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COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

Clinic/Center, Federally Qualified Health Center (FQHC)·NIPOMO, CA·NPI: 1841217866Share

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 $51.6M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$51.6M

$51,614,579

Total Claims

887K

Beneficiaries

562K

1.6 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$11.4M
-25%
2019
$8.6M
-20%
2020
$6.8M
-2%
2021
$6.7M
-13%
2022
$5.8M
+8%
2023
$6.3M
-5%
2024
$6.0M

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 50% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$26.0M

161K claims · 50.3%

Your Cost: $160.90/claim|Median: $121.16
1.3× median
00003Normal range

Anesthesia services

$21.4M

113K claims · 41.5%

Your Cost: $188.93/claim|Median: $223.77
0.8× median
0521Normal range

$3.1M

361K claims · 6.1%

Your Cost: $8.67/claim|Median: $7.40
1.2× median
0636Top 25%

$422K

20K claims · 0.8%

Your Cost: $20.65/claim|Median: $5.41
3.8× median
0761Normal range

$102K

5,471 claims · 0.2%

Your Cost: $18.70/claim|Median: $24.10
0.8× median
99214Normal range

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

$87K

16K claims · 0.2%

Your Cost: $5.56/claim|Median: $53.41
0.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$84K

8,829 claims · 0.2%

Your Cost: $9.48/claim|Median: $19.46
0.5× median
99213Normal range

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

$81K

28K claims · 0.2%

Your Cost: $2.84/claim|Median: $37.81
0.1× median
V2020Normal range

Frames, purchases

$77K

9,526 claims · 0.2%

Your Cost: $8.13/claim|Median: $19.33
0.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$35K

9,913 claims · 0.1%

Your Cost: $3.50/claim|Median: $47.08
0.1× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$29K

2,925 claims · 0.1%

Your Cost: $10.00/claim|Median: $11.35
0.9× median
H1001Normal range

$27K

1,314 claims · 0.1%

Your Cost: $20.59/claim|Median: $60.48
0.3× median
59409Normal range

Vaginal delivery only

$26K

41 claims · 0.0%

Your Cost: $625.92/claim|Median: $619.91
1.0× median
0771Normal range

$17K

4,416 claims · 0.0%

Your Cost: $3.86/claim|Median: $4.66
0.8× median
0770Normal range

$16K

5,637 claims · 0.0%

Your Cost: $2.83/claim|Median: $4.23
0.7× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$13K

16K claims · 0.0%

Your Cost: $0.79/claim|Median: $20.83
0.0× median
0301Normal range

$12K

7,408 claims · 0.0%

Your Cost: $1.67/claim|Median: $11.15
0.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$10K

296 claims · 0.0%

Your Cost: $34.12/claim|Median: $39.70
0.9× median
92250Normal range

Fundus photography with interpretation and report

$7K

492 claims · 0.0%

Your Cost: $14.60/claim|Median: $27.95
0.5× median
0307Top 25%

$7K

2,436 claims · 0.0%

Your Cost: $2.69/claim|Median: $1.09
2.5× median
S9445Normal range

$5K

1,586 claims · 0.0%

Your Cost: $3.05/claim|Median: $12.72
0.2× median
0309Normal range

$5K

763 claims · 0.0%

Your Cost: $6.29/claim|Median: $6.56
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$5K

1,638 claims · 0.0%

Your Cost: $2.89/claim|Median: $76.06
0.0× median
90750Normal range

$4K

211 claims · 0.0%

Your Cost: $19.55/claim|Median: $96.16
0.2× median
92015Normal range

Determination of refractive state

$4K

11K claims · 0.0%

Your Cost: $0.32/claim|Median: $10.36
0.0× median
0306Normal range

$3K

303 claims · 0.0%

Your Cost: $10.02/claim|Median: $3.72
2.7× median
0270Top 25%

$3K

194 claims · 0.0%

Your Cost: $15.47/claim|Median: $5.50
2.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$2K

2,495 claims · 0.0%

Your Cost: $0.93/claim|Median: $72.71
0.0× median
0124ANormal range

$2K

59 claims · 0.0%

Your Cost: $31.80/claim|Median: $34.32
0.9× median
87804Normal range

Influenza virus detection, rapid test

$1K

358 claims · 0.0%

Your Cost: $4.11/claim|Median: $12.59
0.3× median
G0442Normal range

$1K

800 claims · 0.0%

Your Cost: $1.83/claim|Median: $4.91
0.4× median
99283Normal range

Emergency dept visit, moderate complexity

$1K

28 claims · 0.0%

Your Cost: $51.28/claim|Median: $42.48
1.2× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$1K

335 claims · 0.0%

Your Cost: $3.38/claim|Median: $59.72
0.1× median
90651Normal range

HPV vaccine, 9-valent

$1K

760 claims · 0.0%

Your Cost: $1.47/claim|Median: $8.93
0.2× median
0500Normal range

$1K

58 claims · 0.0%

Your Cost: $18.47/claim|Median: $21.15
0.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$1K

1,166 claims · 0.0%

Your Cost: $0.91/claim|Median: $5.50
0.2× median
0900Normal range

$891

4,746 claims · 0.0%

Your Cost: $0.19/claim|Median: $2.08
0.1× median
0051ANormal range

$871

26 claims · 0.0%

Your Cost: $33.50/claim|Median: $36.92
0.9× median
0929Top 25%

$864

59 claims · 0.0%

Your Cost: $14.64/claim|Median: $13.71
1.1× median
99188Normal range

$840

2,123 claims · 0.0%

Your Cost: $0.40/claim|Median: $12.80
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$762

17K claims · 0.0%

Your Cost: $0.05/claim|Median: $25.06
0.0× median
0412Top 25%

$756

40 claims · 0.0%

Your Cost: $18.89/claim|Median: $13.73
1.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$560

39 claims · 0.0%

Your Cost: $14.37/claim|Median: $37.22
0.4× median
0300Normal range

$541

48 claims · 0.0%

Your Cost: $11.26/claim|Median: $8.79
1.3× median
90677Normal range

$522

409 claims · 0.0%

Your Cost: $1.28/claim|Median: $12.96
0.1× median
0271Top 10%

$491

32 claims · 0.0%

Your Cost: $15.34/claim|Median: $2.35
6.5× median
82947Normal range

Blood glucose level test

$490

477 claims · 0.0%

Your Cost: $1.03/claim|Median: $2.38
0.4× median
81025Normal range

Urine pregnancy test

$475

1,060 claims · 0.0%

Your Cost: $0.45/claim|Median: $4.81
0.1× median
0064ANormal range

$440

31 claims · 0.0%

Your Cost: $14.19/claim|Median: $34.17
0.4× median
G9919Normal range

$428

24 claims · 0.0%

Your Cost: $17.84/claim|Median: $8.66
2.1× median