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TOIYABE INDIAN HEALTH PROJECT, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·BISHOP, CA·NPI: 1659433191Share

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 $32.3M 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

$32.3M

$32,271,164

Total Claims

82K

Beneficiaries

63K

1.3 claims/patient

Avg Cost/Claim

$394

Monthly Spending Trend

Yearly Spending

2018
$3.9M
-13%
2019
$3.4M
-15%
2020
$2.9M
+46%
2021
$4.3M
+62%
2022
$6.9M
-22%
2023
$5.4M
-3%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (00003 (Anesthesia services)) accounts for 58% of total spending.

00003Top 10%

Anesthesia services

$18.7M

35K claims · 58.0%

Your Cost: $541.22/claim|Median: $223.77
2.4× median
T1015Top 5%

Clinic visit/encounter, all-inclusive

$12.2M

22K claims · 37.9%

Your Cost: $549.00/claim|Median: $121.16
4.5× median
G0467Top 1%

Federally qualified health center visit, mental health

$657K

1,894 claims · 2.0%

Your Cost: $346.85/claim|Median: $21.91
15.8× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$232K

410 claims · 0.7%

Your Cost: $566.79/claim|Median: $47.08
12.0× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$180K

353 claims · 0.6%

Your Cost: $510.48/claim|Median: $59.72
8.5× median
99213Normal range

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

$134K

4,236 claims · 0.4%

Your Cost: $31.74/claim|Median: $37.81
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$43K

1,283 claims · 0.1%

Your Cost: $33.38/claim|Median: $25.06
1.3× median
99214Normal range

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

$41K

4,273 claims · 0.1%

Your Cost: $9.52/claim|Median: $53.41
0.2× median
90832Top 25%

Psychotherapy, 30 minutes

$16K

213 claims · 0.1%

Your Cost: $76.44/claim|Median: $41.28
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$7K

535 claims · 0.0%

Your Cost: $12.97/claim|Median: $74.09
0.2× median
0561Normal range

$5K

234 claims · 0.0%

Your Cost: $20.47/claim|Median: $123.61
0.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$5K

164 claims · 0.0%

Your Cost: $28.39/claim|Median: $33.85
0.8× median
92015Normal range

Determination of refractive state

$4K

1,414 claims · 0.0%

Your Cost: $2.59/claim|Median: $10.36
0.3× median
99000Top 10%

$4K

325 claims · 0.0%

Your Cost: $11.18/claim|Median: $2.30
4.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$2K

185 claims · 0.0%

Your Cost: $12.08/claim|Median: $17.85
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$2K

1,372 claims · 0.0%

Your Cost: $1.61/claim|Median: $85.66
0.0× median
0064ATop 25%

$1K

25 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.17
1.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$966

66 claims · 0.0%

Your Cost: $14.63/claim|Median: $25.93
0.6× median
0071ANormal range

$720

18 claims · 0.0%

Your Cost: $40.00/claim|Median: $38.71
1.0× median
0072ANormal range

$560

14 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.57
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$479

50 claims · 0.0%

Your Cost: $9.58/claim|Median: $11.48
0.8× median
87804Normal range

Influenza virus detection, rapid test

$479

115 claims · 0.0%

Your Cost: $4.17/claim|Median: $12.59
0.3× median
36415Top 10%

Collection of venous blood by venipuncture

$479

80 claims · 0.0%

Your Cost: $5.99/claim|Median: $1.57
3.8× median
90471Normal range

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

$26

228 claims · 0.0%

Your Cost: $0.12/claim|Median: $9.80
0.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.07
90461Normal range

Immunization admin, additional vaccine, counseling

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.93
99392Normal range

Preventive medicine, established patient, age 1-4

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
90715Normal range

Tdap vaccine

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
D1120Normal range

Prophylaxis, adult

$0

609 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.86
90853Normal range

Group psychotherapy

$0

223 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
90674Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.16
85018Normal range

$0

49 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
D1351Normal range

Sealant, per tooth

$0

74 claims · 0.0%

Your Cost: $0.00/claim|Median: $26.10
81003Normal range

Urinalysis, automated without microscopy

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.48
85014Normal range

$0

51 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.38
V2020Normal range

Frames, purchases

$0

494 claims · 0.0%

Your Cost: $0.00/claim|Median: $19.33
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$0

203 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
92551Normal range

Screening audiometry, pure tone, air only

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
82948Normal range

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.78
D9430Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $31.69
D0220Normal range

Intraoral periapical radiographic image, first film

$0

916 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.51
D2391Normal range

Resin-based composite, one surface, posterior

$0

158 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.60
D0274Normal range

Bitewings, four radiographic images

$0

291 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.54
D9110Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.08
D1110Normal range

Prophylaxis, adult cleaning

$0

240 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.38
D4910Normal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.56
V2103Normal range

Lens, sphere-cylinder, single vision, plus or minus 4.00

$0

194 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.82
90688Normal range

$0

198 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
V2799Normal range

$0

933 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.94

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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Neighborhood Healthcare

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