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PEDIATRIC AND FAMILY MEDICAL CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·LOS ANGELES, CA·NPI: 1720468804Share

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 $39.6M 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

$39.6M

$39,578,171

Total Claims

298K

Beneficiaries

247K

1.2 claims/patient

Avg Cost/Claim

$133

Monthly Spending Trend

Yearly Spending

2018
$5.2M
-19%
2019
$4.2M
+12%
2020
$4.8M
+52%
2021
$7.3M
-23%
2022
$5.6M
+18%
2023
$6.6M
-11%
2024
$5.9M

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 97% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$38.4M

161K claims · 96.9%

Your Cost: $237.58/claim|Median: $121.16
2.0× median
99213Normal range

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

$456K

25K claims · 1.2%

Your Cost: $18.18/claim|Median: $37.81
0.5× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$387K

479 claims · 1.0%

Your Cost: $808.95/claim|Median: $786.43
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$141K

4,539 claims · 0.4%

Your Cost: $31.03/claim|Median: $25.06
1.2× median
00003Normal range

Anesthesia services

$94K

356 claims · 0.2%

Your Cost: $262.72/claim|Median: $223.77
1.2× median
11981Normal range

$54K

271 claims · 0.1%

Your Cost: $198.65/claim|Median: $117.16
1.7× median
99214Normal range

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

$31K

1,958 claims · 0.1%

Your Cost: $15.62/claim|Median: $53.41
0.3× median
J7298Normal range

$17K

25 claims · 0.0%

Your Cost: $675.64/claim|Median: $751.11
0.9× median
J3490Normal range

Unclassified drugs

$8K

332 claims · 0.0%

Your Cost: $24.52/claim|Median: $5.70
4.3× median
81025Normal range

Urine pregnancy test

$8K

4,639 claims · 0.0%

Your Cost: $1.69/claim|Median: $4.81
0.4× median
58300Normal range

$6K

65 claims · 0.0%

Your Cost: $87.95/claim|Median: $74.77
1.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$4K

3,022 claims · 0.0%

Your Cost: $1.29/claim|Median: $62.48
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$3K

101 claims · 0.0%

Your Cost: $26.37/claim|Median: $40.11
0.7× median
99462Normal range

$2K

2,368 claims · 0.0%

Your Cost: $0.76/claim|Median: $27.49
0.0× median
11976Normal range

$997

17 claims · 0.0%

Your Cost: $58.63/claim|Median: $57.06
1.0× median
99000Normal range

$697

346 claims · 0.0%

Your Cost: $2.01/claim|Median: $2.30
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$689

1,288 claims · 0.0%

Your Cost: $0.54/claim|Median: $69.35
0.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$272

352 claims · 0.0%

Your Cost: $0.77/claim|Median: $73.46
0.0× median
G2012Normal range

Brief communication technology-based service

$175

14 claims · 0.0%

Your Cost: $12.48/claim|Median: $8.79
1.4× median
99221Normal range

Initial hospital care, straightforward/low

$103

17 claims · 0.0%

Your Cost: $6.03/claim|Median: $39.96
0.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$93

2,511 claims · 0.0%

Your Cost: $0.04/claim|Median: $2.00
0.0× median
88720Normal range

$75

1,585 claims · 0.0%

Your Cost: $0.05/claim|Median: $3.88
0.0× median
99203Normal range

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

$62

671 claims · 0.0%

Your Cost: $0.09/claim|Median: $57.85
0.0× median
76815Normal range

Ultrasound, pregnant uterus, limited

$47

1,181 claims · 0.0%

Your Cost: $0.04/claim|Median: $36.79
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$23

60 claims · 0.0%

Your Cost: $0.38/claim|Median: $41.28
0.0× median
59025Normal range

Fetal non-stress test

$18

1,185 claims · 0.0%

Your Cost: $0.02/claim|Median: $26.45
0.0× median
96161Normal range

$8

354 claims · 0.0%

Your Cost: $0.02/claim|Median: $2.49
0.0× median
Q0111Normal range

$7

14 claims · 0.0%

Your Cost: $0.52/claim|Median: $3.66
0.1× median
85018Normal range

$6

477 claims · 0.0%

Your Cost: $0.01/claim|Median: $1.71
0.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.99
92551Normal range

Screening audiometry, pure tone, air only

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
0502FNormal range

$0

15K claims · 0.0%

Your Cost: $0.00/claim|Median: $44.10
Z6208Normal range

$0

237 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.62
Z6204Normal range

$0

5,410 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.94
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$0

51 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.85
Z6200Normal range

$0

220 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.24
Z6300Normal range

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.22
Z6308Normal range

$0

250 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.01
90681Normal range

$0

254 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.74
82948Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.78
90661Normal range

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.37
Z6500Normal range

$0

935 claims · 0.0%

Your Cost: $0.00/claim|Median: $123.51
3725FNormal range

$0

202 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
99222Normal range

Initial hospital care, per day, moderate complexity

$0

20 claims · 0.0%

Your Cost: $0.00/claim|Median: $51.25
Z1038Normal range

$0

176 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.47
90677Normal range

$0

331 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.96
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$0

513 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.67
0503FNormal range

$0

153 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.68
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

155 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
90647Normal range

$0

289 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.31

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

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$157.3M

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