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COUNTY OF SAN MATEO

Clinic/Center, Federally Qualified Health Center (FQHC)·SAN MATEO, CA·NPI: 1932288859Share

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 $66.3M 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

$66.3M

$66,311,353

Total Claims

820K

Beneficiaries

733K

1.1 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$9.5M
-21%
2019
$7.5M
-19%
2020
$6.1M
+43%
2021
$8.7M
-16%
2022
$7.3M
+62%
2023
$11.9M
+29%
2024
$15.4M

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 89% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$59.2M

311K claims · 89.2%

Your Cost: $190.06/claim|Median: $121.16
1.6× median
00003Top 25%

Anesthesia services

$4.1M

12K claims · 6.1%

Your Cost: $350.86/claim|Median: $223.77
1.6× median
G0467Top 25%

Federally qualified health center visit, mental health

$1.1M

24K claims · 1.6%

Your Cost: $44.85/claim|Median: $21.91
2.0× median
0510Normal range

Revenue code, clinic services

$932K

32K claims · 1.4%

Your Cost: $29.24/claim|Median: $28.38
1.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$331K

22K claims · 0.5%

Your Cost: $15.23/claim|Median: $12.63
1.2× median
G2025Normal range

$169K

8,632 claims · 0.3%

Your Cost: $19.55/claim|Median: $15.63
1.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$95K

12K claims · 0.1%

Your Cost: $8.07/claim|Median: $7.18
1.1× median
90698Normal range

$67K

8,933 claims · 0.1%

Your Cost: $7.55/claim|Median: $6.32
1.2× median
90670Normal range

$64K

8,701 claims · 0.1%

Your Cost: $7.39/claim|Median: $5.94
1.2× median
90633Normal range

$43K

5,404 claims · 0.1%

Your Cost: $8.00/claim|Median: $3.56
2.2× median
90744Normal range

$39K

5,213 claims · 0.1%

Your Cost: $7.45/claim|Median: $5.00
1.5× median
90681Normal range

$33K

4,450 claims · 0.0%

Your Cost: $7.34/claim|Median: $5.74
1.3× median
83655Normal range

$27K

3,933 claims · 0.0%

Your Cost: $6.88/claim|Median: $10.49
0.7× median
G0466Normal range

$27K

443 claims · 0.0%

Your Cost: $60.81/claim|Median: $63.31
1.0× median
85018Normal range

$23K

13K claims · 0.0%

Your Cost: $1.86/claim|Median: $1.71
1.1× median
90716Normal range

$22K

2,825 claims · 0.0%

Your Cost: $7.80/claim|Median: $6.18
1.3× median
90707Normal range

MMR vaccine

$21K

2,570 claims · 0.0%

Your Cost: $8.15/claim|Median: $5.76
1.4× median
90651Normal range

HPV vaccine, 9-valent

$19K

2,291 claims · 0.0%

Your Cost: $8.49/claim|Median: $8.93
1.0× median
90710Normal range

MMRV vaccine

$12K

1,620 claims · 0.0%

Your Cost: $7.15/claim|Median: $7.00
1.0× median
90734Normal range

$11K

1,622 claims · 0.0%

Your Cost: $6.97/claim|Median: $6.40
1.1× median
90696Normal range

DTaP-IPV vaccine

$11K

1,319 claims · 0.0%

Your Cost: $8.25/claim|Median: $5.95
1.4× median
90715Normal range

Tdap vaccine

$11K

1,509 claims · 0.0%

Your Cost: $7.21/claim|Median: $10.32
0.7× median
90688Normal range

$9K

974 claims · 0.0%

Your Cost: $8.73/claim|Median: $9.00
1.0× median
90619Normal range

$6K

573 claims · 0.0%

Your Cost: $11.05/claim|Median: $8.36
1.3× median
G0470Normal range

Chronic care management services, FQHC/RHC

$5K

138 claims · 0.0%

Your Cost: $39.35/claim|Median: $45.95
0.9× median
90685Top 25%

$5K

455 claims · 0.0%

Your Cost: $11.07/claim|Median: $5.96
1.9× median
90677Normal range

$5K

505 claims · 0.0%

Your Cost: $9.08/claim|Median: $12.96
0.7× median
90733Normal range

$3K

268 claims · 0.0%

Your Cost: $11.07/claim|Median: $9.55
1.2× median
U0004Top 10%

COVID-19 test, nucleic acid detection, CDC lab only

$3K

28 claims · 0.0%

Your Cost: $93.64/claim|Median: $60.05
1.6× median
86480Normal range

Tuberculosis test, cell-mediated immunity

$2K

652 claims · 0.0%

Your Cost: $3.24/claim|Median: $38.35
0.1× median
0450Normal range

Emergency room visit

$2K

47 claims · 0.0%

Your Cost: $42.53/claim|Median: $44.95
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$2K

1,633 claims · 0.0%

Your Cost: $1.01/claim|Median: $24.95
0.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$2K

1,633 claims · 0.0%

Your Cost: $0.98/claim|Median: $23.39
0.0× median
96112Normal range

Developmental test administration

$1K

974 claims · 0.0%

Your Cost: $1.32/claim|Median: $102.95
0.0× median
90648Top 25%

$1K

113 claims · 0.0%

Your Cost: $9.70/claim|Median: $4.08
2.4× median
90700Normal range

$1K

106 claims · 0.0%

Your Cost: $9.61/claim|Median: $4.56
2.1× median
90682Normal range

$987

239 claims · 0.0%

Your Cost: $4.13/claim|Median: $34.72
0.1× median
90649Normal range

$653

59 claims · 0.0%

Your Cost: $11.07/claim|Median: $6.42
1.7× median
90471Normal range

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

$408

7,490 claims · 0.0%

Your Cost: $0.05/claim|Median: $9.80
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$308

977 claims · 0.0%

Your Cost: $0.32/claim|Median: $3.67
0.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$277

2,327 claims · 0.0%

Your Cost: $0.12/claim|Median: $47.08
0.0× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$274

1,047 claims · 0.0%

Your Cost: $0.26/claim|Median: $38.23
0.0× median
90381Normal range

$210

19 claims · 0.0%

Your Cost: $11.07/claim|Median: $9.69
1.1× median
80053Normal range

Comprehensive metabolic panel

$128

156 claims · 0.0%

Your Cost: $0.82/claim|Median: $7.24
0.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$114

124 claims · 0.0%

Your Cost: $0.92/claim|Median: $4.71
0.2× median
99070Normal range

$73

29 claims · 0.0%

Your Cost: $2.52/claim|Median: $8.08
0.3× median
81003Normal range

Urinalysis, automated without microscopy

$68

3,039 claims · 0.0%

Your Cost: $0.02/claim|Median: $1.48
0.0× median
81025Normal range

Urine pregnancy test

$58

16 claims · 0.0%

Your Cost: $3.62/claim|Median: $4.81
0.8× median
92015Normal range

Determination of refractive state

$49

2,515 claims · 0.0%

Your Cost: $0.02/claim|Median: $10.36
0.0× median
99214Normal range

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

$46

41K claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
0.0× median