Is SHASTA COMMUNITY HEALTH CENTER flagged for Medicaid fraud?

SHASTA COMMUNITY HEALTH CENTER (NPI: 1942225719) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does SHASTA COMMUNITY HEALTH CENTER bill Medicaid?

SHASTA COMMUNITY HEALTH CENTER received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Federally Qualified Health Center (FQHC) provider. Located in ANDERSON, CA.

What is NPI 1942225719?

NPI 1942225719 is the National Provider Identifier for SHASTA COMMUNITY HEALTH CENTER. They are a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in ANDERSON, CA. This NPI is registered with the CMS NPI Registry.

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SHASTA COMMUNITY HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·ANDERSON, CA·NPI: 1942225719Share

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 $29.4M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

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

Total Paid

$29.4M

$29,381,606

Total Claims

232K

Beneficiaries

170K

1.4 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018

$2.5M

+3%

2019

$2.5M

+0%

2020

$2.6M

+16%

2021

$3.0M

+13%

2022

$3.4M

+71%

2023

$5.8M

+69%

2024

$9.7M

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 62% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$18.2M

69K claims

$263.92

$121.16

2.2×

Top 10%

T1015Top 10%

Clinic visit/encounter, all-inclusive

$18.2M

69K claims · 62.0%

Your Cost: $263.92/claim|Median: $121.16

2.2× median

00003Anesthesia servicesSee all providers →

$10.8M

35K claims

$305.65

$223.77

1.4×

Top 25%

00003Top 25%

Anesthesia services

$10.8M

35K claims · 36.8%

Your Cost: $305.65/claim|Median: $223.77

1.4× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$63K

54K claims

$1.17

$37.81

0.0×

Normal range

99213Normal range

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

$63K

54K claims · 0.2%

Your Cost: $1.17/claim|Median: $37.81

0.0× median

90832Psychotherapy, 30 minutesSee all providers →

$62K

3,560 claims

$17.38

$41.28

0.4×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$62K

3,560 claims · 0.2%

Your Cost: $17.38/claim|Median: $41.28

0.4× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$47K

34K claims

$1.40

$53.41

0.0×

Normal range

99214Normal range

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

$47K

34K claims · 0.2%

Your Cost: $1.40/claim|Median: $53.41

0.0× median

98941Chiropractic manipulative treatment, 3-4 spinal regionsSee all providers →

$42K

3,839 claims

$10.91

$20.83

0.5×

Normal range

98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$42K

3,839 claims · 0.1%

Your Cost: $10.91/claim|Median: $20.83

0.5× median

90834Psychotherapy, 45 minutesSee all providers →

$17K

644 claims

$25.84

$63.65

0.4×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$17K

644 claims · 0.1%

Your Cost: $25.84/claim|Median: $63.65

0.4× median

87635COVID-19 SARS-CoV-2 amplified probe detectionSee all providers →

$13K

1,130 claims

$11.67

$39.70

0.3×

Normal range

87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$13K

1,130 claims · 0.0%

Your Cost: $11.67/claim|Median: $39.70

0.3× median

G0442 See all providers →

$13K

1,920 claims

$6.60

$4.91

1.3×

Normal range

G0442Normal range

$13K

1,920 claims · 0.0%

Your Cost: $6.60/claim|Median: $4.91

1.3× median

83036Hemoglobin A1c (glycated hemoglobin)See all providers →

$12K

3,722 claims

$3.29

$5.50

0.6×

Normal range

83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$12K

3,722 claims · 0.0%

Your Cost: $3.29/claim|Median: $5.50

0.6× median

90837Psychotherapy, 60 minutesSee all providers →

$11K

238 claims

$46.02

$85.66

0.5×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$11K

238 claims · 0.0%

Your Cost: $46.02/claim|Median: $85.66

0.5× median

90686Influenza virus vaccine, quadrivalent, preservative-free, IMSee all providers →

