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COUNTY OF MONTEREY

Family Medicine·SALINAS, CA·NPI: 1699726786Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.4M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$37.4M

$37,438,930

Total Claims

717K

Beneficiaries

614K

1.2 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$5.8M
-17%
2019
$4.9M
+6%
2020
$5.2M
+18%
2021
$6.1M
-21%
2022
$4.8M
+16%
2023
$5.6M
-9%
2024
$5.1M

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 78% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$29.2M

209K claims · 77.9%

Your Cost: $139.79/claim|Median: $121.16
1.2× median
59425Top 25%

Antepartum care only, 4-6 visits

$960K

11K claims · 2.6%

Your Cost: $86.76/claim|Median: $63.63
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$834K

15K claims · 2.2%

Your Cost: $54.39/claim|Median: $74.82
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$667K

9,777 claims · 1.8%

Your Cost: $68.24/claim|Median: $80.15
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$664K

14K claims · 1.8%

Your Cost: $46.33/claim|Median: $75.18
0.6× median
92551Top 5%

Screening audiometry, pure tone, air only

$423K

20K claims · 1.1%

Your Cost: $21.20/claim|Median: $6.61
3.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$420K

10K claims · 1.1%

Your Cost: $41.68/claim|Median: $69.35
0.6× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$330K

21K claims · 0.9%

Your Cost: $15.63/claim|Median: $7.18
2.2× median
90651Top 10%

HPV vaccine, 9-valent

$277K

5,254 claims · 0.7%

Your Cost: $52.81/claim|Median: $8.93
5.9× median
H1003Normal range

$246K

18K claims · 0.7%

Your Cost: $13.82/claim|Median: $10.04
1.4× median
G9920Top 5%

$224K

5,309 claims · 0.6%

Your Cost: $42.11/claim|Median: $6.56
6.4× median
90739Top 25%

$186K

1,523 claims · 0.5%

Your Cost: $121.91/claim|Median: $74.43
1.6× median
98960Top 25%

$185K

4,635 claims · 0.5%

Your Cost: $39.98/claim|Median: $12.74
3.1× median
99215Top 5%

Office/outpatient visit, high complexity

$164K

920 claims · 0.4%

Your Cost: $178.58/claim|Median: $74.09
2.4× median
90677Top 25%

$139K

1,229 claims · 0.4%

Your Cost: $113.50/claim|Median: $12.96
8.8× median
99213Normal range

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

$132K

128K claims · 0.4%

Your Cost: $1.03/claim|Median: $37.81
0.0× median
90750Top 10%

$126K

718 claims · 0.3%

Your Cost: $175.77/claim|Median: $96.16
1.8× median
99173Top 25%

$126K

19K claims · 0.3%

Your Cost: $6.46/claim|Median: $2.16
3.0× median
90715Top 25%

Tdap vaccine

$117K

4,699 claims · 0.3%

Your Cost: $24.83/claim|Median: $10.32
2.4× median
90670Top 25%

$107K

6,108 claims · 0.3%

Your Cost: $17.55/claim|Median: $5.94
3.0× median
90716Top 10%

$105K

4,421 claims · 0.3%

Your Cost: $23.80/claim|Median: $6.18
3.9× median
90746Top 10%

Hepatitis B vaccine, adult

$104K

1,498 claims · 0.3%

Your Cost: $69.48/claim|Median: $48.85
1.4× median
J3490Top 25%

Unclassified drugs

$103K

1,788 claims · 0.3%

Your Cost: $57.58/claim|Median: $5.70
10.1× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$98K

119 claims · 0.3%

Your Cost: $826.98/claim|Median: $786.43
1.1× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$83K

467 claims · 0.2%

Your Cost: $178.22/claim|Median: $72.71
2.5× median
90707Top 25%

MMR vaccine

$74K

4,064 claims · 0.2%

Your Cost: $18.32/claim|Median: $5.76
3.2× median
G0442Top 5%

$73K

3,037 claims · 0.2%

Your Cost: $24.05/claim|Median: $4.91
4.9× median
96110Top 5%

Developmental screening, per standardized instrument

$71K

1,502 claims · 0.2%

Your Cost: $47.24/claim|Median: $9.10
5.2× median
90648Top 25%

$71K

5,281 claims · 0.2%

Your Cost: $13.38/claim|Median: $4.08
3.3× median
59430Normal range

$66K

782 claims · 0.2%

Your Cost: $84.96/claim|Median: $80.32
1.1× median
90620Top 25%

$61K

2,526 claims · 0.2%

Your Cost: $24.24/claim|Median: $6.49
3.7× median
96156Normal range

$60K

4,185 claims · 0.2%

Your Cost: $14.24/claim|Median: $22.36
0.6× median
90633Top 25%

$54K

4,049 claims · 0.1%

Your Cost: $13.44/claim|Median: $3.56
3.8× median
90680Top 25%

$52K

3,779 claims · 0.1%

Your Cost: $13.63/claim|Median: $5.58
2.4× median
S9445Normal range

$50K

4,087 claims · 0.1%

Your Cost: $12.17/claim|Median: $12.72
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$50K

1,878 claims · 0.1%

Your Cost: $26.47/claim|Median: $39.70
0.7× median
90723Top 25%

DTaP-HepB-IPV vaccine

$49K

3,581 claims · 0.1%

Your Cost: $13.70/claim|Median: $5.78
2.4× median
90688Top 25%

$48K

2,978 claims · 0.1%

Your Cost: $16.08/claim|Median: $9.00
1.8× median
85018Normal range

$46K

21K claims · 0.1%

Your Cost: $2.24/claim|Median: $1.71
1.3× median
90734Normal range

$45K

3,116 claims · 0.1%

Your Cost: $14.33/claim|Median: $6.40
2.2× median
90700Top 25%

$42K

3,104 claims · 0.1%

Your Cost: $13.50/claim|Median: $4.56
3.0× median
99212Normal range

Office/outpatient visit, low complexity

$40K

42K claims · 0.1%

Your Cost: $0.95/claim|Median: $25.06
0.0× median
S9452Top 25%

$35K

2,808 claims · 0.1%

Your Cost: $12.37/claim|Median: $6.85
1.8× median
11981Top 25%

$32K

131 claims · 0.1%

Your Cost: $240.96/claim|Median: $117.16
2.1× median
99401Normal range

$30K

1,957 claims · 0.1%

Your Cost: $15.13/claim|Median: $16.53
0.9× median
90656Top 25%

$26K

1,324 claims · 0.1%

Your Cost: $20.01/claim|Median: $8.67
2.3× median
99188Top 25%

$26K

1,191 claims · 0.1%

Your Cost: $22.01/claim|Median: $12.80
1.7× median
H2000Top 25%

Comprehensive multidisciplinary evaluation

$23K

116 claims · 0.1%

Your Cost: $196.72/claim|Median: $114.71
1.7× median
90697Normal range

$22K

1,506 claims · 0.1%

Your Cost: $14.44/claim|Median: $7.24
2.0× median
90713Top 25%

Poliovirus vaccine (IPV)

$22K

1,609 claims · 0.1%

Your Cost: $13.49/claim|Median: $5.41
2.5× median