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

⚖️ Compare🖨️ Print Report

SANSUM CLINIC

Clinic/Center, Multi-Specialty·SANTA BARBARA, CA·NPI: 1932121514Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.4M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$24.4M

$24,395,565

Total Claims

275K

Beneficiaries

253K

1.1 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+8%
2019
$2.4M
+3%
2020
$2.5M
+81%
2021
$4.5M
+15%
2022
$5.2M
-7%
2023
$4.8M
-41%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 26% of total spending.

99214Top 10%

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

$6.2M

54K claims · 25.6%

Your Cost: $115.03/claim|Median: $53.41
2.2× median
99213Top 10%

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

$3.9M

52K claims · 16.1%

Your Cost: $75.49/claim|Median: $37.81
2.0× median
78815Top 10%

PET imaging for limited area

$2.1M

1,973 claims · 8.7%

Your Cost: $1,078.89/claim|Median: $325.10
3.3× median
99203Top 5%

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

$1.7M

13K claims · 7.1%

Your Cost: $138.01/claim|Median: $57.85
2.4× median
99204Top 5%

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

$1.1M

4,740 claims · 4.3%

Your Cost: $223.05/claim|Median: $84.03
2.7× median
99215Top 5%

Office/outpatient visit, high complexity

$680K

3,817 claims · 2.8%

Your Cost: $178.24/claim|Median: $74.09
2.4× median
92015Top 1%

Determination of refractive state

$523K

8,529 claims · 2.1%

Your Cost: $61.30/claim|Median: $10.36
5.9× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$506K

11K claims · 2.1%

Your Cost: $44.24/claim|Median: $17.85
2.5× median
59425Top 25%

Antepartum care only, 4-6 visits

$495K

4,278 claims · 2.0%

Your Cost: $115.59/claim|Median: $63.63
1.8× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$469K

2,889 claims · 1.9%

Your Cost: $162.51/claim|Median: $59.72
2.7× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$445K

3,731 claims · 1.8%

Your Cost: $119.30/claim|Median: $47.08
2.5× median
A9552Top 25%

$421K

1,662 claims · 1.7%

Your Cost: $253.50/claim|Median: $89.01
2.8× median
97110Normal range

Therapeutic exercises, each 15 min

$416K

10K claims · 1.7%

Your Cost: $40.35/claim|Median: $24.49
1.6× median
92060Top 5%

$322K

4,541 claims · 1.3%

Your Cost: $70.85/claim|Median: $35.83
2.0× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$298K

1,834 claims · 1.2%

Your Cost: $162.25/claim|Median: $75.18
2.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$287K

2,553 claims · 1.2%

Your Cost: $112.57/claim|Median: $54.68
2.1× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$265K

2,734 claims · 1.1%

Your Cost: $97.06/claim|Median: $40.11
2.4× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$247K

1,599 claims · 1.0%

Your Cost: $154.57/claim|Median: $74.82
2.1× median
77067Top 10%

Screening mammography, bilateral, including CAD

$237K

2,205 claims · 1.0%

Your Cost: $107.48/claim|Median: $39.33
2.7× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$206K

3,706 claims · 0.8%

Your Cost: $55.71/claim|Median: $39.70
1.4× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$206K

1,423 claims · 0.8%

Your Cost: $144.42/claim|Median: $69.35
2.1× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$205K

1,216 claims · 0.8%

Your Cost: $168.68/claim|Median: $80.15
2.1× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$197K

1,485 claims · 0.8%

Your Cost: $132.48/claim|Median: $75.28
1.8× median
99051Top 1%

$194K

3,455 claims · 0.8%

Your Cost: $56.06/claim|Median: $7.89
7.1× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$136K

2,808 claims · 0.6%

Your Cost: $48.52/claim|Median: $6.93
7.0× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$132K

4,578 claims · 0.5%

Your Cost: $28.91/claim|Median: $16.79
1.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$121K

408 claims · 0.5%

Your Cost: $295.60/claim|Median: $65.76
4.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$101K

855 claims · 0.4%

Your Cost: $117.91/claim|Median: $233.73
0.5× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$96K

2,207 claims · 0.4%

Your Cost: $43.46/claim|Median: $21.41
2.0× median
95004Normal range

Percutaneous allergy skin tests, each

$83K

899 claims · 0.3%

Your Cost: $92.62/claim|Median: $134.97
0.7× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$76K

360 claims · 0.3%

Your Cost: $212.23/claim|Median: $255.17
0.8× median
90960Top 10%

End-stage renal disease services, per month, age 20+

$76K

438 claims · 0.3%

Your Cost: $173.00/claim|Median: $52.76
3.3× median
92551Top 5%

Screening audiometry, pure tone, air only

$68K

3,519 claims · 0.3%

Your Cost: $19.32/claim|Median: $6.61
2.9× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$67K

706 claims · 0.3%

Your Cost: $95.25/claim|Median: $65.64
1.5× median
71046Top 25%

Chest X-ray, 2 views

$66K

2,125 claims · 0.3%

Your Cost: $31.06/claim|Median: $8.92
3.5× median
99212Normal range

Office/outpatient visit, low complexity

$65K

1,762 claims · 0.3%

Your Cost: $36.77/claim|Median: $25.06
1.5× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$60K

306 claims · 0.2%

Your Cost: $196.35/claim|Median: $106.14
1.8× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$52K

418 claims · 0.2%

Your Cost: $125.50/claim|Median: $255.03
0.5× median
92134Normal range

$52K

2,302 claims · 0.2%

Your Cost: $22.50/claim|Median: $15.46
1.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$48K

1,349 claims · 0.2%

Your Cost: $35.65/claim|Median: $12.93
2.8× median
71260Top 25%

CT chest with contrast

$46K

376 claims · 0.2%

Your Cost: $121.22/claim|Median: $48.36
2.5× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$42K

180 claims · 0.2%

Your Cost: $235.44/claim|Median: $111.09
2.1× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$42K

425 claims · 0.2%

Your Cost: $99.70/claim|Median: $59.25
1.7× median
11102Top 25%

$42K

445 claims · 0.2%

Your Cost: $93.63/claim|Median: $48.69
1.9× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$39K

536 claims · 0.2%

Your Cost: $73.43/claim|Median: $58.82
1.2× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$39K

1,135 claims · 0.2%

Your Cost: $34.29/claim|Median: $27.28
1.3× median
99244Top 1%

Office or other outpatient consultation, moderate complexity

$38K

131 claims · 0.2%

Your Cost: $287.30/claim|Median: $121.58
2.4× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$37K

839 claims · 0.2%

Your Cost: $44.18/claim|Median: $29.03
1.5× median
99173Top 10%

$36K

4,017 claims · 0.1%

Your Cost: $8.98/claim|Median: $2.16
4.2× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$36K

2,726 claims · 0.1%

Your Cost: $13.22/claim|Median: $9.70
1.4× 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

Similar Providers

Other top providers in Clinic/Center, Multi-Specialty

Group Health Plan, Inc.

Minneapolis, MN

$204.3M

Banner - University Medical Center Tucson Campus LLC

Tucson, AZ

$194.4M

Wake Forest University Health Sciences

Winston Salem, NC

$188.0M

Barrio Comprehensive Family Health Care Center, Inc.

San Antonio, TX

$148.0M

← All providersAll providers in California →How we detect fraud →