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SANTA CRUZ COMMUNITY HEALTH CENTERS

Clinic/Center·SANTA CRUZ, CA·NPI: 1952749541Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $57.1M is at the 50th percentile among 13 Clinic/Center providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$57.1M

$57,065,923

Total Claims

701K

Beneficiaries

553K

1.3 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$5.4M
+20%
2019
$6.4M
+13%
2020
$7.3M
+12%
2021
$8.1M
-2%
2022
$8.0M
+41%
2023
$11.2M
-5%
2024
$10.6M

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 84% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$47.8M

235K claims · 83.8%

Your Cost: $203.44/claim|Median: $121.16
1.7× median
99213Normal range

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

$2.8M

182K claims · 4.9%

Your Cost: $15.46/claim|Median: $37.81
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$1.0M

46K claims · 1.8%

Your Cost: $21.97/claim|Median: $41.28
0.5× median
99214Normal range

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

$629K

28K claims · 1.1%

Your Cost: $22.76/claim|Median: $53.41
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$513K

40K claims · 0.9%

Your Cost: $12.92/claim|Median: $25.06
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$404K

8,067 claims · 0.7%

Your Cost: $50.13/claim|Median: $75.18
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$382K

6,701 claims · 0.7%

Your Cost: $56.99/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$304K

4,295 claims · 0.5%

Your Cost: $70.85/claim|Median: $80.15
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$296K

4,953 claims · 0.5%

Your Cost: $59.86/claim|Median: $99.21
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$255K

5,323 claims · 0.4%

Your Cost: $47.82/claim|Median: $69.35
0.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$203K

1,855 claims · 0.4%

Your Cost: $109.41/claim|Median: $72.71
1.5× median
97810Normal range

$190K

16K claims · 0.3%

Your Cost: $11.95/claim|Median: $23.92
0.5× median
92551Top 5%

Screening audiometry, pure tone, air only

$181K

8,492 claims · 0.3%

Your Cost: $21.31/claim|Median: $6.61
3.2× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$160K

9,280 claims · 0.3%

Your Cost: $17.23/claim|Median: $7.18
2.4× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$129K

5,986 claims · 0.2%

Your Cost: $21.58/claim|Median: $20.83
1.0× median
97811Normal range

$102K

8,235 claims · 0.2%

Your Cost: $12.34/claim|Median: $19.71
0.6× median
59425Normal range

Antepartum care only, 4-6 visits

$97K

1,605 claims · 0.2%

Your Cost: $60.37/claim|Median: $63.63
0.9× median
99203Normal range

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

$88K

1,942 claims · 0.2%

Your Cost: $45.28/claim|Median: $57.85
0.8× median
90651Top 25%

HPV vaccine, 9-valent

$78K

1,966 claims · 0.1%

Your Cost: $39.81/claim|Median: $8.93
4.5× median
90670Top 25%

$71K

3,251 claims · 0.1%

Your Cost: $21.84/claim|Median: $5.94
3.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$65K

1,274 claims · 0.1%

Your Cost: $50.82/claim|Median: $76.06
0.7× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$60K

902 claims · 0.1%

Your Cost: $67.00/claim|Median: $33.72
2.0× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$60K

897 claims · 0.1%

Your Cost: $67.00/claim|Median: $36.70
1.8× median
90750Normal range

$60K

427 claims · 0.1%

Your Cost: $140.42/claim|Median: $96.16
1.5× median
90648Top 10%

$58K

3,432 claims · 0.1%

Your Cost: $16.81/claim|Median: $4.08
4.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$57K

2,662 claims · 0.1%

Your Cost: $21.40/claim|Median: $47.08
0.5× median
90715Top 25%

Tdap vaccine

$50K

1,993 claims · 0.1%

Your Cost: $25.02/claim|Median: $10.32
2.4× median
90723Top 25%

DTaP-HepB-IPV vaccine

$44K

2,627 claims · 0.1%

Your Cost: $16.81/claim|Median: $5.78
2.9× median
99173Top 25%

$42K

6,936 claims · 0.1%

Your Cost: $6.10/claim|Median: $2.16
2.8× median
90633Top 10%

$37K

2,206 claims · 0.1%

Your Cost: $16.98/claim|Median: $3.56
4.8× median
96110Top 5%

Developmental screening, per standardized instrument

$37K

717 claims · 0.1%

Your Cost: $51.11/claim|Median: $9.10
5.6× median
90710Top 25%

MMRV vaccine

$35K

2,013 claims · 0.1%

Your Cost: $17.17/claim|Median: $7.00
2.5× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$33K

411 claims · 0.1%

Your Cost: $81.24/claim|Median: $73.46
1.1× median
0004ATop 5%

$32K

475 claims · 0.1%

Your Cost: $67.00/claim|Median: $35.62
1.9× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$31K

3,717 claims · 0.1%

Your Cost: $8.33/claim|Median: $5.50
1.5× median
0071ATop 5%

$30K

449 claims · 0.1%

Your Cost: $67.00/claim|Median: $38.71
1.7× median
0072ATop 10%

$28K

422 claims · 0.0%

Your Cost: $66.96/claim|Median: $39.57
1.7× median
90620Top 5%

$27K

550 claims · 0.0%

Your Cost: $49.49/claim|Median: $6.49
7.6× median
0054ATop 10%

$27K

409 claims · 0.0%

Your Cost: $66.10/claim|Median: $35.83
1.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$25K

591 claims · 0.0%

Your Cost: $42.34/claim|Median: $77.33
0.5× median
99385Top 10%

Preventive visit, new patient, 18-39 yr

$25K

177 claims · 0.0%

Your Cost: $138.60/claim|Median: $76.22
1.8× median
90734Top 25%

$24K

1,197 claims · 0.0%

Your Cost: $20.09/claim|Median: $6.40
3.1× median
90834Normal range

Psychotherapy, 45 minutes

$24K

390 claims · 0.0%

Your Cost: $60.74/claim|Median: $63.65
1.0× median
90681Top 25%

$23K

1,364 claims · 0.0%

Your Cost: $17.01/claim|Median: $5.74
3.0× median
90739Normal range

$20K

169 claims · 0.0%

Your Cost: $116.00/claim|Median: $74.43
1.6× median
85018Normal range

$19K

8,742 claims · 0.0%

Your Cost: $2.16/claim|Median: $1.71
1.3× median
98940Normal range

$18K

1,326 claims · 0.0%

Your Cost: $13.33/claim|Median: $14.55
0.9× median
0064ATop 5%

$18K

262 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.17
2.0× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$16K

358 claims · 0.0%

Your Cost: $44.67/claim|Median: $25.93
1.7× median
90700Top 10%

$15K

880 claims · 0.0%

Your Cost: $17.50/claim|Median: $4.56
3.8× median