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SEQUOIA HEALTH IPA INC

Health Maintenance Organization·CORONA, CA·NPI: 1851821565Share

Compared to Health Maintenance Organization Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.4M is at the 25th percentile among 10 Health Maintenance Organization providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$43.4M

$43,413,396

Total Claims

2.4M

Beneficiaries

2.3M

1.1 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+76%
2019
$5.8M
-8%
2020
$5.4M
+14%
2021
$6.1M
+24%
2022
$7.6M
+6%
2023
$8.1M
-12%
2024
$7.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 16% of total spending.

99213Normal range

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

$6.8M

622K claims · 15.7%

Your Cost: $10.93/claim|Median: $37.81
0.3× median
59425Normal range

Antepartum care only, 4-6 visits

$5.6M

69K claims · 13.0%

Your Cost: $81.89/claim|Median: $63.63
1.3× median
99214Normal range

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

$3.4M

200K claims · 7.7%

Your Cost: $16.74/claim|Median: $53.41
0.3× median
90471Top 25%

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

$2.5M

153K claims · 5.8%

Your Cost: $16.53/claim|Median: $9.80
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$1.9M

243K claims · 4.4%

Your Cost: $7.92/claim|Median: $25.06
0.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$1.6M

11K claims · 3.7%

Your Cost: $149.92/claim|Median: $99.21
1.5× median
90832Top 25%

Psychotherapy, 30 minutes

$1.6M

25K claims · 3.6%

Your Cost: $62.38/claim|Median: $41.28
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

47K claims · 2.6%

Your Cost: $24.50/claim|Median: $75.18
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.0M

32K claims · 2.4%

Your Cost: $32.19/claim|Median: $74.82
0.4× median
59409Normal range

Vaginal delivery only

$1.0M

1,368 claims · 2.4%

Your Cost: $754.07/claim|Median: $619.91
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.0M

30K claims · 2.3%

Your Cost: $33.48/claim|Median: $69.35
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$825K

16K claims · 1.9%

Your Cost: $52.87/claim|Median: $80.15
0.7× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$647K

9,397 claims · 1.5%

Your Cost: $68.88/claim|Median: $62.48
1.1× median
98940Top 10%

$585K

23K claims · 1.3%

Your Cost: $25.75/claim|Median: $14.55
1.8× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$520K

22K claims · 1.2%

Your Cost: $23.16/claim|Median: $20.83
1.1× median
90651Top 25%

HPV vaccine, 9-valent

$491K

13K claims · 1.1%

Your Cost: $38.76/claim|Median: $8.93
4.3× median
90746Top 5%

Hepatitis B vaccine, adult

$488K

6,723 claims · 1.1%

Your Cost: $72.56/claim|Median: $48.85
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$486K

43K claims · 1.1%

Your Cost: $11.21/claim|Median: $7.18
1.6× median
90715Top 25%

Tdap vaccine

$462K

15K claims · 1.1%

Your Cost: $30.91/claim|Median: $10.32
3.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$458K

15K claims · 1.1%

Your Cost: $29.92/claim|Median: $72.71
0.4× median
90677Top 25%

$456K

6,879 claims · 1.1%

Your Cost: $66.30/claim|Median: $12.96
5.1× median
92551Normal range

Screening audiometry, pure tone, air only

$446K

65K claims · 1.0%

Your Cost: $6.86/claim|Median: $6.61
1.0× median
99462Top 25%

$418K

11K claims · 1.0%

Your Cost: $36.64/claim|Median: $27.49
1.3× median
J3490Top 25%

Unclassified drugs

$398K

6,030 claims · 0.9%

Your Cost: $66.06/claim|Median: $5.70
11.6× median
99215Normal range

Office/outpatient visit, high complexity

$378K

4,638 claims · 0.9%

Your Cost: $81.55/claim|Median: $74.09
1.1× median
99203Normal range

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

$366K

12K claims · 0.8%

Your Cost: $31.13/claim|Median: $57.85
0.5× median
H1003Top 25%

$308K

14K claims · 0.7%

Your Cost: $22.32/claim|Median: $10.04
2.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$292K

2,078 claims · 0.7%

Your Cost: $140.65/claim|Median: $111.09
1.3× median
59025Normal range

Fetal non-stress test

$292K

8,048 claims · 0.7%

Your Cost: $36.31/claim|Median: $26.45
1.4× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$286K

5,290 claims · 0.7%

Your Cost: $54.02/claim|Median: $37.22
1.5× median
90656Normal range

$277K

26K claims · 0.6%

Your Cost: $10.45/claim|Median: $8.67
1.2× median
90670Normal range

$276K

26K claims · 0.6%

Your Cost: $10.77/claim|Median: $5.94
1.8× median
99173Normal range

$274K

72K claims · 0.6%

Your Cost: $3.81/claim|Median: $2.16
1.8× median
59514Normal range

Cesarean delivery only

$247K

434 claims · 0.6%

Your Cost: $569.21/claim|Median: $452.80
1.3× median
90750Top 10%

$230K

1,261 claims · 0.5%

Your Cost: $182.54/claim|Median: $96.16
1.9× median
59430Normal range

$226K

2,970 claims · 0.5%

Your Cost: $75.94/claim|Median: $80.32
0.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$217K

4,754 claims · 0.5%

Your Cost: $45.60/claim|Median: $76.22
0.6× median
90620Top 10%

$182K

4,047 claims · 0.4%

Your Cost: $45.07/claim|Median: $6.49
6.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$181K

26K claims · 0.4%

Your Cost: $6.87/claim|Median: $11.48
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$173K

7,046 claims · 0.4%

Your Cost: $24.62/claim|Median: $40.11
0.6× median
81003Normal range

Urinalysis, automated without microscopy

$168K

89K claims · 0.4%

Your Cost: $1.89/claim|Median: $1.48
1.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$160K

8,276 claims · 0.4%

Your Cost: $19.37/claim|Median: $9.56
2.0× median
99283Normal range

Emergency dept visit, moderate complexity

$159K

4,238 claims · 0.4%

Your Cost: $37.49/claim|Median: $42.48
0.9× median
85018Normal range

$151K

75K claims · 0.3%

Your Cost: $2.01/claim|Median: $1.71
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$150K

11K claims · 0.3%

Your Cost: $13.17/claim|Median: $76.06
0.2× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$149K

1,505 claims · 0.3%

Your Cost: $98.86/claim|Median: $51.25
1.9× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$148K

2,604 claims · 0.3%

Your Cost: $56.95/claim|Median: $16.79
3.4× median
D1206Top 25%

Topical application of fluoride varnish

$136K

5,548 claims · 0.3%

Your Cost: $24.44/claim|Median: $18.12
1.3× median
J7307Top 25%

Etonogestrel implant system, including implant and supplies

$131K

123 claims · 0.3%

Your Cost: $1,061.20/claim|Median: $786.43
1.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$127K

3,775 claims · 0.3%

Your Cost: $33.65/claim|Median: $12.70
2.6× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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