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PETALUMA HEALTH CENTER INC

Clinic/Center, Federally Qualified Health Center (FQHC)·ROHNERT PARK, CA·NPI: 1669870739Share

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 $73.8M 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

$73.8M

$73,847,504

Total Claims

682K

Beneficiaries

484K

1.4 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2018
$10.5M
-2%
2019
$10.3M
-26%
2020
$7.6M
+32%
2021
$10.1M
-2%
2022
$9.9M
+20%
2023
$11.8M
+16%
2024
$13.7M

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 66% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$49.1M

236K claims · 66.5%

Your Cost: $207.89/claim|Median: $121.16
1.7× median
00003Normal range

Anesthesia services

$21.8M

82K claims · 29.5%

Your Cost: $265.38/claim|Median: $223.77
1.2× median
98941Top 25%

Chiropractic manipulative treatment, 3-4 spinal regions

$715K

25K claims · 1.0%

Your Cost: $28.89/claim|Median: $20.83
1.4× median
99213Normal range

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

$482K

135K claims · 0.7%

Your Cost: $3.57/claim|Median: $37.81
0.1× median
97810Normal range

$260K

22K claims · 0.4%

Your Cost: $11.87/claim|Median: $23.92
0.5× median
98940Top 25%

$204K

8,687 claims · 0.3%

Your Cost: $23.49/claim|Median: $14.55
1.6× median
99214Normal range

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

$192K

55K claims · 0.3%

Your Cost: $3.50/claim|Median: $53.41
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$166K

12K claims · 0.2%

Your Cost: $13.46/claim|Median: $63.65
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$138K

15K claims · 0.2%

Your Cost: $9.04/claim|Median: $41.28
0.2× median
H1001Normal range

$107K

1,748 claims · 0.1%

Your Cost: $61.46/claim|Median: $60.48
1.0× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$93K

1,872 claims · 0.1%

Your Cost: $49.86/claim|Median: $36.70
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$86K

7,409 claims · 0.1%

Your Cost: $11.55/claim|Median: $7.18
1.6× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$68K

1,353 claims · 0.1%

Your Cost: $50.41/claim|Median: $33.72
1.5× median
90791Normal range

Psychiatric diagnostic evaluation

$62K

1,526 claims · 0.1%

Your Cost: $40.85/claim|Median: $99.21
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$61K

27K claims · 0.1%

Your Cost: $2.23/claim|Median: $25.06
0.1× median
59425Normal range

Antepartum care only, 4-6 visits

$44K

727 claims · 0.1%

Your Cost: $61.00/claim|Median: $63.63
1.0× median
0071ATop 25%

$41K

909 claims · 0.1%

Your Cost: $45.45/claim|Median: $38.71
1.2× median
0004ATop 25%

$34K

732 claims · 0.0%

Your Cost: $46.26/claim|Median: $35.62
1.3× median
0072ATop 25%

$30K

683 claims · 0.0%

Your Cost: $44.63/claim|Median: $39.57
1.1× median
0003ATop 10%

COVID-19 vaccine admin, Pfizer, 3rd dose

$26K

520 claims · 0.0%

Your Cost: $49.46/claim|Median: $36.49
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$24K

2,758 claims · 0.0%

Your Cost: $8.79/claim|Median: $85.66
0.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$18K

728 claims · 0.0%

Your Cost: $24.18/claim|Median: $24.33
1.0× median
G9920Top 25%

$16K

556 claims · 0.0%

Your Cost: $28.79/claim|Median: $6.56
4.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$15K

1,964 claims · 0.0%

Your Cost: $7.44/claim|Median: $69.35
0.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$12K

4,430 claims · 0.0%

Your Cost: $2.74/claim|Median: $47.08
0.1× median
90656Normal range

$12K

1,101 claims · 0.0%

Your Cost: $10.58/claim|Median: $8.67
1.2× median
99203Normal range

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

$11K

607 claims · 0.0%

Your Cost: $17.77/claim|Median: $57.85
0.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$9K

240 claims · 0.0%

Your Cost: $38.42/claim|Median: $12.70
3.0× median
98926Top 25%

$8K

210 claims · 0.0%

Your Cost: $40.25/claim|Median: $22.66
1.8× median
S9445Normal range

$8K

677 claims · 0.0%

Your Cost: $12.16/claim|Median: $12.72
1.0× median
99401Normal range

$8K

745 claims · 0.0%

Your Cost: $10.96/claim|Median: $16.53
0.7× median
96110Top 10%

Developmental screening, per standardized instrument

$8K

310 claims · 0.0%

Your Cost: $24.85/claim|Median: $9.10
2.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$6K

227 claims · 0.0%

Your Cost: $27.61/claim|Median: $40.11
0.7× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$5K

162 claims · 0.0%

Your Cost: $30.22/claim|Median: $39.63
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$5K

2,560 claims · 0.0%

Your Cost: $1.88/claim|Median: $74.82
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$5K

2,324 claims · 0.0%

Your Cost: $2.05/claim|Median: $75.18
0.0× median
90670Normal range

$5K

634 claims · 0.0%

Your Cost: $7.48/claim|Median: $5.94
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$4K

6,882 claims · 0.0%

Your Cost: $0.55/claim|Median: $42.48
0.0× median
99204Normal range

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

$3K

251 claims · 0.0%

Your Cost: $11.10/claim|Median: $84.03
0.1× median
92015Normal range

Determination of refractive state

$3K

3,235 claims · 0.0%

Your Cost: $0.81/claim|Median: $10.36
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2K

1,230 claims · 0.0%

Your Cost: $2.03/claim|Median: $80.15
0.0× median
90633Normal range

$2K

342 claims · 0.0%

Your Cost: $6.26/claim|Median: $3.56
1.8× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$2K

23 claims · 0.0%

Your Cost: $90.32/claim|Median: $36.13
2.5× median
83655Normal range

$2K

194 claims · 0.0%

Your Cost: $9.73/claim|Median: $10.49
0.9× median
90723Normal range

DTaP-HepB-IPV vaccine

$2K

251 claims · 0.0%

Your Cost: $7.31/claim|Median: $5.78
1.3× median
90647Normal range

$2K

253 claims · 0.0%

Your Cost: $7.15/claim|Median: $4.31
1.7× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2K

116 claims · 0.0%

Your Cost: $14.62/claim|Median: $30.04
0.5× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$2K

114 claims · 0.0%

Your Cost: $13.69/claim|Median: $114.71
0.1× median
90710Normal range

MMRV vaccine

$1K

176 claims · 0.0%

Your Cost: $7.52/claim|Median: $7.00
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1K

83 claims · 0.0%

Your Cost: $14.27/claim|Median: $37.22
0.4× median

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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