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

BAY AREA COMMUNITY HEALTH

Clinic/Center, Federally Qualified Health Center (FQHC)·FREMONT, CA·NPI: 1942387188Share

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 $39.0M 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

$39.0M

$38,985,751

Total Claims

570K

Beneficiaries

426K

1.3 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$4.9M
-32%
2019
$3.3M
+46%
2020
$4.9M
+30%
2021
$6.4M
+3%
2022
$6.6M
+12%
2023
$7.3M
-25%
2024
$5.5M

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 93% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$36.2M

199K claims · 92.8%

Your Cost: $181.65/claim|Median: $121.16
1.5× median
00003Normal range

Anesthesia services

$1.3M

5,918 claims · 3.4%

Your Cost: $226.92/claim|Median: $223.77
1.0× median
99213Normal range

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

$319K

132K claims · 0.8%

Your Cost: $2.41/claim|Median: $37.81
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$192K

7,961 claims · 0.5%

Your Cost: $24.14/claim|Median: $41.28
0.6× median
G0467Top 10%

Federally qualified health center visit, mental health

$170K

2,304 claims · 0.4%

Your Cost: $73.65/claim|Median: $21.91
3.4× median
99214Normal range

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

$156K

43K claims · 0.4%

Your Cost: $3.64/claim|Median: $53.41
0.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$104K

4,847 claims · 0.3%

Your Cost: $21.41/claim|Median: $47.08
0.5× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$89K

24K claims · 0.2%

Your Cost: $3.78/claim|Median: $20.83
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$72K

48K claims · 0.2%

Your Cost: $1.49/claim|Median: $25.06
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$53K

858 claims · 0.1%

Your Cost: $62.23/claim|Median: $85.66
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$39K

602 claims · 0.1%

Your Cost: $65.01/claim|Median: $63.65
1.0× median
97810Normal range

$34K

7,714 claims · 0.1%

Your Cost: $4.46/claim|Median: $23.92
0.2× median
97813Normal range

$30K

7,503 claims · 0.1%

Your Cost: $3.96/claim|Median: $26.35
0.2× median
92250Normal range

Fundus photography with interpretation and report

$26K

1,906 claims · 0.1%

Your Cost: $13.85/claim|Median: $27.95
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$14K

246 claims · 0.0%

Your Cost: $57.21/claim|Median: $99.21
0.6× median
90677Normal range

$13K

732 claims · 0.0%

Your Cost: $17.28/claim|Median: $12.96
1.3× median
90750Normal range

$12K

1,691 claims · 0.0%

Your Cost: $7.02/claim|Median: $96.16
0.1× median
G9920Normal range

$12K

3,455 claims · 0.0%

Your Cost: $3.39/claim|Median: $6.56
0.5× median
90739Normal range

$12K

1,832 claims · 0.0%

Your Cost: $6.29/claim|Median: $74.43
0.1× median
G0466Normal range

$10K

141 claims · 0.0%

Your Cost: $73.61/claim|Median: $63.31
1.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$9K

1,485 claims · 0.0%

Your Cost: $6.05/claim|Median: $12.70
0.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$8K

389 claims · 0.0%

Your Cost: $19.66/claim|Median: $59.72
0.3× median
97811Normal range

$7K

7,040 claims · 0.0%

Your Cost: $0.98/claim|Median: $19.71
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$6K

255 claims · 0.0%

Your Cost: $22.81/claim|Median: $108.91
0.2× median
90471Normal range

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

$5K

13K claims · 0.0%

Your Cost: $0.39/claim|Median: $9.80
0.0× median
97814Normal range

$5K

6,814 claims · 0.0%

Your Cost: $0.67/claim|Median: $22.43
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$4K

2,063 claims · 0.0%

Your Cost: $2.01/claim|Median: $74.09
0.0× median
92133Normal range

$4K

276 claims · 0.0%

Your Cost: $14.84/claim|Median: $19.09
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$3K

262 claims · 0.0%

Your Cost: $12.67/claim|Median: $9.10
1.4× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$3K

90 claims · 0.0%

Your Cost: $34.67/claim|Median: $33.72
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3K

480 claims · 0.0%

Your Cost: $6.42/claim|Median: $69.35
0.1× median
99203Normal range

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

$3K

237 claims · 0.0%

Your Cost: $12.26/claim|Median: $57.85
0.2× median
0064ANormal range

$3K

68 claims · 0.0%

Your Cost: $38.82/claim|Median: $34.17
1.1× median
99204Normal range

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

$3K

145 claims · 0.0%

Your Cost: $17.55/claim|Median: $84.03
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

2,659 claims · 0.0%

Your Cost: $0.96/claim|Median: $7.18
0.1× median
90671Normal range

$2K

287 claims · 0.0%

Your Cost: $8.41/claim|Median: $8.59
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2K

912 claims · 0.0%

Your Cost: $2.63/claim|Median: $75.18
0.0× median
92083Normal range

Visual field exam, extended testing, bilateral

$2K

129 claims · 0.0%

Your Cost: $17.38/claim|Median: $29.82
0.6× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$2K

52 claims · 0.0%

Your Cost: $41.52/claim|Median: $33.85
1.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$2K

616 claims · 0.0%

Your Cost: $3.50/claim|Median: $24.33
0.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$2K

2,509 claims · 0.0%

Your Cost: $0.81/claim|Median: $38.23
0.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$2K

60 claims · 0.0%

Your Cost: $32.67/claim|Median: $36.70
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$2K

229 claims · 0.0%

Your Cost: $8.02/claim|Median: $76.06
0.1× median
90715Normal range

Tdap vaccine

$2K

996 claims · 0.0%

Your Cost: $1.82/claim|Median: $10.32
0.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2K

903 claims · 0.0%

Your Cost: $1.94/claim|Median: $74.82
0.0× median
99188Normal range

$2K

574 claims · 0.0%

Your Cost: $2.92/claim|Median: $12.80
0.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$2K

265 claims · 0.0%

Your Cost: $6.22/claim|Median: $72.71
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1K

867 claims · 0.0%

Your Cost: $1.53/claim|Median: $80.15
0.0× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$1K

27 claims · 0.0%

Your Cost: $48.81/claim|Median: $25.93
1.9× median
90688Normal range

$1K

1,421 claims · 0.0%

Your Cost: $0.84/claim|Median: $9.00
0.1× median