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

CHAPA-DE INDIAN HEALTH PROGRAM, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·GRASS VALLEY, CA·NPI: 1922138841Share

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 $84.6M 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

$84.6M

$84,600,598

Total Claims

221K

Beneficiaries

172K

1.3 claims/patient

Avg Cost/Claim

$382

Monthly Spending Trend

Yearly Spending

2018
$8.7M
+1%
2019
$8.8M
-12%
2020
$7.7M
+38%
2021
$10.7M
+47%
2022
$15.7M
-8%
2023
$14.5M
+28%
2024
$18.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (00003 (Anesthesia services)) accounts for 55% of total spending.

00003Top 10%

Anesthesia services

$46.1M

84K claims · 54.5%

Your Cost: $548.20/claim|Median: $223.77
2.4× median
T1015Top 1%

Clinic visit/encounter, all-inclusive

$31.4M

54K claims · 37.1%

Your Cost: $582.96/claim|Median: $121.16
4.8× median
G0467Top 1%

Federally qualified health center visit, mental health

$3.4M

8,121 claims · 4.1%

Your Cost: $424.54/claim|Median: $21.91
19.4× median
99213Normal range

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

$1.6M

36K claims · 1.9%

Your Cost: $45.30/claim|Median: $37.81
1.2× median
G0470Top 1%

Chronic care management services, FQHC/RHC

$818K

1,701 claims · 1.0%

Your Cost: $480.95/claim|Median: $45.95
10.5× median
99214Normal range

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

$536K

9,152 claims · 0.6%

Your Cost: $58.54/claim|Median: $53.41
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$164K

5,707 claims · 0.2%

Your Cost: $28.82/claim|Median: $41.28
0.7× median
90834Top 10%

Psychotherapy, 45 minutes

$149K

1,192 claims · 0.2%

Your Cost: $124.92/claim|Median: $63.65
2.0× median
99212Normal range

Office/outpatient visit, low complexity

$77K

6,024 claims · 0.1%

Your Cost: $12.72/claim|Median: $25.06
0.5× median
0900Top 25%

$63K

945 claims · 0.1%

Your Cost: $66.61/claim|Median: $2.08
32.0× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$40K

108 claims · 0.0%

Your Cost: $367.79/claim|Median: $59.72
6.2× median
86703Top 1%

$17K

146 claims · 0.0%

Your Cost: $114.15/claim|Median: $10.37
11.0× median
99203Normal range

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

$16K

650 claims · 0.0%

Your Cost: $25.10/claim|Median: $57.85
0.4× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$15K

400 claims · 0.0%

Your Cost: $38.55/claim|Median: $25.93
1.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$14K

368 claims · 0.0%

Your Cost: $38.80/claim|Median: $33.85
1.1× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$11K

33 claims · 0.0%

Your Cost: $347.03/claim|Median: $47.08
7.4× median
0064ATop 25%

$10K

248 claims · 0.0%

Your Cost: $41.91/claim|Median: $34.17
1.2× median
0134ATop 5%

$8K

116 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.54
2.0× median
87650Normal range

$6K

845 claims · 0.0%

Your Cost: $7.07/claim|Median: $14.79
0.5× median
80305Normal range

$5K

3,606 claims · 0.0%

Your Cost: $1.42/claim|Median: $7.44
0.2× median
91322Top 10%

$4K

31 claims · 0.0%

Your Cost: $143.51/claim|Median: $76.28
1.9× median
90837Normal range

Psychotherapy, 60 minutes

$3K

1,316 claims · 0.0%

Your Cost: $2.07/claim|Median: $85.66
0.0× median
81003Normal range

Urinalysis, automated without microscopy

$2K

1,701 claims · 0.0%

Your Cost: $1.29/claim|Median: $1.48
0.9× median
0031ATop 25%

COVID-19 vaccine admin, J&J, single dose

$2K

45 claims · 0.0%

Your Cost: $40.00/claim|Median: $32.49
1.2× median
0071ANormal range

$2K

43 claims · 0.0%

Your Cost: $40.00/claim|Median: $38.71
1.0× median
G2025Normal range

$1K

66 claims · 0.0%

Your Cost: $20.28/claim|Median: $15.63
1.3× median
90480Normal range

$1K

34 claims · 0.0%

Your Cost: $31.18/claim|Median: $25.29
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$910

128 claims · 0.0%

Your Cost: $7.11/claim|Median: $9.10
0.8× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$707

18 claims · 0.0%

Your Cost: $39.28/claim|Median: $36.49
1.1× median
92015Normal range

Determination of refractive state

$647

177 claims · 0.0%

Your Cost: $3.66/claim|Median: $10.36
0.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$575

40 claims · 0.0%

Your Cost: $14.39/claim|Median: $108.91
0.1× median
99204Normal range

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

$496

165 claims · 0.0%

Your Cost: $3.01/claim|Median: $84.03
0.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$480

12 claims · 0.0%

Your Cost: $40.00/claim|Median: $36.70
1.1× median
81025Normal range

Urine pregnancy test

$0

345 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
99391Normal range

Preventive medicine, established patient, infant (under 1)

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.35
97530Normal range

Therapeutic activities, each 15 min

$0

61 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.11
97140Normal range

Manual therapy techniques, per 15 minutes

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $16.79
99393Normal range

Preventive medicine, established patient, age 5-11

$0

231 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
99442Normal range

Telephone E/M by physician, 11-20 minutes

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.44
97110Normal range

Therapeutic exercises, each 15 min

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.49
90651Normal range

HPV vaccine, 9-valent

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.93
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

192 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
93000Normal range

Electrocardiogram, complete, with interpretation and report

$0

123 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.70
90633Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.56
87804Normal range

Influenza virus detection, rapid test

$0

546 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
0561Normal range

$0

308 claims · 0.0%

Your Cost: $0.00/claim|Median: $123.61
99392Normal range

Preventive medicine, established patient, age 1-4

$0

317 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
90715Normal range

Tdap vaccine

$0

300 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
92551Normal range

Screening audiometry, pure tone, air only

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$0

574 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50