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PIONEERS MEMORIAL HEALTHCARE DISTRICT

Clinic/Center, Rural Health·BRAWLEY, CA·NPI: 1720401607Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$27.9M

$27,933,318

Total Claims

472K

Beneficiaries

406K

1.2 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$4.3M
-14%
2019
$3.7M
+9%
2020
$4.1M
+14%
2021
$4.6M
-13%
2022
$4.0M
+19%
2023
$4.8M
-51%
2024
$2.4M

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 77% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$21.5M

112K claims · 76.9%

Your Cost: $192.64/claim|Median: $121.16
1.6× median
99213Normal range

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

$1.9M

124K claims · 6.7%

Your Cost: $15.06/claim|Median: $37.81
0.4× median
G0467Top 5%

Federally qualified health center visit, mental health

$1.5M

9,916 claims · 5.5%

Your Cost: $153.69/claim|Median: $21.91
7.0× median
99214Normal range

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

$380K

18K claims · 1.4%

Your Cost: $20.67/claim|Median: $53.41
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$373K

28K claims · 1.3%

Your Cost: $13.09/claim|Median: $25.06
0.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$293K

5,453 claims · 1.0%

Your Cost: $53.66/claim|Median: $63.08
0.9× median
H1001Normal range

$253K

4,183 claims · 0.9%

Your Cost: $60.50/claim|Median: $60.48
1.0× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$235K

1,364 claims · 0.8%

Your Cost: $172.17/claim|Median: $169.17
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$221K

21K claims · 0.8%

Your Cost: $10.30/claim|Median: $9.56
1.1× median
99203Normal range

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

$142K

3,828 claims · 0.5%

Your Cost: $36.97/claim|Median: $57.85
0.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$91K

1,668 claims · 0.3%

Your Cost: $54.44/claim|Median: $91.47
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$86K

3,642 claims · 0.3%

Your Cost: $23.55/claim|Median: $75.18
0.3× median
G0466Top 10%

$77K

474 claims · 0.3%

Your Cost: $162.55/claim|Median: $63.31
2.6× median
59425Normal range

Antepartum care only, 4-6 visits

$55K

1,195 claims · 0.2%

Your Cost: $46.39/claim|Median: $63.63
0.7× median
99204Normal range

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

$49K

1,642 claims · 0.2%

Your Cost: $29.57/claim|Median: $84.03
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$48K

1,044 claims · 0.2%

Your Cost: $45.97/claim|Median: $74.09
0.6× median
G0071Top 25%

$48K

2,211 claims · 0.2%

Your Cost: $21.64/claim|Median: $7.20
3.0× median
J3490Normal range

Unclassified drugs

$45K

3,203 claims · 0.2%

Your Cost: $13.96/claim|Median: $5.70
2.4× median
J3420Top 10%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$44K

13K claims · 0.2%

Your Cost: $3.34/claim|Median: $1.04
3.2× median
87486Normal range

$40K

2,104 claims · 0.1%

Your Cost: $19.11/claim|Median: $19.16
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$39K

615 claims · 0.1%

Your Cost: $63.64/claim|Median: $72.71
0.9× median
87581Normal range

$39K

2,104 claims · 0.1%

Your Cost: $18.39/claim|Median: $17.13
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$39K

2,082 claims · 0.1%

Your Cost: $18.51/claim|Median: $69.35
0.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$38K

1,251 claims · 0.1%

Your Cost: $29.99/claim|Median: $40.11
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$28K

1,061 claims · 0.1%

Your Cost: $26.23/claim|Median: $74.82
0.4× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$23K

1,635 claims · 0.1%

Your Cost: $13.97/claim|Median: $7.18
1.9× median
82306Normal range

Vitamin D, 25 hydroxy

$20K

1,180 claims · 0.1%

Your Cost: $17.01/claim|Median: $18.18
0.9× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$19K

4,348 claims · 0.1%

Your Cost: $4.28/claim|Median: $0.91
4.7× median
99000Normal range

$18K

10K claims · 0.1%

Your Cost: $1.81/claim|Median: $2.30
0.8× median
H1000Top 10%

Prenatal care, at-risk assessment

$18K

144 claims · 0.1%

Your Cost: $126.31/claim|Median: $50.36
2.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$17K

1,890 claims · 0.1%

Your Cost: $9.07/claim|Median: $9.87
0.9× median
82948Normal range

$17K

12K claims · 0.1%

Your Cost: $1.41/claim|Median: $1.78
0.8× median
81003Normal range

Urinalysis, automated without microscopy

$17K

20K claims · 0.1%

Your Cost: $0.85/claim|Median: $1.48
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$16K

385 claims · 0.1%

Your Cost: $42.23/claim|Median: $76.06
0.6× median
80053Normal range

Comprehensive metabolic panel

$15K

2,672 claims · 0.1%

Your Cost: $5.71/claim|Median: $7.24
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$14K

466 claims · 0.1%

Your Cost: $30.36/claim|Median: $80.15
0.4× median
80061Normal range

Lipid panel

$14K

1,915 claims · 0.0%

Your Cost: $7.16/claim|Median: $8.41
0.9× median
59430Normal range

$13K

217 claims · 0.0%

Your Cost: $59.92/claim|Median: $80.32
0.7× median
99188Normal range

$13K

1,607 claims · 0.0%

Your Cost: $7.99/claim|Median: $12.80
0.6× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$13K

962 claims · 0.0%

Your Cost: $13.32/claim|Median: $26.72
0.5× median
87426Normal range

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

$12K

371 claims · 0.0%

Your Cost: $31.15/claim|Median: $30.04
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$11K

2,684 claims · 0.0%

Your Cost: $3.99/claim|Median: $4.71
0.8× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$10K

1,809 claims · 0.0%

Your Cost: $5.46/claim|Median: $5.50
1.0× median
J3301Top 25%

Injection, triamcinolone acetonide, per ten milligrams

$9K

1,558 claims · 0.0%

Your Cost: $6.01/claim|Median: $2.91
2.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$9K

1,175 claims · 0.0%

Your Cost: $7.62/claim|Median: $12.63
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$9K

268 claims · 0.0%

Your Cost: $32.46/claim|Median: $39.70
0.8× median
84480Normal range

$9K

1,190 claims · 0.0%

Your Cost: $7.27/claim|Median: $6.82
1.1× median
81025Normal range

Urine pregnancy test

$9K

4,721 claims · 0.0%

Your Cost: $1.82/claim|Median: $4.81
0.4× median
84439Normal range

Free thyroxine level blood test

$8K

1,644 claims · 0.0%

Your Cost: $4.74/claim|Median: $6.31
0.8× median
51798Normal range

$8K

1,049 claims · 0.0%

Your Cost: $7.41/claim|Median: $6.59
1.1× median

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