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SANTA ROSA COMMUNITY HEALTH CENTERS

Clinic/Center, Federally Qualified Health Center (FQHC)·SANTA ROSA, CA·NPI: 1780195255Share

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 $95.0M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-042024-12(81 months)

Total Paid

$95.0M

$95,016,417

Total Claims

1.3M

Beneficiaries

1.0M

1.3 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+393%
2019
$12.4M
+33%
2020
$16.5M
+16%
2021
$19.1M
-24%
2022
$14.6M
-26%
2023
$10.9M
+75%
2024
$19.0M

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 62% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$58.5M

283K claims · 61.6%

Your Cost: $206.66/claim|Median: $121.16
1.7× median
00003Normal range

Anesthesia services

$34.3M

132K claims · 36.1%

Your Cost: $259.04/claim|Median: $223.77
1.2× median
99213Normal range

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

$565K

300K claims · 0.6%

Your Cost: $1.88/claim|Median: $37.81
0.0× median
99214Normal range

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

$163K

29K claims · 0.2%

Your Cost: $5.71/claim|Median: $53.41
0.1× median
87428Normal range

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

$145K

4,224 claims · 0.2%

Your Cost: $34.31/claim|Median: $39.63
0.9× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$105K

1,869 claims · 0.1%

Your Cost: $56.07/claim|Median: $33.72
1.7× median
H1001Normal range

$101K

1,666 claims · 0.1%

Your Cost: $60.48/claim|Median: $60.48
1.0× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$99K

1,571 claims · 0.1%

Your Cost: $62.86/claim|Median: $36.70
1.7× median
80305Normal range

$96K

11K claims · 0.1%

Your Cost: $8.56/claim|Median: $7.44
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$92K

7,835 claims · 0.1%

Your Cost: $11.79/claim|Median: $63.65
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$85K

14K claims · 0.1%

Your Cost: $5.93/claim|Median: $7.18
0.8× median
G9920Normal range

$85K

5,571 claims · 0.1%

Your Cost: $15.22/claim|Median: $6.56
2.3× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$68K

1,194 claims · 0.1%

Your Cost: $56.96/claim|Median: $33.85
1.7× median
90832Normal range

Psychotherapy, 30 minutes

$48K

6,671 claims · 0.1%

Your Cost: $7.16/claim|Median: $41.28
0.2× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$44K

1,114 claims · 0.0%

Your Cost: $39.24/claim|Median: $25.93
1.5× median
97810Normal range

$38K

4,596 claims · 0.0%

Your Cost: $8.37/claim|Median: $23.92
0.3× median
0004ATop 5%

$33K

488 claims · 0.0%

Your Cost: $66.97/claim|Median: $35.62
1.9× median
96110Normal range

Developmental screening, per standardized instrument

$25K

2,634 claims · 0.0%

Your Cost: $9.48/claim|Median: $9.10
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$22K

25K claims · 0.0%

Your Cost: $0.88/claim|Median: $25.06
0.0× median
G0442Normal range

$21K

2,734 claims · 0.0%

Your Cost: $7.83/claim|Median: $4.91
1.6× median
90837Normal range

Psychotherapy, 60 minutes

$19K

830 claims · 0.0%

Your Cost: $22.58/claim|Median: $85.66
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$16K

9,321 claims · 0.0%

Your Cost: $1.68/claim|Median: $74.82
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$15K

2,921 claims · 0.0%

Your Cost: $4.98/claim|Median: $69.35
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$14K

5,678 claims · 0.0%

Your Cost: $2.46/claim|Median: $80.15
0.0× median
0072ATop 10%

$12K

183 claims · 0.0%

Your Cost: $66.91/claim|Median: $39.57
1.7× median
97811Normal range

$12K

2,395 claims · 0.0%

Your Cost: $5.05/claim|Median: $19.71
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$12K

6,955 claims · 0.0%

Your Cost: $1.73/claim|Median: $75.18
0.0× median
90649Normal range

$12K

2,551 claims · 0.0%

Your Cost: $4.69/claim|Median: $6.42
0.7× median
0031ATop 10%

COVID-19 vaccine admin, J&J, single dose

$12K

184 claims · 0.0%

Your Cost: $63.57/claim|Median: $32.49
2.0× median
59409Normal range

Vaginal delivery only

$11K

21 claims · 0.0%

Your Cost: $544.28/claim|Median: $619.91
0.9× median
0071ATop 5%

$10K

156 claims · 0.0%

Your Cost: $67.00/claim|Median: $38.71
1.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$9K

148 claims · 0.0%

Your Cost: $61.14/claim|Median: $108.91
0.6× median
90656Normal range

$9K

1,766 claims · 0.0%

Your Cost: $5.12/claim|Median: $8.67
0.6× median
90715Normal range

Tdap vaccine

$9K

1,410 claims · 0.0%

Your Cost: $6.16/claim|Median: $10.32
0.6× median
90633Normal range

$8K

2,275 claims · 0.0%

Your Cost: $3.62/claim|Median: $3.56
1.0× median
59514Normal range

Cesarean delivery only

$8K

15 claims · 0.0%

Your Cost: $544.72/claim|Median: $452.80
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$8K

2,264 claims · 0.0%

Your Cost: $3.54/claim|Median: $74.09
0.0× median
90670Normal range

$8K

2,160 claims · 0.0%

Your Cost: $3.67/claim|Median: $5.94
0.6× median
0134ATop 5%

$7K

111 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.54
2.0× median
0064ATop 5%

$7K

104 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.17
2.0× median
92551Normal range

Screening audiometry, pure tone, air only

$6K

15K claims · 0.0%

Your Cost: $0.41/claim|Median: $6.61
0.1× median
D1206Normal range

Topical application of fluoride varnish

$6K

1,112 claims · 0.0%

Your Cost: $5.52/claim|Median: $18.12
0.3× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$6K

2,644 claims · 0.0%

Your Cost: $2.30/claim|Median: $9.80
0.2× median
90620Top 25%

$6K

253 claims · 0.0%

Your Cost: $23.07/claim|Median: $6.49
3.6× median
90647Normal range

$6K

1,756 claims · 0.0%

Your Cost: $3.20/claim|Median: $4.31
0.7× median
11721Normal range

$5K

1,709 claims · 0.0%

Your Cost: $3.20/claim|Median: $8.56
0.4× median
90723Normal range

DTaP-HepB-IPV vaccine

$5K

1,616 claims · 0.0%

Your Cost: $3.34/claim|Median: $5.78
0.6× median
11056Normal range

Paring or cutting of benign hyperkeratotic lesions, two to four

$5K

783 claims · 0.0%

Your Cost: $6.39/claim|Median: $11.01
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$5K

497 claims · 0.0%

Your Cost: $9.88/claim|Median: $9.56
1.0× median
95251Normal range

$5K

265 claims · 0.0%

Your Cost: $18.06/claim|Median: $18.02
1.0× median