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PEDIATRIC AND FAMILY MEDICAL CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·SHERMAN OAKS, CA·NPI: 1982075107Share

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 $71.7M 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

$71.7M

$71,673,797

Total Claims

700K

Beneficiaries

558K

1.3 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+195%
2019
$6.6M
+34%
2020
$8.8M
+33%
2021
$11.8M
-19%
2022
$9.5M
+12%
2023
$10.7M
+106%
2024
$22.0M

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 10%

Clinic visit/encounter, all-inclusive

$65.4M

246K claims · 91.2%

Your Cost: $265.59/claim|Median: $121.16
2.2× median
00003Top 25%

Anesthesia services

$5.3M

17K claims · 7.4%

Your Cost: $316.57/claim|Median: $223.77
1.4× median
99213Normal range

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

$370K

119K claims · 0.5%

Your Cost: $3.11/claim|Median: $37.81
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$110K

25K claims · 0.2%

Your Cost: $4.32/claim|Median: $25.06
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$67K

9,230 claims · 0.1%

Your Cost: $7.30/claim|Median: $75.18
0.1× median
99214Normal range

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

$63K

25K claims · 0.1%

Your Cost: $2.55/claim|Median: $53.41
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$46K

6,887 claims · 0.1%

Your Cost: $6.75/claim|Median: $69.35
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$43K

8,274 claims · 0.1%

Your Cost: $5.25/claim|Median: $74.82
0.1× median
99203Normal range

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

$43K

4,906 claims · 0.1%

Your Cost: $8.81/claim|Median: $57.85
0.2× median
H1001Normal range

$33K

679 claims · 0.0%

Your Cost: $48.45/claim|Median: $60.48
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$28K

6,177 claims · 0.0%

Your Cost: $4.54/claim|Median: $9.10
0.5× median
99204Normal range

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

$27K

2,829 claims · 0.0%

Your Cost: $9.56/claim|Median: $84.03
0.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$24K

308 claims · 0.0%

Your Cost: $78.85/claim|Median: $137.85
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$21K

4,586 claims · 0.0%

Your Cost: $4.50/claim|Median: $80.15
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$16K

2,057 claims · 0.0%

Your Cost: $7.65/claim|Median: $63.65
0.1× median
59425Normal range

Antepartum care only, 4-6 visits

$13K

340 claims · 0.0%

Your Cost: $39.26/claim|Median: $63.63
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$12K

9,474 claims · 0.0%

Your Cost: $1.23/claim|Median: $7.18
0.2× median
92551Normal range

Screening audiometry, pure tone, air only

$10K

18K claims · 0.0%

Your Cost: $0.57/claim|Median: $6.61
0.1× median
90670Normal range

$10K

5,047 claims · 0.0%

Your Cost: $1.92/claim|Median: $5.94
0.3× median
90648Normal range

$9K

5,401 claims · 0.0%

Your Cost: $1.73/claim|Median: $4.08
0.4× median
81025Normal range

Urine pregnancy test

$6K

5,489 claims · 0.0%

Your Cost: $1.16/claim|Median: $4.81
0.2× median
87426Normal range

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

$5K

321 claims · 0.0%

Your Cost: $16.62/claim|Median: $30.04
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$5K

1,319 claims · 0.0%

Your Cost: $3.87/claim|Median: $12.93
0.3× median
17110Normal range

Destruction of benign lesions, up to fourteen

$5K

475 claims · 0.0%

Your Cost: $10.22/claim|Median: $59.25
0.2× median
90723Normal range

DTaP-HepB-IPV vaccine

$5K

3,302 claims · 0.0%

Your Cost: $1.47/claim|Median: $5.78
0.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$4K

11K claims · 0.0%

Your Cost: $0.36/claim|Median: $17.85
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$4K

911 claims · 0.0%

Your Cost: $4.18/claim|Median: $85.66
0.0× median
G9920Normal range

$4K

3,359 claims · 0.0%

Your Cost: $1.09/claim|Median: $6.56
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$3K

2,199 claims · 0.0%

Your Cost: $1.53/claim|Median: $41.28
0.0× median
90651Normal range

HPV vaccine, 9-valent

$3K

1,274 claims · 0.0%

Your Cost: $2.36/claim|Median: $8.93
0.3× median
90633Normal range

$3K

1,613 claims · 0.0%

Your Cost: $1.58/claim|Median: $3.56
0.4× median
81002Normal range

Urinalysis, non-automated without microscopy

$2K

13K claims · 0.0%

Your Cost: $0.19/claim|Median: $2.00
0.1× median
85018Normal range

$2K

6,516 claims · 0.0%

Your Cost: $0.28/claim|Median: $1.71
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$1K

6,899 claims · 0.0%

Your Cost: $0.21/claim|Median: $3.67
0.1× median
99173Normal range

$1K

18K claims · 0.0%

Your Cost: $0.07/claim|Median: $2.16
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1K

273 claims · 0.0%

Your Cost: $4.89/claim|Median: $72.71
0.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$1K

143 claims · 0.0%

Your Cost: $8.95/claim|Median: $12.63
0.7× median
90746Normal range

Hepatitis B vaccine, adult

$1K

92 claims · 0.0%

Your Cost: $13.22/claim|Median: $48.85
0.3× median
G0467Normal range

Federally qualified health center visit, mental health

$1K

94 claims · 0.0%

Your Cost: $12.07/claim|Median: $21.91
0.6× median
J3490Top 25%

Unclassified drugs

$1K

36 claims · 0.0%

Your Cost: $28.46/claim|Median: $5.70
5.0× median
D0120Normal range

Periodic oral evaluation, established patient

$961

243 claims · 0.0%

Your Cost: $3.95/claim|Median: $24.34
0.2× median
90681Normal range

$945

1,033 claims · 0.0%

Your Cost: $0.91/claim|Median: $5.74
0.2× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$938

17 claims · 0.0%

Your Cost: $55.18/claim|Median: $25.93
2.1× median
92081Normal range

$788

1,152 claims · 0.0%

Your Cost: $0.68/claim|Median: $11.63
0.1× median
90707Normal range

MMR vaccine

$765

227 claims · 0.0%

Your Cost: $3.37/claim|Median: $5.76
0.6× median
0502FNormal range

$723

9,148 claims · 0.0%

Your Cost: $0.08/claim|Median: $44.10
0.0× median
90677Normal range

$711

525 claims · 0.0%

Your Cost: $1.35/claim|Median: $12.96
0.1× median
11102Normal range

$692

48 claims · 0.0%

Your Cost: $14.43/claim|Median: $48.69
0.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$648

72 claims · 0.0%

Your Cost: $9.00/claim|Median: $40.11
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$594

158 claims · 0.0%

Your Cost: $3.76/claim|Median: $74.09
0.1× median

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

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