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CONTRA COSTA COUNTY

Clinic/Center, Federally Qualified Health Center (FQHC)·MARTINEZ, CA·NPI: 1942370762Share

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 $90.6M 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

$90.6M

$90,594,377

Total Claims

1.1M

Beneficiaries

844K

1.3 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$14.0M
-18%
2019
$11.4M
+4%
2020
$11.9M
+27%
2021
$15.1M
-23%
2022
$11.6M
+10%
2023
$12.8M
+8%
2024
$13.8M

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 74% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$67.4M

199K claims · 74.4%

Your Cost: $338.69/claim|Median: $121.16
2.8× median
0510Top 5%

Revenue code, clinic services

$14.5M

177K claims · 16.0%

Your Cost: $81.85/claim|Median: $28.38
2.9× median
00003Top 25%

Anesthesia services

$7.4M

17K claims · 8.1%

Your Cost: $428.77/claim|Median: $223.77
1.9× median
G0467Top 5%

Federally qualified health center visit, mental health

$581K

3,017 claims · 0.6%

Your Cost: $192.61/claim|Median: $21.91
8.8× median
99078Normal range

$472K

18K claims · 0.5%

Your Cost: $26.65/claim|Median: $25.66
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$73K

3,445 claims · 0.1%

Your Cost: $21.10/claim|Median: $63.65
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$44K

1,817 claims · 0.0%

Your Cost: $24.38/claim|Median: $99.21
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$27K

983 claims · 0.0%

Your Cost: $27.54/claim|Median: $41.28
0.7× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$20K

1,724 claims · 0.0%

Your Cost: $11.80/claim|Median: $33.72
0.3× median
S0197Top 5%

$16K

1,880 claims · 0.0%

Your Cost: $8.68/claim|Median: $1.50
5.8× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$10K

408 claims · 0.0%

Your Cost: $23.73/claim|Median: $38.83
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$9K

403 claims · 0.0%

Your Cost: $21.58/claim|Median: $85.66
0.3× median
0004ANormal range

$5K

126 claims · 0.0%

Your Cost: $37.78/claim|Median: $35.62
1.1× median
H1003Normal range

$2K

185 claims · 0.0%

Your Cost: $12.86/claim|Median: $10.04
1.3× median
99203Normal range

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

$2K

16K claims · 0.0%

Your Cost: $0.13/claim|Median: $57.85
0.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$1K

45 claims · 0.0%

Your Cost: $31.14/claim|Median: $36.70
0.8× median
S9445Top 10%

$1K

17 claims · 0.0%

Your Cost: $82.04/claim|Median: $12.72
6.4× median
Z7500Normal range

$1K

102K claims · 0.0%

Your Cost: $0.01/claim|Median: $33.71
0.0× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$984

15 claims · 0.0%

Your Cost: $65.63/claim|Median: $24.33
2.7× median
0124ANormal range

$938

44 claims · 0.0%

Your Cost: $21.32/claim|Median: $34.32
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$781

6,116 claims · 0.0%

Your Cost: $0.13/claim|Median: $39.70
0.0× median
87426Normal range

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

$634

536 claims · 0.0%

Your Cost: $1.18/claim|Median: $30.04
0.0× median
0064ATop 25%

$600

15 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.17
1.2× median
0054ANormal range

$520

13 claims · 0.0%

Your Cost: $40.00/claim|Median: $35.83
1.1× median
95910Normal range

$440

3,896 claims · 0.0%

Your Cost: $0.11/claim|Median: $97.13
0.0× median
81420Normal range

Fetal chromosomal aneuploidy genomic sequence analysis

$351

284 claims · 0.0%

Your Cost: $1.24/claim|Median: $358.21
0.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$308

2,318 claims · 0.0%

Your Cost: $0.13/claim|Median: $470.36
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$205

41K claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
0.0× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$203

647 claims · 0.0%

Your Cost: $0.31/claim|Median: $100.62
0.0× median
99213Normal range

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

$176

84K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
0.0× median
99214Normal range

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

$164

41K claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
0.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$149

15K claims · 0.0%

Your Cost: $0.01/claim|Median: $4.71
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$126

11K claims · 0.0%

Your Cost: $0.01/claim|Median: $5.50
0.0× median
84450Normal range

$74

441 claims · 0.0%

Your Cost: $0.17/claim|Median: $2.49
0.1× median
84460Normal range

$74

445 claims · 0.0%

Your Cost: $0.17/claim|Median: $2.58
0.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$64

166 claims · 0.0%

Your Cost: $0.39/claim|Median: $37.56
0.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$44

1,004 claims · 0.0%

Your Cost: $0.04/claim|Median: $23.39
0.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$44

1,006 claims · 0.0%

Your Cost: $0.04/claim|Median: $24.95
0.0× median
83013Normal range

$44

131 claims · 0.0%

Your Cost: $0.33/claim|Median: $46.17
0.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$37

4,442 claims · 0.0%

Your Cost: $0.01/claim|Median: $47.08
0.0× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$30

1,174 claims · 0.0%

Your Cost: $0.03/claim|Median: $18.03
0.0× median
Q3014Normal range

Telehealth originating site facility fee

$25

34K claims · 0.0%

Your Cost: $0.00/claim|Median: $15.37
0.0× median
G0463Normal range

Hospital outpatient clinic visit

$15

937 claims · 0.0%

Your Cost: $0.02/claim|Median: $26.41
0.0× median
86850Normal range

$14

1,260 claims · 0.0%

Your Cost: $0.01/claim|Median: $5.44
0.0× median
87340Normal range

Hepatitis B surface antigen detection

$13

829 claims · 0.0%

Your Cost: $0.02/claim|Median: $5.52
0.0× median
86762Normal range

$12

843 claims · 0.0%

Your Cost: $0.01/claim|Median: $9.97
0.0× median
86803Normal range

Hepatitis C antibody

$12

961 claims · 0.0%

Your Cost: $0.01/claim|Median: $10.17
0.0× median
86787Normal range

$11

746 claims · 0.0%

Your Cost: $0.01/claim|Median: $8.98
0.0× median
87086Normal range

Urine culture, colony count, with identification

$10

1,222 claims · 0.0%

Your Cost: $0.01/claim|Median: $5.31
0.0× median
86592Normal range

$5

980 claims · 0.0%

Your Cost: $0.01/claim|Median: $3.35
0.0× median