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

MARIN COMMUNITY CLINIC

Clinic/Center, Federally Qualified Health Center (FQHC)·NOVATO, CA·NPI: 1912091018Share

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 $74.8M 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

$74.8M

$74,839,730

Total Claims

873K

Beneficiaries

743K

1.2 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$6.4M
+75%
2019
$11.1M
-5%
2020
$10.6M
+28%
2021
$13.6M
-28%
2022
$9.8M
+19%
2023
$11.7M
-0%
2024
$11.6M

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 71% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$53.3M

256K claims · 71.2%

Your Cost: $207.80/claim|Median: $121.16
1.7× median
00003Normal range

Anesthesia services

$16.0M

61K claims · 21.3%

Your Cost: $263.40/claim|Median: $223.77
1.2× median
G9012Top 10%

Other specified case management service, per 15 minutes

$1.1M

3,049 claims · 1.5%

Your Cost: $359.58/claim|Median: $137.85
2.6× median
99214Normal range

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

$471K

86K claims · 0.6%

Your Cost: $5.44/claim|Median: $53.41
0.1× median
99213Normal range

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

$435K

168K claims · 0.6%

Your Cost: $2.58/claim|Median: $37.81
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$281K

9,170 claims · 0.4%

Your Cost: $30.67/claim|Median: $99.21
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$269K

21K claims · 0.4%

Your Cost: $12.75/claim|Median: $41.28
0.3× median
98940Top 25%

$206K

9,994 claims · 0.3%

Your Cost: $20.63/claim|Median: $14.55
1.4× median
90750Top 25%

$187K

1,242 claims · 0.2%

Your Cost: $150.37/claim|Median: $96.16
1.6× median
H1001Normal range

$157K

2,586 claims · 0.2%

Your Cost: $60.65/claim|Median: $60.48
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$152K

7,597 claims · 0.2%

Your Cost: $20.04/claim|Median: $63.65
0.3× median
90688Top 25%

$149K

9,091 claims · 0.2%

Your Cost: $16.44/claim|Median: $9.00
1.8× median
96110Top 5%

Developmental screening, per standardized instrument

$142K

2,457 claims · 0.2%

Your Cost: $57.88/claim|Median: $9.10
6.4× median
99212Normal range

Office/outpatient visit, low complexity

$128K

76K claims · 0.2%

Your Cost: $1.68/claim|Median: $25.06
0.1× median
97810Normal range

$126K

7,933 claims · 0.2%

Your Cost: $15.87/claim|Median: $23.92
0.7× median
90715Top 25%

Tdap vaccine

$91K

3,448 claims · 0.1%

Your Cost: $26.52/claim|Median: $10.32
2.6× median
99215Normal range

Office/outpatient visit, high complexity

$89K

2,591 claims · 0.1%

Your Cost: $34.23/claim|Median: $74.09
0.5× median
97811Normal range

$83K

4,879 claims · 0.1%

Your Cost: $16.98/claim|Median: $19.71
0.9× median
G8431Top 25%

$78K

4,086 claims · 0.1%

Your Cost: $19.12/claim|Median: $2.37
8.1× median
G9920Normal range

$77K

4,387 claims · 0.1%

Your Cost: $17.61/claim|Median: $6.56
2.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$67K

1,554 claims · 0.1%

Your Cost: $42.93/claim|Median: $108.91
0.4× median
98941Top 10%

Chiropractic manipulative treatment, 3-4 spinal regions

$65K

2,000 claims · 0.1%

Your Cost: $32.64/claim|Median: $20.83
1.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$62K

3,216 claims · 0.1%

Your Cost: $19.25/claim|Median: $40.11
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$61K

6,989 claims · 0.1%

Your Cost: $8.76/claim|Median: $7.18
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$51K

5,246 claims · 0.1%

Your Cost: $9.74/claim|Median: $69.35
0.1× median
90651Normal range

HPV vaccine, 9-valent

$50K

2,562 claims · 0.1%

Your Cost: $19.43/claim|Median: $8.93
2.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$49K

1,027 claims · 0.1%

Your Cost: $48.02/claim|Median: $33.85
1.4× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$47K

1,059 claims · 0.1%

Your Cost: $44.84/claim|Median: $25.93
1.7× median
59425Normal range

Antepartum care only, 4-6 visits

$43K

711 claims · 0.1%

Your Cost: $60.56/claim|Median: $63.63
1.0× median
90670Normal range

$40K

3,992 claims · 0.1%

Your Cost: $10.00/claim|Median: $5.94
1.7× median
J3490Top 25%

Unclassified drugs

$40K

798 claims · 0.1%

Your Cost: $49.95/claim|Median: $5.70
8.8× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$40K

813 claims · 0.1%

Your Cost: $48.73/claim|Median: $33.72
1.4× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$38K

772 claims · 0.1%

Your Cost: $48.67/claim|Median: $36.70
1.3× median
C9803Normal range

$31K

1,881 claims · 0.0%

Your Cost: $16.52/claim|Median: $13.20
1.3× median
H1011Top 25%

$28K

302 claims · 0.0%

Your Cost: $94.30/claim|Median: $47.19
2.0× median
99203Normal range

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

$27K

1,944 claims · 0.0%

Your Cost: $13.89/claim|Median: $57.85
0.2× median
90698Normal range

$26K

3,360 claims · 0.0%

Your Cost: $7.82/claim|Median: $6.32
1.2× median
71046Normal range

Chest X-ray, 2 views

$25K

1,744 claims · 0.0%

Your Cost: $14.55/claim|Median: $8.92
1.6× median
90744Normal range

$22K

2,804 claims · 0.0%

Your Cost: $7.68/claim|Median: $5.00
1.5× median
90633Normal range

$21K

2,894 claims · 0.0%

Your Cost: $7.23/claim|Median: $3.56
2.0× median
90716Top 25%

$20K

1,446 claims · 0.0%

Your Cost: $14.11/claim|Median: $6.18
2.3× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$20K

769 claims · 0.0%

Your Cost: $25.46/claim|Median: $30.53
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$17K

4,132 claims · 0.0%

Your Cost: $4.21/claim|Median: $80.15
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$16K

7,355 claims · 0.0%

Your Cost: $2.18/claim|Median: $75.18
0.0× median
90681Normal range

$16K

1,698 claims · 0.0%

Your Cost: $9.37/claim|Median: $5.74
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$15K

5,206 claims · 0.0%

Your Cost: $2.89/claim|Median: $74.82
0.0× median
90662Top 5%

$15K

247 claims · 0.0%

Your Cost: $60.35/claim|Median: $6.55
9.2× median
90746Normal range

Hepatitis B vaccine, adult

$15K

268 claims · 0.0%

Your Cost: $55.61/claim|Median: $48.85
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$15K

426 claims · 0.0%

Your Cost: $34.31/claim|Median: $85.66
0.4× median
90707Normal range

MMR vaccine

$14K

1,130 claims · 0.0%

Your Cost: $12.46/claim|Median: $5.76
2.2× median