$8K

1,438 claims

$5.63

$7.18

0.8×

Normal range

90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$8K

1,438 claims · 0.0%

Your Cost: $5.63/claim|Median: $7.18

0.8× median

80305 See all providers →

$7K

1,614 claims

$4.45

$7.44

0.6×

Normal range

80305Normal range

$7K

1,614 claims · 0.0%

Your Cost: $4.45/claim|Median: $7.44

0.6× median

G0467Federally qualified health center visit, mental healthSee all providers →

$5K

73 claims

$65.50

$21.91

3.0×

Top 25%

G0467Top 25%

Federally qualified health center visit, mental health

$5K

73 claims · 0.0%

Your Cost: $65.50/claim|Median: $21.91

3.0× median

90715Tdap vaccineSee all providers →

$4K

331 claims

$13.29

$10.32

1.3×

Normal range

90715Normal range

Tdap vaccine

$4K

331 claims · 0.0%

Your Cost: $13.29/claim|Median: $10.32

1.3× median

99283Emergency dept visit, moderate complexitySee all providers →

$4K

4,163 claims

$0.88

$42.48

0.0×

Normal range

99283Normal range

Emergency dept visit, moderate complexity

$4K

4,163 claims · 0.0%

Your Cost: $0.88/claim|Median: $42.48

0.0× median

87804Influenza virus detection, rapid testSee all providers →

$3K

379 claims

$9.16

$12.59

0.7×

Normal range

87804Normal range

Influenza virus detection, rapid test

$3K

379 claims · 0.0%

Your Cost: $9.16/claim|Median: $12.59

0.7× median

99212Office/outpatient visit, low complexitySee all providers →

$3K

2,374 claims

$1.39

$25.06

0.1×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$3K

2,374 claims · 0.0%

Your Cost: $1.39/claim|Median: $25.06

0.1× median

99393Preventive medicine, established patient, age 5-11See all providers →

$3K

1,295 claims

$2.23

$74.82

0.0×

Normal range

99393Normal range

Preventive medicine, established patient, age 5-11

$3K

1,295 claims · 0.0%

Your Cost: $2.23/claim|Median: $74.82

0.0× median

92551Screening audiometry, pure tone, air onlySee all providers →

$3K

4,051 claims

$0.69

$6.61

0.1×

Normal range

92551Normal range

Screening audiometry, pure tone, air only

$3K

4,051 claims · 0.0%

Your Cost: $0.69/claim|Median: $6.61

0.1× median

99394Preventive medicine, established patient, age 12-17See all providers →

$2K

710 claims

$2.82

$80.15

0.0×

Normal range

99394Normal range

Preventive medicine, established patient, age 12-17

$2K

710 claims · 0.0%

Your Cost: $2.82/claim|Median: $80.15

0.0× median

90656 See all providers →

$2K

216 claims

$8.27

$8.67

1.0×

Normal range

90656Normal range

$2K

216 claims · 0.0%

Your Cost: $8.27/claim|Median: $8.67

1.0× median

83068 See all providers →

$2K

398 claims

$4.13

$4.39

0.9×

Normal range

83068Normal range

$2K

398 claims · 0.0%

Your Cost: $4.13/claim|Median: $4.39

0.9× median

87426SARS-CoV-2 COVID-19 antigen detection, immunoassaySee all providers →

$2K

106 claims

$15.33

$30.04

0.5×

Normal range

87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2K

106 claims · 0.0%

Your Cost: $15.33/claim|Median: $30.04

0.5× median

99391Preventive medicine, established patient, infant (under 1)See all providers →

