Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

NATIVE AMERICAN HEALTH CENTER INC

Clinic/Center, Federally Qualified Health Center (FQHC)·OAKLAND, CA·NPI: 1689863516Share

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 $67.3M 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

$67.3M

$67,337,219

Total Claims

420K

Beneficiaries

301K

1.4 claims/patient

Avg Cost/Claim

$160

Monthly Spending Trend

Yearly Spending

2018
$10.8M
-18%
2019
$8.9M
-22%
2020
$7.0M
+20%
2021
$8.4M
-5%
2022
$7.9M
+49%
2023
$11.9M
+5%
2024
$12.4M

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 59% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$39.5M

133K claims · 58.6%

Your Cost: $297.20/claim|Median: $121.16
2.5× median
00003Top 25%

Anesthesia services

$25.6M

61K claims · 38.0%

Your Cost: $422.35/claim|Median: $223.77
1.9× median
90834Normal range

Psychotherapy, 45 minutes

$847K

18K claims · 1.3%

Your Cost: $48.27/claim|Median: $63.65
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$398K

5,520 claims · 0.6%

Your Cost: $72.05/claim|Median: $85.66
0.8× median
99213Normal range

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

$290K

109K claims · 0.4%

Your Cost: $2.66/claim|Median: $37.81
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$209K

6,029 claims · 0.3%

Your Cost: $34.69/claim|Median: $41.28
0.8× median
G9012Normal range

Other specified case management service, per 15 minutes

$146K

824 claims · 0.2%

Your Cost: $177.58/claim|Median: $137.85
1.3× median
99214Normal range

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

$136K

32K claims · 0.2%

Your Cost: $4.32/claim|Median: $53.41
0.1× median
G0467Top 10%

Federally qualified health center visit, mental health

$120K

1,216 claims · 0.2%

Your Cost: $98.73/claim|Median: $21.91
4.5× median
99212Normal range

Office/outpatient visit, low complexity

$28K

3,706 claims · 0.0%

Your Cost: $7.48/claim|Median: $25.06
0.3× median
G9008Top 10%

Coordination of long-term care services, per month

$15K

55 claims · 0.0%

Your Cost: $281.33/claim|Median: $66.78
4.2× median
90677Normal range

$14K

335 claims · 0.0%

Your Cost: $41.75/claim|Median: $12.96
3.2× median
90791Normal range

Psychiatric diagnostic evaluation

$13K

103 claims · 0.0%

Your Cost: $126.48/claim|Median: $99.21
1.3× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$6K

61 claims · 0.0%

Your Cost: $106.05/claim|Median: $40.11
2.6× median
99203Normal range

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

$5K

319 claims · 0.0%

Your Cost: $16.57/claim|Median: $57.85
0.3× median
81025Normal range

Urine pregnancy test

$3K

3,245 claims · 0.0%

Your Cost: $0.89/claim|Median: $4.81
0.2× median
90746Normal range

Hepatitis B vaccine, adult

$3K

217 claims · 0.0%

Your Cost: $12.93/claim|Median: $48.85
0.3× median
H1003Normal range

$3K

2,361 claims · 0.0%

Your Cost: $1.16/claim|Median: $10.04
0.1× median
90471Normal range

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

$3K

16K claims · 0.0%

Your Cost: $0.17/claim|Median: $9.80
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

271 claims · 0.0%

Your Cost: $7.88/claim|Median: $12.93
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

807 claims · 0.0%

Your Cost: $2.64/claim|Median: $69.35
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$2K

1,933 claims · 0.0%

Your Cost: $1.02/claim|Median: $74.09
0.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$1K

1,184 claims · 0.0%

Your Cost: $1.18/claim|Median: $12.70
0.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$1K

789 claims · 0.0%

Your Cost: $1.69/claim|Median: $24.33
0.1× median
85018Normal range

$1K

6,857 claims · 0.0%

Your Cost: $0.19/claim|Median: $1.71
0.1× median
G0108Normal range

Diabetes self-management training, individual

$1K

309 claims · 0.0%

Your Cost: $3.85/claim|Median: $35.89
0.1× median
J3490Normal range

Unclassified drugs

$992

68 claims · 0.0%

Your Cost: $14.59/claim|Median: $5.70
2.6× median
86703Top 25%

$792

62 claims · 0.0%

Your Cost: $12.77/claim|Median: $10.37
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$655

2,078 claims · 0.0%

Your Cost: $0.32/claim|Median: $7.18
0.0× median
90480Normal range

$560

49 claims · 0.0%

Your Cost: $11.43/claim|Median: $25.29
0.5× median
90670Normal range

$500

588 claims · 0.0%

Your Cost: $0.85/claim|Median: $5.94
0.1× median
90680Normal range

$460

361 claims · 0.0%

Your Cost: $1.27/claim|Median: $5.58
0.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$377

51 claims · 0.0%

Your Cost: $7.40/claim|Median: $7.50
1.0× median
99401Normal range

$357

237 claims · 0.0%

Your Cost: $1.51/claim|Median: $16.53
0.1× median
90656Normal range

$327

975 claims · 0.0%

Your Cost: $0.34/claim|Median: $8.67
0.0× median
99204Normal range

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

$319

66 claims · 0.0%

Your Cost: $4.83/claim|Median: $84.03
0.1× median
90647Normal range

$290

212 claims · 0.0%

Your Cost: $1.37/claim|Median: $4.31
0.3× median
G9919Normal range

$290

20 claims · 0.0%

Your Cost: $14.50/claim|Median: $8.66
1.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$287

284 claims · 0.0%

Your Cost: $1.01/claim|Median: $74.82
0.0× median
A4267Normal range

$281

172 claims · 0.0%

Your Cost: $1.63/claim|Median: $7.86
0.2× median
90472Normal range

Immunization administration, each additional vaccine

$262

4,666 claims · 0.0%

Your Cost: $0.06/claim|Median: $11.79
0.0× median
90715Normal range

Tdap vaccine

$235

304 claims · 0.0%

Your Cost: $0.77/claim|Median: $10.32
0.1× median
90739Normal range

$190

220 claims · 0.0%

Your Cost: $0.86/claim|Median: $74.43
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$154

121 claims · 0.0%

Your Cost: $1.27/claim|Median: $80.15
0.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$150

102 claims · 0.0%

Your Cost: $1.47/claim|Median: $5.78
0.3× median
96156Normal range

$118

221 claims · 0.0%

Your Cost: $0.53/claim|Median: $22.36
0.0× median
90674Normal range

$113

230 claims · 0.0%

Your Cost: $0.49/claim|Median: $15.16
0.0× median
90688Normal range

$90

398 claims · 0.0%

Your Cost: $0.23/claim|Median: $9.00
0.0× median
90633Normal range

$80

204 claims · 0.0%

Your Cost: $0.39/claim|Median: $3.56
0.1× median
90713Normal range

Poliovirus vaccine (IPV)

$70

100 claims · 0.0%

Your Cost: $0.70/claim|Median: $5.41
0.1× 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

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providersAll providers in California →How we detect fraud →