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SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

Clinic/Center, Community Health·PICO RIVERA, CA·NPI: 1932428828Share

Compared to Clinic/Center, Community Health Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.1M is at the 25th percentile among 8 Clinic/Center, Community Health providers.

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

Total Paid

$38.1M

$38,083,312

Total Claims

430K

Beneficiaries

336K

1.3 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+48%
2019
$1.6M
+212%
2020
$5.0M
+68%
2021
$8.4M
-32%
2022
$5.8M
+62%
2023
$9.3M
-26%
2024
$6.9M

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 91% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$34.7M

177K claims · 91.1%

Your Cost: $196.44/claim|Median: $121.16
1.6× median
00003Normal range

Anesthesia services

$3.0M

13K claims · 7.8%

Your Cost: $231.17/claim|Median: $223.77
1.0× median
99213Normal range

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

$175K

46K claims · 0.5%

Your Cost: $3.78/claim|Median: $37.81
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$106K

23K claims · 0.3%

Your Cost: $4.57/claim|Median: $41.28
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$61K

54K claims · 0.2%

Your Cost: $1.13/claim|Median: $25.06
0.0× median
99203Normal range

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

$27K

1,686 claims · 0.1%

Your Cost: $16.22/claim|Median: $57.85
0.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$16K

18K claims · 0.0%

Your Cost: $0.86/claim|Median: $40.11
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$10K

836 claims · 0.0%

Your Cost: $12.29/claim|Median: $99.21
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$8K

918 claims · 0.0%

Your Cost: $9.18/claim|Median: $63.65
0.1× median
0004ANormal range

$3K

321 claims · 0.0%

Your Cost: $9.10/claim|Median: $35.62
0.3× median
G0467Normal range

Federally qualified health center visit, mental health

$2K

2,148 claims · 0.0%

Your Cost: $1.13/claim|Median: $21.91
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

79 claims · 0.0%

Your Cost: $29.40/claim|Median: $108.91
0.3× median
0064ANormal range

$2K

382 claims · 0.0%

Your Cost: $5.76/claim|Median: $34.17
0.2× median
99214Normal range

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

$2K

736 claims · 0.0%

Your Cost: $2.95/claim|Median: $53.41
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$1K

318 claims · 0.0%

Your Cost: $3.89/claim|Median: $76.06
0.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$824

588 claims · 0.0%

Your Cost: $1.40/claim|Median: $9.70
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$638

340 claims · 0.0%

Your Cost: $1.88/claim|Median: $72.71
0.0× median
S9445Normal range

$585

46 claims · 0.0%

Your Cost: $12.72/claim|Median: $12.72
1.0× median
81025Normal range

Urine pregnancy test

$547

636 claims · 0.0%

Your Cost: $0.86/claim|Median: $4.81
0.2× median
90471Normal range

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

$530

1,618 claims · 0.0%

Your Cost: $0.33/claim|Median: $9.80
0.0× median
90649Normal range

$356

430 claims · 0.0%

Your Cost: $0.83/claim|Median: $6.42
0.1× median
90656Normal range

$177

177 claims · 0.0%

Your Cost: $1.00/claim|Median: $8.67
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$150

853 claims · 0.0%

Your Cost: $0.18/claim|Median: $6.61
0.0× median
90677Normal range

$81

73 claims · 0.0%

Your Cost: $1.11/claim|Median: $12.96
0.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$80

980 claims · 0.0%

Your Cost: $0.08/claim|Median: $36.70
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$80

1,579 claims · 0.0%

Your Cost: $0.05/claim|Median: $25.93
0.0× median
90633Normal range

$78

385 claims · 0.0%

Your Cost: $0.20/claim|Median: $3.56
0.1× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$66

142 claims · 0.0%

Your Cost: $0.46/claim|Median: $83.63
0.0× median
90619Normal range

$54

224 claims · 0.0%

Your Cost: $0.24/claim|Median: $8.36
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$47

588 claims · 0.0%

Your Cost: $0.08/claim|Median: $2.00
0.0× median
90620Normal range

$45

118 claims · 0.0%

Your Cost: $0.38/claim|Median: $6.49
0.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$40

1,049 claims · 0.0%

Your Cost: $0.04/claim|Median: $33.72
0.0× median
90710Normal range

MMRV vaccine

$36

106 claims · 0.0%

Your Cost: $0.34/claim|Median: $7.00
0.0× median
90696Normal range

DTaP-IPV vaccine

$27

17 claims · 0.0%

Your Cost: $1.59/claim|Median: $5.95
0.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$27

3,028 claims · 0.0%

Your Cost: $0.01/claim|Median: $16.79
0.0× median
97110Normal range

Therapeutic exercises, each 15 min

$22

3,345 claims · 0.0%

Your Cost: $0.01/claim|Median: $24.49
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$17

876 claims · 0.0%

Your Cost: $0.02/claim|Median: $12.63
0.0× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$16

214 claims · 0.0%

Your Cost: $0.07/claim|Median: $11.35
0.0× median
97032Normal range

Electrical stimulation, manual

$9

1,826 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.42
0.0× median
82948Normal range

$5

1,850 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.78
0.0× median
99173Normal range

$4

2,165 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
0.0× median
0013ANormal range

$0

104 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.38
87880Normal range

Streptococcus, Group A, rapid antigen detection

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$0

313 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.85
86328Normal range

$0

294 claims · 0.0%

Your Cost: $0.00/claim|Median: $20.52
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.49
90653Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.85
G0466Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.31
90734Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.40
G8431Normal range

$0

104 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.37

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, Community Health

Sac Health System

San Bernardino, CA

$260.2M

Medical Associates of Ebnhc

East Boston, MA

$179.3M

Trilogy, Inc.

Chicago, IL

$143.5M

Lynn Community Health, Inc.

Lynn, MA

$138.3M

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