$2K

272 claims

$5.87

$69.35

0.1×

Normal range

99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

272 claims · 0.0%

Your Cost: $5.87/claim|Median: $69.35

0.1× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$2K

229 claims

$6.72

$57.85

0.1×

Normal range

99203Normal range

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

$2K

229 claims · 0.0%

Your Cost: $6.72/claim|Median: $57.85

0.1× median

83655 See all providers →

$1K

260 claims

$5.32

$10.49

0.5×

Normal range

83655Normal range

$1K

260 claims · 0.0%

Your Cost: $5.32/claim|Median: $10.49

0.5× median

90677 See all providers →

$1K

164 claims

$7.96

$12.96

0.6×

Normal range

90677Normal range

$1K

164 claims · 0.0%

Your Cost: $7.96/claim|Median: $12.96

0.6× median

J3490Unclassified drugsSee all providers →

$1K

12 claims

$106.94

$5.70

18.8×

Top 5%

J3490Top 5%

Unclassified drugs

$1K

12 claims · 0.0%

Your Cost: $106.94/claim|Median: $5.70

18.8× median

99392Preventive medicine, established patient, age 1-4See all providers →

$1K

669 claims

$1.73

$75.18

0.0×

Normal range

99392Normal range

Preventive medicine, established patient, age 1-4

$1K

669 claims · 0.0%

Your Cost: $1.73/claim|Median: $75.18

0.0× median

90670 See all providers →

$1K

151 claims

$7.17

$5.94

1.2×

Normal range

90670Normal range

$1K

151 claims · 0.0%

Your Cost: $7.17/claim|Median: $5.94

1.2× median

90651HPV vaccine, 9-valentSee all providers →

$1K

92 claims

$10.88

$8.93

1.2×

Normal range

90651Normal range

HPV vaccine, 9-valent

$1K

92 claims · 0.0%

Your Cost: $10.88/claim|Median: $8.93

1.2× median

90756Influenza virus vaccine, quadrivalentSee all providers →

$909

37 claims

$24.57

$14.34

1.7×

Top 25%

90756Top 25%

Influenza virus vaccine, quadrivalent

$909

37 claims · 0.0%

Your Cost: $24.57/claim|Median: $14.34

1.7× median

90710MMRV vaccineSee all providers →

$875

99 claims

$8.84

$7.00

1.3×

Normal range

90710Normal range

MMRV vaccine

$875

99 claims · 0.0%

Your Cost: $8.84/claim|Median: $7.00

1.3× median

90471Immunization administration, 1 vaccine, percutaneous/ID/SC/IMSee all providers →

$865

581 claims

$1.49

$9.80

0.2×

Normal range

90471Normal range

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

$865

581 claims · 0.0%

Your Cost: $1.49/claim|Median: $9.80

0.2× median

87634 See all providers →

$660

22 claims

$30.00

$48.78

0.6×

Normal range

87634Normal range

$660

22 claims · 0.0%

Your Cost: $30.00/claim|Median: $48.78

0.6× median

81002Urinalysis, non-automated without microscopySee all providers →

$562

1,319 claims

$0.43

$2.00

0.2×

Normal range

81002Normal range

Urinalysis, non-automated without microscopy

$562

1,319 claims · 0.0%

Your Cost: $0.43/claim|Median: $2.00

0.2× median

90633 See all providers →

$477

85 claims

$5.61

$3.56

1.6×

Normal range

90633Normal range

$477

85 claims · 0.0%

Your Cost: $5.61/claim|Median: $3.56

1.6× median

90723DTaP-HepB-IPV vaccineSee all providers →

$351

51 claims

$6.88

$5.78

1.2×

Normal range

90723Normal range

DTaP-HepB-IPV vaccine

$351

51 claims · 0.0%

Your Cost: $6.88/claim|Median: $5.78

1.2× median

90696DTaP-IPV vaccineSee all providers →

$270

39 claims

$6.92

$5.95

1.2×

Normal range

90696Normal range

DTaP-IPV vaccine

$270

39 claims · 0.0%

Your Cost: $6.92/claim|Median: $5.95

1.2× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$225

12 claims

$18.75

$9.56

2.0×

Top 25%

96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$225

12 claims · 0.0%

Your Cost: $18.75/claim|Median: $9.56

2.0× median

81025Urine pregnancy testSee all providers →

$204

149 claims

$1.37

$4.81

0.3×

Normal range

81025Normal range

Urine pregnancy test

$204

149 claims · 0.0%

Your Cost: $1.37/claim|Median: $4.81

0.3× median

99309Nursing facility care, subsequent, low complexitySee all providers →

$200

24 claims

$8.33

$14.00

0.6×

Normal range

99309Normal range

Nursing facility care, subsequent, low complexity

$200

24 claims · 0.0%

Your Cost: $8.33/claim|Median: $14.00

0.6× median

90697 See all providers →

$198

48 claims

$4.13

$7.24

0.6×

Normal range

90697Normal range

$198

48 claims · 0.0%

Your Cost: $4.13/claim|Median: $7.24

0.6× median

99335 See all providers →

$178

19 claims

$9.34

$14.90

0.6×

Normal range

99335Normal range

$178

19 claims · 0.0%

Your Cost: $9.34/claim|Median: $14.90

0.6× median

87880Streptococcus, Group A, rapid antigen detectionSee all providers →

$154

591 claims

$0.26

$11.48

0.0×

Normal range

87880Normal range

Streptococcus, Group A, rapid antigen detection

$154

591 claims · 0.0%

Your Cost: $0.26/claim|Median: $11.48

0.0× median

97810 See all providers →

$139

26 claims

$5.34

$23.92

0.2×

Normal range

97810Normal range

$139

26 claims · 0.0%

Your Cost: $5.34/claim|Median: $23.92

0.2× median

90619 See all providers →

$135

31 claims

$4.35

$8.36

0.5×

Normal range

90619Normal range

$135

31 claims · 0.0%

Your Cost: $4.35/claim|Median: $8.36

0.5× median

90734 See all providers →

$126

21 claims

$6.00

$6.40

0.9×

Normal range

90734Normal range

$126

21 claims · 0.0%

Your Cost: $6.00/claim|Median: $6.40

0.9× median

90647 See all providers →

$117

21 claims

$5.57

$4.31

1.3×

Normal range

90647Normal range

$117

21 claims · 0.0%

Your Cost: $5.57/claim|Median: $4.31

1.3× median

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$1.34B

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$1.13B

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