Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

VISTA COMMUNITY CLINIC

Clinic/Center, Federally Qualified Health Center (FQHC)·VISTA, CA·NPI: 1851300123Share

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 $23.6M 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

$23.6M

$23,580,080

Total Claims

404K

Beneficiaries

364K

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-2%
2019
$3.2M
+3%
2020
$3.3M
+13%
2021
$3.8M
-21%
2022
$3.0M
+11%
2023
$3.3M
+10%
2024
$3.6M

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 98% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$23.1M

183K claims · 97.9%

Your Cost: $125.83/claim|Median: $121.16
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$195K

8,264 claims · 0.8%

Your Cost: $23.55/claim|Median: $47.08
0.5× median
99213Normal range

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

$88K

50K claims · 0.4%

Your Cost: $1.78/claim|Median: $37.81
0.0× median
G9920Normal range

$35K

8,558 claims · 0.1%

Your Cost: $4.12/claim|Median: $6.56
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$35K

4,988 claims · 0.1%

Your Cost: $6.95/claim|Median: $63.65
0.1× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$18K

264 claims · 0.1%

Your Cost: $67.00/claim|Median: $25.93
2.6× median
99214Normal range

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

$17K

18K claims · 0.1%

Your Cost: $0.91/claim|Median: $53.41
0.0× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$14K

209 claims · 0.1%

Your Cost: $66.87/claim|Median: $36.70
1.8× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$13K

195 claims · 0.1%

Your Cost: $67.00/claim|Median: $33.72
2.0× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$12K

183 claims · 0.1%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
99203Normal range

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

$11K

603 claims · 0.0%

Your Cost: $17.46/claim|Median: $57.85
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$10K

698 claims · 0.0%

Your Cost: $14.52/claim|Median: $99.21
0.1× median
G0467Normal range

Federally qualified health center visit, mental health

$9K

457 claims · 0.0%

Your Cost: $19.01/claim|Median: $21.91
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$8K

3,319 claims · 0.0%

Your Cost: $2.55/claim|Median: $41.28
0.1× median
0004ATop 10%

$5K

79 claims · 0.0%

Your Cost: $64.67/claim|Median: $35.62
1.8× median
96110Normal range

Developmental screening, per standardized instrument

$5K

1,135 claims · 0.0%

Your Cost: $4.41/claim|Median: $9.10
0.5× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$5K

439 claims · 0.0%

Your Cost: $11.29/claim|Median: $11.35
1.0× median
98940Normal range

$4K

1,437 claims · 0.0%

Your Cost: $2.50/claim|Median: $14.55
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$3K

8,541 claims · 0.0%

Your Cost: $0.36/claim|Median: $25.06
0.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$3K

836 claims · 0.0%

Your Cost: $3.17/claim|Median: $20.83
0.2× median
0071ATop 5%

$3K

38 claims · 0.0%

Your Cost: $67.00/claim|Median: $38.71
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$2K

592 claims · 0.0%

Your Cost: $4.19/claim|Median: $85.66
0.0× median
0054ATop 5%

$2K

32 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.83
1.9× median
0072ATop 5%

$2K

30 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.57
1.7× median
99204Normal range

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

$1K

194 claims · 0.0%

Your Cost: $6.28/claim|Median: $84.03
0.1× median
G9919Normal range

$943

215 claims · 0.0%

Your Cost: $4.38/claim|Median: $8.66
0.5× median
81025Normal range

Urine pregnancy test

$770

633 claims · 0.0%

Your Cost: $1.22/claim|Median: $4.81
0.3× median
99401Normal range

$763

40 claims · 0.0%

Your Cost: $19.07/claim|Median: $16.53
1.2× median
0124ATop 10%

$737

12 claims · 0.0%

Your Cost: $61.42/claim|Median: $34.32
1.8× median
86703Normal range

$723

1,793 claims · 0.0%

Your Cost: $0.40/claim|Median: $10.37
0.0× median
A4267Normal range

$444

59 claims · 0.0%

Your Cost: $7.53/claim|Median: $7.86
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$413

235 claims · 0.0%

Your Cost: $1.76/claim|Median: $40.11
0.0× median
G2025Normal range

$337

31 claims · 0.0%

Your Cost: $10.88/claim|Median: $15.63
0.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$197

13 claims · 0.0%

Your Cost: $15.18/claim|Median: $59.72
0.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$135

98 claims · 0.0%

Your Cost: $1.38/claim|Median: $27.38
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$63

1,426 claims · 0.0%

Your Cost: $0.04/claim|Median: $2.00
0.0× median
82947Normal range

Blood glucose level test

$3

5,334 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.38
0.0× median
85018Normal range

$2

6,737 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
0.0× median
92015Normal range

Determination of refractive state

$1

7,942 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.36
0.0× median
90710Normal range

MMRV vaccine

$0

303 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.00
G0246Normal range

$0

135 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.89
91320Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.65
99391Normal range

Preventive medicine, established patient, infant (under 1)

$0

1,772 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.35
1158FNormal range

$0

132 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.13
90700Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.56
1159FNormal range

$0

2,662 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
92012Normal range

Ophthalmological exam, intermediate, established patient

$0

2,670 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.23
0502FNormal range

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $44.10
Z6414Normal range

$0

115 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.50
Z6308Normal range

$0

12 claims · 0.0%

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