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SOUTHERN CALIFORNIA EMERGENCY MEDICINE

Clinic/Center, Urgent Care·SAN BERNARDINO, CA·NPI: 1639314255Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$33.8M

$33,817,918

Total Claims

1.5M

Beneficiaries

1.5M

1.0 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+22%
2019
$5.1M
-11%
2020
$4.5M
+8%
2021
$4.9M
-1%
2022
$4.8M
+9%
2023
$5.3M
-3%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 38% of total spending.

99214Normal range

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

$12.9M

339K claims · 38.1%

Your Cost: $37.99/claim|Median: $53.41
0.7× median
99213Normal range

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

$8.2M

336K claims · 24.4%

Your Cost: $24.50/claim|Median: $37.81
0.6× median
99203Normal range

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

$6.3M

111K claims · 18.7%

Your Cost: $56.70/claim|Median: $57.85
1.0× median
99204Normal range

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

$4.7M

68K claims · 14.0%

Your Cost: $70.04/claim|Median: $84.03
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$226K

35K claims · 0.7%

Your Cost: $6.38/claim|Median: $9.56
0.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$179K

2,815 claims · 0.5%

Your Cost: $63.42/claim|Median: $65.64
1.0× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$115K

1,565 claims · 0.3%

Your Cost: $73.53/claim|Median: $36.13
2.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$75K

10K claims · 0.2%

Your Cost: $7.41/claim|Median: $10.88
0.7× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$56K

1,521 claims · 0.2%

Your Cost: $36.95/claim|Median: $33.85
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$56K

87K claims · 0.2%

Your Cost: $0.64/claim|Median: $2.00
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$49K

862 claims · 0.1%

Your Cost: $57.04/claim|Median: $74.09
0.8× median
81025Normal range

Urine pregnancy test

$45K

59K claims · 0.1%

Your Cost: $0.76/claim|Median: $4.81
0.2× median
71046Normal range

Chest X-ray, 2 views

$42K

6,780 claims · 0.1%

Your Cost: $6.26/claim|Median: $8.92
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$42K

2,279 claims · 0.1%

Your Cost: $18.58/claim|Median: $25.06
0.7× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$42K

1,276 claims · 0.1%

Your Cost: $32.79/claim|Median: $25.93
1.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$41K

1,147 claims · 0.1%

Your Cost: $36.03/claim|Median: $33.72
1.1× median
L4386Normal range

$39K

435 claims · 0.1%

Your Cost: $89.60/claim|Median: $96.14
0.9× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$38K

950 claims · 0.1%

Your Cost: $39.58/claim|Median: $36.70
1.1× median
87070Normal range

Bacterial culture, any source except blood or urine

$35K

38K claims · 0.1%

Your Cost: $0.92/claim|Median: $5.89
0.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$35K

18K claims · 0.1%

Your Cost: $1.99/claim|Median: $11.48
0.2× median
29125Normal range

$30K

986 claims · 0.1%

Your Cost: $30.65/claim|Median: $28.04
1.1× median
12001Normal range

$29K

1,042 claims · 0.1%

Your Cost: $28.20/claim|Median: $64.99
0.4× median
L3908Normal range

$25K

851 claims · 0.1%

Your Cost: $29.95/claim|Median: $35.79
0.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$23K

3,152 claims · 0.1%

Your Cost: $7.30/claim|Median: $9.70
0.8× median
29540Normal range

$22K

2,704 claims · 0.1%

Your Cost: $8.21/claim|Median: $13.93
0.6× median
S9083Normal range

Global fee, urgent care centers

$22K

2,742 claims · 0.1%

Your Cost: $7.89/claim|Median: $103.99
0.1× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$20K

2,774 claims · 0.1%

Your Cost: $7.26/claim|Median: $12.06
0.6× median
29515Normal range

$20K

595 claims · 0.1%

Your Cost: $33.33/claim|Median: $33.24
1.0× median
73610Normal range

X-ray of ankle, complete, minimum three views

$20K

2,713 claims · 0.1%

Your Cost: $7.27/claim|Median: $13.55
0.5× median
29530Normal range

$19K

1,114 claims · 0.1%

Your Cost: $17.29/claim|Median: $14.43
1.2× median
E0114Normal range

$18K

946 claims · 0.1%

Your Cost: $19.03/claim|Median: $29.11
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$17K

3,333 claims · 0.1%

Your Cost: $5.21/claim|Median: $5.60
0.9× median
73130Normal range

$17K

2,170 claims · 0.1%

Your Cost: $7.99/claim|Median: $10.69
0.7× median
29130Normal range

$17K

1,403 claims · 0.0%

Your Cost: $11.84/claim|Median: $19.22
0.6× median
10060Normal range

Incision and drainage of abscess, simple

$16K

909 claims · 0.0%

Your Cost: $17.24/claim|Median: $75.72
0.2× median
0031ANormal range

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

$13K

351 claims · 0.0%

Your Cost: $37.80/claim|Median: $32.49
1.2× median
73110Normal range

X-ray of wrist, complete, minimum three views

$12K

1,602 claims · 0.0%

Your Cost: $7.71/claim|Median: $12.64
0.6× median
73562Normal range

$11K

1,379 claims · 0.0%

Your Cost: $7.65/claim|Median: $12.28
0.6× median
29126Top 25%

$10K

180 claims · 0.0%

Your Cost: $55.27/claim|Median: $30.73
1.8× median
73140Normal range

$9K

1,700 claims · 0.0%

Your Cost: $5.22/claim|Median: $11.18
0.5× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$8K

18K claims · 0.0%

Your Cost: $0.47/claim|Median: $0.91
0.5× median
L3260Normal range

$8K

390 claims · 0.0%

Your Cost: $21.12/claim|Median: $16.57
1.3× median
72100Normal range

$8K

808 claims · 0.0%

Your Cost: $9.80/claim|Median: $15.14
0.6× median
69210Normal range

$7K

1,098 claims · 0.0%

Your Cost: $6.15/claim|Median: $21.74
0.3× median
29260Normal range

$6K

312 claims · 0.0%

Your Cost: $20.73/claim|Median: $18.51
1.1× median
29105Normal range

$6K

158 claims · 0.0%

Your Cost: $36.96/claim|Median: $36.99
1.0× median
J2930Normal range

$6K

979 claims · 0.0%

Your Cost: $5.92/claim|Median: $3.03
2.0× median
73620Normal range

$6K

1,418 claims · 0.0%

Your Cost: $4.04/claim|Median: $11.93
0.3× median
73600Normal range

$6K

1,178 claims · 0.0%

Your Cost: $4.75/claim|Median: $9.97
0.5× median
82962Normal range

Blood glucose test by monitoring device

$5K

8,703 claims · 0.0%

Your Cost: $0.63/claim|Median: $1.40
0.4× median

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