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COUNTY OF MONTEREY

Family Medicine·SEASIDE, CA·NPI: 1881645158Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.2M is at the 75th percentile among 19 Family Medicine providers.

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

Total Paid

$41.2M

$41,212,224

Total Claims

830K

Beneficiaries

752K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$6.3M
-5%
2019
$6.0M
+11%
2020
$6.6M
+1%
2021
$6.7M
-33%
2022
$4.5M
+25%
2023
$5.6M
-1%
2024
$5.6M

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 78% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$32.3M

247K claims · 78.3%

Your Cost: $130.47/claim|Median: $121.16
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$818K

13K claims · 2.0%

Your Cost: $65.04/claim|Median: $80.15
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$808K

15K claims · 2.0%

Your Cost: $52.44/claim|Median: $74.82
0.7× median
99213Normal range

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

$739K

213K claims · 1.8%

Your Cost: $3.47/claim|Median: $37.81
0.1× median
59425Normal range

Antepartum care only, 4-6 visits

$717K

8,403 claims · 1.7%

Your Cost: $85.33/claim|Median: $63.63
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$608K

13K claims · 1.5%

Your Cost: $47.32/claim|Median: $75.18
0.6× median
99214Normal range

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

$487K

31K claims · 1.2%

Your Cost: $15.71/claim|Median: $53.41
0.3× median
92551Top 5%

Screening audiometry, pure tone, air only

$451K

21K claims · 1.1%

Your Cost: $21.41/claim|Median: $6.61
3.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$370K

8,782 claims · 0.9%

Your Cost: $42.12/claim|Median: $69.35
0.6× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$272K

17K claims · 0.7%

Your Cost: $16.43/claim|Median: $7.18
2.3× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$251K

1,923 claims · 0.6%

Your Cost: $130.36/claim|Median: $72.71
1.8× median
G9920Top 5%

$233K

5,447 claims · 0.6%

Your Cost: $42.69/claim|Median: $6.56
6.5× median
90739Top 25%

$215K

1,763 claims · 0.5%

Your Cost: $121.79/claim|Median: $74.43
1.6× median
90677Top 10%

$191K

1,234 claims · 0.5%

Your Cost: $154.71/claim|Median: $12.96
11.9× median
99215Top 10%

Office/outpatient visit, high complexity

$158K

1,020 claims · 0.4%

Your Cost: $155.18/claim|Median: $74.09
2.1× median
90651Top 25%

HPV vaccine, 9-valent

$158K

4,331 claims · 0.4%

Your Cost: $36.51/claim|Median: $8.93
4.1× median
90750Top 25%

$152K

939 claims · 0.4%

Your Cost: $161.68/claim|Median: $96.16
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$146K

55K claims · 0.4%

Your Cost: $2.65/claim|Median: $25.06
0.1× median
99173Top 25%

$132K

21K claims · 0.3%

Your Cost: $6.39/claim|Median: $2.16
3.0× median
90715Top 25%

Tdap vaccine

$120K

4,478 claims · 0.3%

Your Cost: $26.73/claim|Median: $10.32
2.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$108K

1,216 claims · 0.3%

Your Cost: $88.99/claim|Median: $108.91
0.8× median
90670Top 25%

$103K

5,165 claims · 0.2%

Your Cost: $19.89/claim|Median: $5.94
3.3× median
G0442Top 5%

$100K

4,088 claims · 0.2%

Your Cost: $24.40/claim|Median: $4.91
5.0× median
98960Top 25%

$80K

1,984 claims · 0.2%

Your Cost: $40.29/claim|Median: $12.74
3.2× median
H1003Normal range

$77K

5,142 claims · 0.2%

Your Cost: $15.07/claim|Median: $10.04
1.5× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$68K

1,021 claims · 0.2%

Your Cost: $67.00/claim|Median: $25.93
2.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$68K

2,286 claims · 0.2%

Your Cost: $29.58/claim|Median: $39.70
0.7× median
85018Normal range

$62K

28K claims · 0.2%

Your Cost: $2.24/claim|Median: $1.71
1.3× median
90648Top 10%

$62K

4,634 claims · 0.2%

Your Cost: $13.44/claim|Median: $4.08
3.3× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$62K

924 claims · 0.2%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$60K

890 claims · 0.1%

Your Cost: $67.00/claim|Median: $33.72
2.0× median
90716Top 10%

$56K

2,333 claims · 0.1%

Your Cost: $24.09/claim|Median: $6.18
3.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$56K

6,823 claims · 0.1%

Your Cost: $8.22/claim|Median: $11.48
0.7× median
90633Top 25%

$52K

3,861 claims · 0.1%

Your Cost: $13.38/claim|Median: $3.56
3.8× median
90723Top 25%

DTaP-HepB-IPV vaccine

$42K

3,148 claims · 0.1%

Your Cost: $13.48/claim|Median: $5.78
2.3× median
99203Normal range

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

$42K

1,784 claims · 0.1%

Your Cost: $23.61/claim|Median: $57.85
0.4× median
90688Top 10%

$42K

2,125 claims · 0.1%

Your Cost: $19.67/claim|Median: $9.00
2.2× median
90680Top 25%

$41K

3,034 claims · 0.1%

Your Cost: $13.55/claim|Median: $5.58
2.4× median
90734Normal range

$41K

2,778 claims · 0.1%

Your Cost: $14.65/claim|Median: $6.40
2.3× median
J3490Top 10%

Unclassified drugs

$39K

543 claims · 0.1%

Your Cost: $71.50/claim|Median: $5.70
12.5× median
90620Top 25%

$38K

1,585 claims · 0.1%

Your Cost: $23.99/claim|Median: $6.49
3.7× median
90707Top 25%

MMR vaccine

$36K

2,035 claims · 0.1%

Your Cost: $17.87/claim|Median: $5.76
3.1× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$34K

509 claims · 0.1%

Your Cost: $67.00/claim|Median: $36.70
1.8× median
90746Top 10%

Hepatitis B vaccine, adult

$33K

461 claims · 0.1%

Your Cost: $70.76/claim|Median: $48.85
1.4× median
99401Normal range

$25K

1,431 claims · 0.1%

Your Cost: $17.16/claim|Median: $16.53
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$24K

265 claims · 0.1%

Your Cost: $91.33/claim|Median: $111.09
0.8× median
90710Normal range

MMRV vaccine

$24K

1,788 claims · 0.1%

Your Cost: $13.50/claim|Median: $7.00
1.9× median
90662Top 5%

$24K

357 claims · 0.1%

Your Cost: $65.84/claim|Median: $6.55
10.1× median
90700Top 25%

$23K

1,632 claims · 0.1%

Your Cost: $13.79/claim|Median: $4.56
3.0× median
90696Top 25%

DTaP-IPV vaccine

$21K

1,595 claims · 0.1%

Your Cost: $13.44/claim|Median: $5.95
2.3× 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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Spring Hill, TN

$179.4M

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