58K

2,599 claims · 0.1%

Your Cost: $22.14/claim|Median: $21.91
1.0× median
99214Normal range

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

$55K

23K claims · 0.1%

Your Cost: $2.34/claim|Median: $53.41
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$46K

2,282 claims · 0.1%

Your Cost: $20.09/claim|Median: $108.91
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$43K

1,366 claims · 0.1%

Your Cost: $31.20/claim|Median: $99.21
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$32K

22K claims · 0.1%

Your Cost: $1.51/claim|Median: $25.06
0.1× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$22K

331 claims · 0.0%

Your Cost: $67.00/claim|Median: $36.70
1.8× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$22K

325 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.72
2.0× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$21K

318 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$21K

311 claims · 0.0%

Your Cost: $67.00/claim|Median: $25.93
2.6× median
0064ATop 10%

$17K

266 claims · 0.0%

Your Cost: $65.15/claim|Median: $34.17
1.9× median
0004ATop 10%

$12K

189 claims · 0.0%

Your Cost: $65.23/claim|Median: $35.62
1.8× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$10K

809 claims · 0.0%

Your Cost: $12.61/claim|Median: $11.35
1.1× median
0124ATop 5%

$7K

112 claims · 0.0%

Your Cost: $66.20/claim|Median: $34.32
1.9× median
0054ATop 5%

$6K

93 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.83
1.9× median
0134ATop 10%

$6K

86 claims · 0.0%

Your Cost: $65.70/claim|Median: $33.54
2.0× median
0031ATop 5%

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

$6K

83 claims · 0.0%

Your Cost: $67.00/claim|Median: $32.49
2.1× median
G9920Normal range

$5K

1,281 claims · 0.0%

Your Cost: $3.91/claim|Median: $6.56
0.6× median
99203Normal range

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

$5K

671 claims · 0.0%

Your Cost: $7.32/claim|Median: $57.85
0.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$4K

1,338 claims · 0.0%

Your Cost: $3.15/claim|Median: $40.11
0.1× median
91320Normal range

$4K

328 claims · 0.0%

Your Cost: $11.48/claim|Median: $72.65
0.2× median
G2025Normal range

$2K

163 claims · 0.0%

Your Cost: $11.64/claim|Median: $15.63
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

1,683 claims · 0.0%

Your Cost: $1.07/claim|Median: $12.93
0.1× median
90480Normal range

$1K

327 claims · 0.0%

Your Cost: $4.04/claim|Median: $25.29
0.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1K

955 claims · 0.0%

Your Cost: $1.13/claim|Median: $72.71
0.0× median
90750Normal range

$999

444 claims · 0.0%

Your Cost: $2.25/claim|Median: $96.16
0.0× median
81025Normal range

Urine pregnancy test

$983

974 claims · 0.0%

Your Cost: $1.01/claim|Median: $4.81
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$873

342 claims · 0.0%

Your Cost: $2.55/claim|Median: $63.65
0.0× median
90677Normal range

$794

89 claims · 0.0%

Your Cost: $8.92/claim|Median: $12.96
0.7× median
G9919Normal range

$724

257 claims · 0.0%

Your Cost: $2.82/claim|Median: $8.66
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$629

659 claims · 0.0%

Your Cost: $0.95/claim|Median: $7.18
0.1× median
87811Normal range

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

$579

760 claims · 0.0%

Your Cost: $0.76/claim|Median: $30.53
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$544

5,469 claims · 0.0%

Your Cost: $0.10/claim|Median: $5.50
0.0× median
90471Normal range

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

$537

5,131 claims · 0.0%

Your Cost: $0.10/claim|Median: $9.80
0.0× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$362

51 claims · 0.0%

Your Cost: $7.10/claim|Median: $27.38
0.3× median
90715Normal range

Tdap vaccine

$282

168 claims · 0.0%

Your Cost: $1.68/claim|Median: $10.32
0.2× median
90688Normal range

$255

532 claims · 0.0%

Your Cost: $0.48/claim|Median: $9.00
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$240

2,162 claims · 0.0%

Your Cost: $0.11/claim|Median: $2.00
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$163

281 claims · 0.0%

Your Cost: $0.58/claim|Median: $9.10
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$158

529 claims · 0.0%

Your Cost: $0.30/claim|Median: $76.06
0.0× median
99401Normal range

$133

379 claims · 0.0%

Your Cost: $0.35/claim|Median: $16.53
0.0× median
90732Normal range

Pneumococcal vaccine (PPSV23)

$130

52 claims · 0.0%

Your Cost: $2.51/claim|Median: $36.96
0.1× median
96156Normal range

$104

1,042 claims · 0.0%

Your Cost: $0.10/claim|Median: $22.36
0.0× median
G0442Normal range

$99

2,749 claims · 0.0%

Your Cost: $0.04/claim|Median: $4.91
0.0× median
90662Normal range

$80

79 claims · 0.0%

Your Cost: $1.02/claim|Median: $6.55
0.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$77

1,039 claims · 0.0%

Your Cost: $0.07/claim|Median: $11.48
0.0× median