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SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Health Maintenance Organization·LANCASTER, CA·NPI: 1982863783Share

Compared to Health Maintenance Organization Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.4M is at the 25th percentile among 10 Health Maintenance Organization providers.

Active Billing Period:2018-10→2024-12(73 months)

Total Paid

$25.4M

$25,363,921

Total Claims

1.2M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$220K
+658%
2020
$1.7M
+113%
2021
$3.5M
+26%
2022
$4.5M
+43%
2023
$6.4M
+43%
2024
$9.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 27% of total spending.

99214Normal range

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

$7.0M

100K claims · 27.4%

Your Cost: $69.77/claim|Median: $53.41
1.3× median
99213Normal range

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

$2.3M

99K claims · 9.2%

Your Cost: $23.61/claim|Median: $37.81
0.6× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$721K

10K claims · 2.8%

Your Cost: $68.68/claim|Median: $47.08
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$558K

32K claims · 2.2%

Your Cost: $17.53/claim|Median: $25.06
0.7× median
77067Top 25%

Screening mammography, bilateral, including CAD

$555K

5,638 claims · 2.2%

Your Cost: $98.45/claim|Median: $39.33
2.5× median
91320Top 5%

$532K

3,248 claims · 2.1%

Your Cost: $163.67/claim|Median: $72.65
2.3× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$486K

9,300 claims · 1.9%

Your Cost: $52.21/claim|Median: $38.23
1.4× median
74177Top 10%

CT abdomen and pelvis with contrast

$447K

1,202 claims · 1.8%

Your Cost: $371.94/claim|Median: $65.76
5.7× median
90471Normal range

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

$439K

71K claims · 1.7%

Your Cost: $6.17/claim|Median: $9.80
0.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$349K

1,645 claims · 1.4%

Your Cost: $212.10/claim|Median: $54.68
3.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$340K

6,458 claims · 1.3%

Your Cost: $52.70/claim|Median: $59.72
0.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$295K

41K claims · 1.2%

Your Cost: $7.10/claim|Median: $4.71
1.5× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$291K

6,503 claims · 1.1%

Your Cost: $44.68/claim|Median: $97.61
0.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$285K

1,663 claims · 1.1%

Your Cost: $171.31/claim|Median: $60.19
2.8× median
67028Top 25%

Intravitreal injection of a pharmacologic agent

$281K

1,591 claims · 1.1%

Your Cost: $176.64/claim|Median: $58.82
3.0× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$280K

3,515 claims · 1.1%

Your Cost: $79.78/claim|Median: $54.77
1.5× median
97110Normal range

Therapeutic exercises, each 15 min

$269K

9,326 claims · 1.1%

Your Cost: $28.80/claim|Median: $24.49
1.2× median
92015Normal range

Determination of refractive state

$265K

30K claims · 1.0%

Your Cost: $8.68/claim|Median: $10.36
0.8× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$262K

8,271 claims · 1.0%

Your Cost: $31.67/claim|Median: $13.30
2.4× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$244K

1,126 claims · 1.0%

Your Cost: $216.66/claim|Median: $75.28
2.9× median
99204Normal range

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

$240K

2,683 claims · 0.9%

Your Cost: $89.50/claim|Median: $84.03
1.1× median
90662Top 5%

$233K

2,093 claims · 0.9%

Your Cost: $111.52/claim|Median: $6.55
17.0× median
71046Top 25%

Chest X-ray, 2 views

$224K

12K claims · 0.9%

Your Cost: $18.86/claim|Median: $8.92
2.1× median
70450Top 25%

CT head/brain without contrast

$212K

1,959 claims · 0.8%

Your Cost: $108.09/claim|Median: $45.53
2.4× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$210K

2,154 claims · 0.8%

Your Cost: $97.55/claim|Median: $29.03
3.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$210K

8,775 claims · 0.8%

Your Cost: $23.88/claim|Median: $74.82
0.3× median
90480Top 5%

$207K

4,038 claims · 0.8%

Your Cost: $51.35/claim|Median: $25.29
2.0× median
99203Normal range

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

$195K

4,747 claims · 0.8%

Your Cost: $41.14/claim|Median: $57.85
0.7× median
97161Top 25%

Physical therapy evaluation, low complexity

$191K

2,353 claims · 0.8%

Your Cost: $81.25/claim|Median: $47.89
1.7× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$172K

1,717 claims · 0.7%

Your Cost: $100.23/claim|Median: $32.55
3.1× median
83880Top 5%

$161K

2,754 claims · 0.6%

Your Cost: $58.28/claim|Median: $11.81
4.9× median
82565Top 25%

Creatinine blood test

$152K

25K claims · 0.6%

Your Cost: $6.06/claim|Median: $1.94
3.1× median
90837Normal range

Psychotherapy, 60 minutes

$151K

2,668 claims · 0.6%

Your Cost: $56.78/claim|Median: $85.66
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$137K

9,607 claims · 0.5%

Your Cost: $14.28/claim|Median: $75.18
0.2× median
99215Top 10%

Office/outpatient visit, high complexity

$137K

898 claims · 0.5%

Your Cost: $152.10/claim|Median: $74.09
2.1× median
80051Top 25%

Electrolyte panel blood test

$128K

20K claims · 0.5%

Your Cost: $6.48/claim|Median: $1.56
4.2× median
93010Top 25%

Electrocardiogram, interpretation and report only

$128K

14K claims · 0.5%

Your Cost: $9.01/claim|Median: $5.60
1.6× median
45378Normal range

Colonoscopy, diagnostic

$126K

345 claims · 0.5%

Your Cost: $363.99/claim|Median: $225.49
1.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$122K

25K claims · 0.5%

Your Cost: $4.98/claim|Median: $7.18
0.7× median
85027Normal range

Complete blood count (CBC), automated

$120K

39K claims · 0.5%

Your Cost: $3.08/claim|Median: $3.72
0.8× median
73562Top 25%

$118K

4,296 claims · 0.5%

Your Cost: $27.39/claim|Median: $12.28
2.2× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$112K

2,092 claims · 0.4%

Your Cost: $53.55/claim|Median: $22.44
2.4× median
76830Normal range

Ultrasound, transvaginal

$112K

2,861 claims · 0.4%

Your Cost: $39.06/claim|Median: $57.47
0.7× median
84460Top 25%

$110K

19K claims · 0.4%

Your Cost: $5.82/claim|Median: $2.58
2.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$108K

3,042 claims · 0.4%

Your Cost: $35.38/claim|Median: $21.76
1.6× median
76705Top 25%

Ultrasound, abdominal, limited

$107K

1,982 claims · 0.4%

Your Cost: $53.91/claim|Median: $23.81
2.3× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$104K

5,722 claims · 0.4%

Your Cost: $18.25/claim|Median: $12.06
1.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$104K

2,805 claims · 0.4%

Your Cost: $37.16/claim|Median: $33.85
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$102K

2,579 claims · 0.4%

Your Cost: $39.74/claim|Median: $33.72
1.2× median
77080Top 25%

Dual-energy x-ray absorptiometry (DEXA) bone density scan

$102K

1,911 claims · 0.4%

Your Cost: $53.27/claim|Median: $18.93
2.8× median

Other Top Providers in California

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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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