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COMPLETE CARE COMMUNITY HEALTH CENTER, INC

PACE Provider Organization·SOUTH GATE, CA·NPI: 1811397888Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$20.0M

$20,006,615

Total Claims

247K

Beneficiaries

176K

1.4 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$3.6M
-25%
2019
$2.7M
-16%
2020
$2.3M
+27%
2021
$2.9M
-14%
2022
$2.5M
+21%
2023
$3.0M
-0%
2024
$3.0M

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 98% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$19.7M

112K claims · 98.3%

Your Cost: $175.85/claim|Median: $121.16
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$145K

20K claims · 0.7%

Your Cost: $7.08/claim|Median: $25.06
0.3× median
99213Normal range

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

$100K

16K claims · 0.5%

Your Cost: $6.31/claim|Median: $37.81
0.2× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$66K

383 claims · 0.3%

Your Cost: $171.18/claim|Median: $40.11
4.3× median
A4267Normal range

$9K

794 claims · 0.0%

Your Cost: $10.78/claim|Median: $7.86
1.4× median
J3490Top 10%

Unclassified drugs

$5K

65 claims · 0.0%

Your Cost: $73.43/claim|Median: $5.70
12.9× median
S9445Normal range

$3K

425 claims · 0.0%

Your Cost: $6.79/claim|Median: $12.72
0.5× median
99000Normal range

$3K

10K claims · 0.0%

Your Cost: $0.25/claim|Median: $2.30
0.1× median
59425Normal range

Antepartum care only, 4-6 visits

$2K

1,730 claims · 0.0%

Your Cost: $1.24/claim|Median: $63.63
0.0× median
99214Normal range

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

$2K

4,228 claims · 0.0%

Your Cost: $0.46/claim|Median: $53.41
0.0× median
90471Normal range

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

$1K

3,383 claims · 0.0%

Your Cost: $0.38/claim|Median: $9.80
0.0× median
81025Normal range

Urine pregnancy test

$1K

784 claims · 0.0%

Your Cost: $1.39/claim|Median: $4.81
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$834

658 claims · 0.0%

Your Cost: $1.27/claim|Median: $75.18
0.0× median
S4993Normal range

$732

24 claims · 0.0%

Your Cost: $30.50/claim|Median: $46.61
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$672

842 claims · 0.0%

Your Cost: $0.80/claim|Median: $63.65
0.0× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$520

13 claims · 0.0%

Your Cost: $40.00/claim|Median: $33.85
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$504

1,006 claims · 0.0%

Your Cost: $0.50/claim|Median: $69.35
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$242

528 claims · 0.0%

Your Cost: $0.46/claim|Median: $72.71
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$218

13K claims · 0.0%

Your Cost: $0.02/claim|Median: $2.00
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$145

313 claims · 0.0%

Your Cost: $0.46/claim|Median: $7.18
0.1× median
S5000Normal range

Prescription drug, generic

$129

20 claims · 0.0%

Your Cost: $6.43/claim|Median: $7.47
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$89

2,381 claims · 0.0%

Your Cost: $0.04/claim|Median: $6.61
0.0× median
99381Normal range

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

$79

227 claims · 0.0%

Your Cost: $0.35/claim|Median: $73.46
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$65

1,741 claims · 0.0%

Your Cost: $0.04/claim|Median: $11.79
0.0× median
90715Normal range

Tdap vaccine

$43

25 claims · 0.0%

Your Cost: $1.71/claim|Median: $10.32
0.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$38

100 claims · 0.0%

Your Cost: $0.38/claim|Median: $76.06
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$36

108 claims · 0.0%

Your Cost: $0.33/claim|Median: $74.82
0.0× median
99173Normal range

$22

2,882 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.16
0.0× median
86580Normal range

Tuberculosis (TB) skin test

$19

115 claims · 0.0%

Your Cost: $0.17/claim|Median: $4.46
0.0× median
99401Normal range

$19

1,276 claims · 0.0%

Your Cost: $0.01/claim|Median: $16.53
0.0× median
90697Normal range

$18

39 claims · 0.0%

Your Cost: $0.46/claim|Median: $7.24
0.1× median
90680Normal range

$18

314 claims · 0.0%

Your Cost: $0.06/claim|Median: $5.58
0.0× median
85018Normal range

$10

2,251 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
0.0× median
90656Normal range

$9

44 claims · 0.0%

Your Cost: $0.20/claim|Median: $8.67
0.0× median
G8752Normal range

$0

1,448 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
Z6308Normal range

$0

1,217 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.01
Z6410Normal range

$0

3,303 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.08
96151Normal range

Health behavior reassessment

$0

535 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.43
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$0

474 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.70
H2000Normal range

Comprehensive multidisciplinary evaluation

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $114.71

$0

30 claims · 0.0%

Z6204Normal range

$0

1,999 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.94
G8753Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
Z6208Normal range

$0

1,061 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.62
90832Normal range

Psychotherapy, 30 minutes

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28
90648Normal range

$0

548 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.08
3078FNormal range

$0

1,634 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
99188Normal range

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.80
Z6304Normal range

$0

1,731 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.43
1160FNormal range

$0

1,147 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01