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SOUTH COUNTY COMMUNITY HEALTH CENTER INC

Clinic/Center, Primary Care·EAST PALO ALTO, CA·NPI: 1821170044Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$109.4M

$109,435,522

Total Claims

1.4M

Beneficiaries

1.0M

1.3 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$12.0M
-16%
2019
$10.1M
+2%
2020
$10.3M
+80%
2021
$18.6M
-14%
2022
$16.0M
+29%
2023
$20.8M
+4%
2024
$21.6M

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 86% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$94.5M

261K claims · 86.4%

Your Cost: $362.50/claim|Median: $121.16
3.0× median
00003Top 10%

Anesthesia services

$6.7M

15K claims · 6.1%

Your Cost: $452.45/claim|Median: $223.77
2.0× median
99213Normal range

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

$1.3M

196K claims · 1.2%

Your Cost: $6.71/claim|Median: $37.81
0.2× median
99214Normal range

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

$563K

57K claims · 0.5%

Your Cost: $9.89/claim|Median: $53.41
0.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$481K

9,143 claims · 0.4%

Your Cost: $52.56/claim|Median: $21.91
2.4× median
D1120Normal range

Prophylaxis, adult

$451K

16K claims · 0.4%

Your Cost: $28.34/claim|Median: $33.86
0.8× median
D1310Normal range

Nutritional counseling for control of dental disease

$398K

16K claims · 0.4%

Your Cost: $25.01/claim|Median: $40.52
0.6× median
G9012Normal range

Other specified case management service, per 15 minutes

$318K

3,121 claims · 0.3%

Your Cost: $101.96/claim|Median: $137.85
0.7× median
90651Top 5%

HPV vaccine, 9-valent

$317K

2,110 claims · 0.3%

Your Cost: $150.24/claim|Median: $8.93
16.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$315K

12K claims · 0.3%

Your Cost: $26.31/claim|Median: $47.08
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$252K

5,814 claims · 0.2%

Your Cost: $43.30/claim|Median: $63.65
0.7× median
D1206Normal range

Topical application of fluoride varnish

$198K

19K claims · 0.2%

Your Cost: $10.57/claim|Median: $18.12
0.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$197K

4,852 claims · 0.2%

Your Cost: $40.67/claim|Median: $71.00
0.6× median
D0120Normal range

Periodic oral evaluation, established patient

$166K

15K claims · 0.2%

Your Cost: $11.44/claim|Median: $24.34
0.5× median
90746Normal range

Hepatitis B vaccine, adult

$157K

3,167 claims · 0.1%

Your Cost: $49.56/claim|Median: $48.85
1.0× median
G8510Normal range

$136K

28K claims · 0.1%

Your Cost: $4.92/claim|Median: $1.96
2.5× median
H0049Normal range

$129K

18K claims · 0.1%

Your Cost: $7.13/claim|Median: $9.27
0.8× median
D1351Normal range

Sealant, per tooth

$126K

4,191 claims · 0.1%

Your Cost: $29.95/claim|Median: $26.10
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$117K

6,639 claims · 0.1%

Your Cost: $17.57/claim|Median: $12.93
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$100K

928 claims · 0.1%

Your Cost: $108.25/claim|Median: $99.21
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$99K

2,728 claims · 0.1%

Your Cost: $36.30/claim|Median: $54.60
0.7× median
D0274Normal range

Bitewings, four radiographic images

$94K

6,713 claims · 0.1%

Your Cost: $13.99/claim|Median: $22.54
0.6× median
99401Normal range

$81K

7,723 claims · 0.1%

Your Cost: $10.49/claim|Median: $16.53
0.6× median
92015Normal range

Determination of refractive state

$76K

13K claims · 0.1%

Your Cost: $5.95/claim|Median: $10.36
0.6× median
D1354Normal range

$75K

3,389 claims · 0.1%

Your Cost: $22.25/claim|Median: $12.52
1.8× median
J3490Top 25%

Unclassified drugs

$73K

1,960 claims · 0.1%

Your Cost: $37.45/claim|Median: $5.70
6.6× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$73K

7,718 claims · 0.1%

Your Cost: $9.47/claim|Median: $20.83
0.5× median
D0220Normal range

Intraoral periapical radiographic image, first film

$71K

9,292 claims · 0.1%

Your Cost: $7.69/claim|Median: $10.51
0.7× median
90750Normal range

$68K

995 claims · 0.1%

Your Cost: $68.84/claim|Median: $96.16
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$68K

25K claims · 0.1%

Your Cost: $2.77/claim|Median: $7.33
0.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$65K

1,812 claims · 0.1%

Your Cost: $35.74/claim|Median: $57.39
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$63K

7,594 claims · 0.1%

Your Cost: $8.36/claim|Median: $75.18
0.1× median
D0140Normal range

Limited oral evaluation, problem focused

$62K

2,419 claims · 0.1%

Your Cost: $25.75/claim|Median: $27.07
1.0× median
90677Normal range

$61K

2,046 claims · 0.1%

Your Cost: $29.91/claim|Median: $12.96
2.3× median
90471Normal range

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

$57K

60K claims · 0.1%

Your Cost: $0.94/claim|Median: $9.80
0.1× median
D0603Normal range

$56K

9,635 claims · 0.1%

Your Cost: $5.85/claim|Median: $6.54
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$55K

719 claims · 0.1%

Your Cost: $76.45/claim|Median: $85.66
0.9× median
D0272Normal range

Bitewings, two radiographic images

$54K

7,643 claims · 0.0%

Your Cost: $7.09/claim|Median: $15.81
0.4× median
G2025Normal range

$51K

2,875 claims · 0.0%

Your Cost: $17.86/claim|Median: $15.63
1.1× median
D2940Normal range

$47K

1,222 claims · 0.0%

Your Cost: $38.61/claim|Median: $34.80
1.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$43K

1,359 claims · 0.0%

Your Cost: $31.30/claim|Median: $38.23
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$41K

5,022 claims · 0.0%

Your Cost: $8.18/claim|Median: $74.82
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$39K

6,296 claims · 0.0%

Your Cost: $6.15/claim|Median: $69.35
0.1× median
81025Normal range

Urine pregnancy test

$36K

14K claims · 0.0%

Your Cost: $2.63/claim|Median: $4.81
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$36K

1,799 claims · 0.0%

Your Cost: $19.94/claim|Median: $32.07
0.6× median
90847Top 25%

Family psychotherapy with patient, 50 min

$34K

278 claims · 0.0%

Your Cost: $123.00/claim|Median: $77.33
1.6× median
81002Normal range

Urinalysis, non-automated without microscopy

$34K

27K claims · 0.0%

Your Cost: $1.24/claim|Median: $2.00
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$32K

16K claims · 0.0%

Your Cost: $2.05/claim|Median: $7.18
0.3× median
D4341Normal range

Periodontal scaling, per quadrant

$31K

564 claims · 0.0%

Your Cost: $54.63/claim|Median: $70.00
0.8× median
D4910Normal range

$30K

601 claims · 0.0%

Your Cost: $50.73/claim|Median: $75.56
0.7× median

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$1.40B

City & County of San Francisco

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$1.34B

Los Angeles County Department of Public Health

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$1.13B

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