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VALLEY CANCER MEDICAL CENTER INC

Specialist·MANTECA, CA·NPI: 1740648856Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$43.8M

$43,811,091

Total Claims

108K

Beneficiaries

41K

2.6 claims/patient

Avg Cost/Claim

$404

Monthly Spending Trend

Yearly Spending

2018
$4.8M
+105%
2019
$9.8M
-15%
2020
$8.4M
-38%
2021
$5.2M
+3%
2022
$5.4M
-2%
2023
$5.3M
-3%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 49 distinct procedure codes. The top code (J1447) accounts for 89% of total spending.

J1447Top 10%

$39.0M

15K claims · 89.0%

Your Cost: $2,609.94/claim|Median: $171.93
15.2× median
J1642Top 1%

$665K

2,720 claims · 1.5%

Your Cost: $244.40/claim|Median: $1.11
220.2× median
J9271Top 5%

Injection, pembrolizumab, 1 mg

$595K

44 claims · 1.4%

Your Cost: $13,529.30/claim|Median: $5,391.55
2.5× median
J2405Top 1%

Injection, ondansetron HCl, per one milligram

$470K

5,988 claims · 1.1%

Your Cost: $78.43/claim|Median: $0.58
135.2× median
J1100Top 1%

$463K

4,662 claims · 1.1%

Your Cost: $99.22/claim|Median: $0.52
190.8× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$389K

18K claims · 0.9%

Your Cost: $21.88/claim|Median: $9.56
2.3× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$311K

4,495 claims · 0.7%

Your Cost: $69.11/claim|Median: $54.77
1.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$264K

17K claims · 0.6%

Your Cost: $15.32/claim|Median: $12.93
1.2× median
96367Top 25%

$259K

3,986 claims · 0.6%

Your Cost: $64.95/claim|Median: $29.27
2.2× median
99214Normal range

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

$224K

5,090 claims · 0.5%

Your Cost: $44.09/claim|Median: $53.41
0.8× median
99213Normal range

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

$169K

6,121 claims · 0.4%

Your Cost: $27.60/claim|Median: $37.81
0.7× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$152K

2,762 claims · 0.3%

Your Cost: $55.05/claim|Median: $14.92
3.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$144K

2,584 claims · 0.3%

Your Cost: $55.58/claim|Median: $21.76
2.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$105K

2,804 claims · 0.2%

Your Cost: $37.53/claim|Median: $75.28
0.5× median
J7050Top 10%

Normal saline solution infusion, 250 cc

$100K

5,692 claims · 0.2%

Your Cost: $17.58/claim|Median: $0.82
21.4× median
96417Normal range

$53K

1,106 claims · 0.1%

Your Cost: $47.52/claim|Median: $37.60
1.3× median
77014Top 25%

CT guidance for radiation therapy procedure

$46K

707 claims · 0.1%

Your Cost: $65.23/claim|Median: $26.94
2.4× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$45K

839 claims · 0.1%

Your Cost: $54.07/claim|Median: $61.57
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$45K

465 claims · 0.1%

Your Cost: $95.91/claim|Median: $111.09
0.9× median
J2780Top 25%

$39K

1,760 claims · 0.1%

Your Cost: $22.27/claim|Median: $4.00
5.6× median
99215Normal range

Office/outpatient visit, high complexity

$31K

409 claims · 0.1%

Your Cost: $75.48/claim|Median: $74.09
1.0× median
96523Normal range

$28K

1,055 claims · 0.1%

Your Cost: $26.18/claim|Median: $19.90
1.3× median
77334Normal range

$24K

247 claims · 0.1%

Your Cost: $98.99/claim|Median: $99.06
1.0× median
99204Normal range

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

$23K

248 claims · 0.1%

Your Cost: $92.10/claim|Median: $84.03
1.1× median
77336Normal range

$21K

366 claims · 0.0%

Your Cost: $56.88/claim|Median: $55.04
1.0× median
J0897Top 10%

Injection, denosumab, one milligram

$21K

12 claims · 0.0%

Your Cost: $1,709.28/claim|Median: $493.25
3.5× median
77301Normal range

$15K

24 claims · 0.0%

Your Cost: $629.37/claim|Median: $546.64
1.2× median
J2916Top 10%

$14K

197 claims · 0.0%

Your Cost: $70.46/claim|Median: $6.31
11.2× median
J1200Top 25%

$12K

1,994 claims · 0.0%

Your Cost: $5.84/claim|Median: $0.60
9.7× median
77427Top 25%

$10K

80 claims · 0.0%

Your Cost: $121.00/claim|Median: $83.73
1.4× median
77290Normal range

$9K

109 claims · 0.0%

Your Cost: $78.20/claim|Median: $128.59
0.6× median
99203Normal range

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

$8K

101 claims · 0.0%

Your Cost: $77.59/claim|Median: $57.85
1.3× median
36000Top 25%

$8K

254 claims · 0.0%

Your Cost: $29.88/claim|Median: $6.65
4.5× median
77263Top 5%

$8K

31 claims · 0.0%

Your Cost: $243.99/claim|Median: $78.17
3.1× median
77300Normal range

$6K

109 claims · 0.0%

Your Cost: $58.74/claim|Median: $87.77
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$6K

228 claims · 0.0%

Your Cost: $24.57/claim|Median: $25.06
1.0× median
77338Normal range

$5K

24 claims · 0.0%

Your Cost: $214.98/claim|Median: $157.06
1.4× median
S0164Normal range

$5K

428 claims · 0.0%

Your Cost: $10.89/claim|Median: $8.03
1.4× median
J0640Top 10%

$5K

54 claims · 0.0%

Your Cost: $83.67/claim|Median: $24.08
3.5× median
96415Normal range

Chemotherapy infusion, each additional hour

$4K

114 claims · 0.0%

Your Cost: $33.62/claim|Median: $43.68
0.8× median
J9190Top 10%

$3K

67 claims · 0.0%

Your Cost: $41.32/claim|Median: $9.86
4.2× median
96411Normal range

$2K

82 claims · 0.0%

Your Cost: $30.46/claim|Median: $33.16
0.9× median
A4215Normal range

Sterile needle, each

$2K

107 claims · 0.0%

Your Cost: $19.10/claim|Median: $20.71
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$2K

26 claims · 0.0%

Your Cost: $63.31/claim|Median: $51.25
1.2× median
96416Normal range

$1K

22 claims · 0.0%

Your Cost: $66.47/claim|Median: $118.51
0.6× median
J7040Top 25%

Normal saline solution infusion, 500 cc

$422

66 claims · 0.0%

Your Cost: $6.40/claim|Median: $1.11
5.8× median
J2920Top 25%

$410

37 claims · 0.0%

Your Cost: $11.08/claim|Median: $2.93
3.8× median
Q0166Normal range

$152

36 claims · 0.0%

Your Cost: $4.21/claim|Median: $3.27
1.3× median
A4927Normal range

Gloves, non-sterile, per 100

$4

63 claims · 0.0%

Your Cost: $0.06/claim|Median: $12.90
0.0× median

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