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SANTA YNEZ BAND OF MISSION INDIANS

Clinic/Center, Federally Qualified Health Center (FQHC)·SANTA YNEZ, CA·NPI: 1992779417Share

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 $38.9M 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

$38.9M

$38,853,845

Total Claims

167K

Beneficiaries

114K

1.5 claims/patient

Avg Cost/Claim

$232

Monthly Spending Trend

Yearly Spending

2018
$4.8M
+3%
2019
$5.0M
-10%
2020
$4.5M
+34%
2021
$6.0M
+49%
2022
$9.0M
-34%
2023
$5.9M
-37%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 42 distinct procedure codes. The top code (0520) accounts for 49% of total spending.

0520Top 1%

$19.1M

37K claims · 49.1%

Your Cost: $512.22/claim|Median: $71.00
7.2× median
00003Top 5%

Anesthesia services

$10.6M

19K claims · 27.2%

Your Cost: $559.20/claim|Median: $223.77
2.5× median
0900Top 10%

$3.9M

20K claims · 10.2%

Your Cost: $201.42/claim|Median: $2.08
96.8× median
T1015Top 1%

Clinic visit/encounter, all-inclusive

$1.7M

2,570 claims · 4.5%

Your Cost: $679.92/claim|Median: $121.16
5.6× median
0561Top 1%

$1.6M

2,861 claims · 4.1%

Your Cost: $561.63/claim|Median: $123.61
4.5× median
0940Top 1%

$1.1M

2,127 claims · 2.7%

Your Cost: $500.54/claim|Median: $22.14
22.6× median
0521Normal range

$645K

39K claims · 1.7%

Your Cost: $16.58/claim|Median: $7.40
2.2× median
0510Top 1%

Revenue code, clinic services

$64K

108 claims · 0.2%

Your Cost: $594.63/claim|Median: $28.38
21.0× median
G0470Top 1%

Chronic care management services, FQHC/RHC

$42K

83 claims · 0.1%

Your Cost: $502.30/claim|Median: $45.95
10.9× median
98940Top 1%

$21K

29 claims · 0.1%

Your Cost: $719.00/claim|Median: $14.55
49.4× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$19K

27 claims · 0.0%

Your Cost: $719.00/claim|Median: $47.08
15.3× median
0064ATop 10%

$14K

291 claims · 0.0%

Your Cost: $46.69/claim|Median: $34.17
1.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$13K

346 claims · 0.0%

Your Cost: $38.27/claim|Median: $33.85
1.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$13K

373 claims · 0.0%

Your Cost: $35.18/claim|Median: $25.93
1.4× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$12K

16 claims · 0.0%

Your Cost: $719.00/claim|Median: $20.83
34.5× median
G2025Top 1%

$6K

12 claims · 0.0%

Your Cost: $503.83/claim|Median: $15.63
32.2× median
0134ATop 5%

$938

14 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.54
2.0× median
99212Normal range

Office/outpatient visit, low complexity

$111

529 claims · 0.0%

Your Cost: $0.21/claim|Median: $25.06
0.0× median
99173Normal range

$0

52 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
97014Normal range

Electrical stimulation, unattended

$0

20 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.83
0500Normal range

$0

16K claims · 0.0%

Your Cost: $0.00/claim|Median: $21.15
D0274Normal range

Bitewings, four radiographic images

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.54
0636Normal range

$0

8,342 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.41
99213Normal range

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

$0

384 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$0

105 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.85
99393Normal range

Preventive medicine, established patient, age 5-11

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
99392Normal range

Preventive medicine, established patient, age 1-4

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
0471Normal range

$0

1,918 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.58
90833Normal range

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

$0

101 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.83
0771Normal range

$0

8,401 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.66
D1120Normal range

Prophylaxis, adult

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.86
36415Normal range

Collection of venous blood by venipuncture

$0

52 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
90656Normal range

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
90837Normal range

Psychotherapy, 60 minutes

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66
D0120Normal range

Periodic oral evaluation, established patient

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.34
90834Normal range

Psychotherapy, 45 minutes

$0

120 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65
0361Normal range

$0

35 claims · 0.0%

Your Cost: $0.00/claim|Median: $102.41
0761Normal range

$0

317 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.10
92551Normal range

Screening audiometry, pure tone, air only

$0

57 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
90471Normal range

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

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
0300Normal range

$0

7,035 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.79
92015Normal range

Determination of refractive state

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.36

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Los Angeles County Department of Mental Health

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$6.78B

County of Santa Clara

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$1.73B

County of Riverside

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$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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