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SONOMA VALLEY COMMUNITY HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·SONOMA, CA·NPI: 1770669715Share

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 $42.4M 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

$42.4M

$42,447,583

Total Claims

412K

Beneficiaries

294K

1.4 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$8.0M
-29%
2019
$5.6M
-20%
2020
$4.5M
+19%
2021
$5.4M
-18%
2022
$4.4M
+34%
2023
$5.9M
+45%
2024
$8.6M

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 57% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$24.3M

110K claims · 57.3%

Your Cost: $220.29/claim|Median: $121.16
1.8× median
00003Normal range

Anesthesia services

$13.5M

49K claims · 31.8%

Your Cost: $274.33/claim|Median: $223.77
1.2× median
G9012Top 25%

Other specified case management service, per 15 minutes

$3.1M

11K claims · 7.3%

Your Cost: $271.80/claim|Median: $137.85
2.0× median
99213Normal range

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

$299K

61K claims · 0.7%

Your Cost: $4.88/claim|Median: $37.81
0.1× median
G0442Normal range

$159K

19K claims · 0.4%

Your Cost: $8.54/claim|Median: $4.91
1.7× median
H1001Normal range

$135K

1,773 claims · 0.3%

Your Cost: $76.19/claim|Median: $60.48
1.3× median
99214Normal range

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

$111K

30K claims · 0.3%

Your Cost: $3.70/claim|Median: $53.41
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$102K

3,861 claims · 0.2%

Your Cost: $26.53/claim|Median: $85.66
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$93K

7,877 claims · 0.2%

Your Cost: $11.80/claim|Median: $63.65
0.2× median
98940Normal range

$80K

6,200 claims · 0.2%

Your Cost: $12.94/claim|Median: $14.55
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$68K

8,113 claims · 0.2%

Your Cost: $8.42/claim|Median: $7.18
1.2× median
90750Normal range

$59K

645 claims · 0.1%

Your Cost: $91.19/claim|Median: $96.16
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$43K

16K claims · 0.1%

Your Cost: $2.73/claim|Median: $25.06
0.1× median
59425Normal range

Antepartum care only, 4-6 visits

$32K

527 claims · 0.1%

Your Cost: $60.59/claim|Median: $63.63
1.0× median
90677Top 25%

$30K

272 claims · 0.1%

Your Cost: $110.08/claim|Median: $12.96
8.5× median
G9920Normal range

$28K

1,909 claims · 0.1%

Your Cost: $14.83/claim|Median: $6.56
2.3× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$26K

476 claims · 0.1%

Your Cost: $54.24/claim|Median: $12.70
4.3× median
G0444Normal range

Annual depression screening, fifteen minutes

$25K

11K claims · 0.1%

Your Cost: $2.26/claim|Median: $4.23
0.5× median
90651Top 25%

HPV vaccine, 9-valent

$22K

768 claims · 0.1%

Your Cost: $28.26/claim|Median: $8.93
3.2× median
96110Top 10%

Developmental screening, per standardized instrument

$21K

577 claims · 0.0%

Your Cost: $36.32/claim|Median: $9.10
4.0× median
90715Normal range

Tdap vaccine

$16K

890 claims · 0.0%

Your Cost: $18.42/claim|Median: $10.32
1.8× median
90832Normal range

Psychotherapy, 30 minutes

$16K

1,645 claims · 0.0%

Your Cost: $9.61/claim|Median: $41.28
0.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$15K

2,253 claims · 0.0%

Your Cost: $6.68/claim|Median: $69.35
0.1× median
90688Normal range

$12K

1,031 claims · 0.0%

Your Cost: $11.25/claim|Median: $9.00
1.2× median
G8510Normal range

$11K

1,782 claims · 0.0%

Your Cost: $6.11/claim|Median: $1.96
3.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$10K

858 claims · 0.0%

Your Cost: $11.92/claim|Median: $47.08
0.3× median
90670Normal range

$8K

1,342 claims · 0.0%

Your Cost: $5.81/claim|Median: $5.94
1.0× median
90698Normal range

$6K

978 claims · 0.0%

Your Cost: $5.76/claim|Median: $6.32
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$5K

2,262 claims · 0.0%

Your Cost: $2.09/claim|Median: $80.15
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$4K

12K claims · 0.0%

Your Cost: $0.38/claim|Median: $6.61
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$4K

1,229 claims · 0.0%

Your Cost: $3.57/claim|Median: $72.71
0.0× median
H0049Normal range

$4K

387 claims · 0.0%

Your Cost: $10.76/claim|Median: $9.27
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$4K

3,081 claims · 0.0%

Your Cost: $1.35/claim|Median: $75.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$4K

3,157 claims · 0.0%

Your Cost: $1.21/claim|Median: $74.82
0.0× median
G0443Top 25%

$3K

207 claims · 0.0%

Your Cost: $16.90/claim|Median: $5.25
3.2× median
90662Normal range

$3K

246 claims · 0.0%

Your Cost: $13.78/claim|Median: $6.55
2.1× median
G8431Normal range

$3K

243 claims · 0.0%

Your Cost: $13.44/claim|Median: $2.37
5.7× median
90734Normal range

$3K

363 claims · 0.0%

Your Cost: $8.90/claim|Median: $6.40
1.4× median
81025Normal range

Urine pregnancy test

$3K

1,662 claims · 0.0%

Your Cost: $1.93/claim|Median: $4.81
0.4× median
G9919Normal range

$3K

204 claims · 0.0%

Your Cost: $15.50/claim|Median: $8.66
1.8× median
99401Normal range

$3K

140 claims · 0.0%

Your Cost: $21.63/claim|Median: $16.53
1.3× median
90680Normal range

$3K

516 claims · 0.0%

Your Cost: $5.76/claim|Median: $5.58
1.0× median
83655Normal range

$3K

447 claims · 0.0%

Your Cost: $6.12/claim|Median: $10.49
0.6× median
90656Normal range

$3K

411 claims · 0.0%

Your Cost: $6.56/claim|Median: $8.67
0.8× median
96160Top 25%

Patient-focused health risk assessment

$3K

612 claims · 0.0%

Your Cost: $4.20/claim|Median: $2.10
2.0× median
99283Normal range

Emergency dept visit, moderate complexity

$2K

3,438 claims · 0.0%

Your Cost: $0.68/claim|Median: $42.48
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$2K

1,512 claims · 0.0%

Your Cost: $1.53/claim|Median: $76.06
0.0× median
99203Normal range

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

$2K

279 claims · 0.0%

Your Cost: $6.85/claim|Median: $57.85
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$2K

464 claims · 0.0%

Your Cost: $4.06/claim|Median: $74.09
0.1× median
90756Normal range

Influenza virus vaccine, quadrivalent

$2K

96 claims · 0.0%

Your Cost: $18.75/claim|Median: $14.34
1.3× 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

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