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Contra Costa County

Clinic/Center Federally Qualified Health Center (FQHC)·San Pablo, CA·NPI: 1962587071Share

Compared to Clinic/Center Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 24 providers in this specialty

P25MedianP75P90

This provider's total spending of $170.8M is at the 50th percentile among 24 Clinic/Center Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$170.8M

$170,808,263

Total Claims

2.0M

Beneficiaries

1.6M

1.3 claims/patient

Avg Cost/Claim

$84

#577 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Contra Costa County is a Clinic/Center Federally Qualified Health Center (FQHC) provider based in San Pablo, CA. From the 2018–2024 period, this provider received $170.8M in Medicaid payments across 2.0M claims.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Why This Matters

This provider received $170.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,351 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 14% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$28.6M
-15%
2019
$24.1M
-9%
2020
$22.0M
+24%
2021
$27.3M
-27%
2022
$19.8M
+23%
2023
$24.5M
+0%
2024
$24.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 80% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$135.8M

393K claims · 79.5%

Your Cost: $345.59/claim|Median: $121.16
2.9× median
0510Top 10%

Revenue code, clinic services

$24.3M

298K claims · 14.2%

Your Cost: $81.58/claim|Median: $28.38
2.9× median
00003Top 25%

Anesthesia services

$6.3M

15K claims · 3.7%

Your Cost: $426.83/claim|Median: $223.77
1.9× median
G0467Top 5%

Federally qualified health center visit, mental health

$2.2M

11K claims · 1.3%

Your Cost: $192.80/claim|Median: $21.91
8.8× median
99078Normal range

$314K

11K claims · 0.2%

Your Cost: $27.67/claim|Median: $25.66
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$285K

12K claims · 0.2%

Your Cost: $23.95/claim|Median: $41.28
0.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$276K

12K claims · 0.2%

Your Cost: $22.67/claim|Median: $33.72
0.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$263K

12K claims · 0.2%

Your Cost: $21.88/claim|Median: $36.70
0.6× median
96158Normal range

$145K

6K claims · 0.1%

Your Cost: $23.45/claim|Median: $28.43
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$113K

5K claims · 0.1%

Your Cost: $24.37/claim|Median: $99.21
0.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$84K

3K claims · 0.0%

Your Cost: $25.77/claim|Median: $25.93
1.0× median
0054ANormal range

$84K

2K claims · 0.0%

Your Cost: $40.44/claim|Median: $35.83
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$83K

3K claims · 0.0%

Your Cost: $27.38/claim|Median: $33.85
0.8× median
0004ANormal range

$74K

2K claims · 0.0%

Your Cost: $35.78/claim|Median: $35.62
1.0× median
0124ATop 25%

$67K

1K claims · 0.0%

Your Cost: $51.03/claim|Median: $34.32
1.5× median
90853Normal range

Group psychotherapy

$56K

2K claims · 0.0%

Your Cost: $27.74/claim|Median: $25.02
1.1× median
0064ANormal range

$55K

2K claims · 0.0%

Your Cost: $36.76/claim|Median: $34.17
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$40K

1K claims · 0.0%

Your Cost: $29.67/claim|Median: $85.66
0.3× median
96153Top 25%

Health/behavior intervention, group

$27K

1K claims · 0.0%

Your Cost: $24.96/claim|Median: $6.67
3.7× median
90834Normal range

Psychotherapy, 45 minutes

$24K

834 claims · 0.0%

Your Cost: $28.63/claim|Median: $63.65
0.5× median
H1003Top 5%

$21K

455 claims · 0.0%

Your Cost: $46.16/claim|Median: $10.04
4.6× median
0134ATop 25%

$20K

377 claims · 0.0%

Your Cost: $52.43/claim|Median: $33.54
1.6× median
0071ANormal range

$15K

432 claims · 0.0%

Your Cost: $33.98/claim|Median: $38.71
0.9× median
96152Normal range

Health behavior intervention, individual

$14K

369 claims · 0.0%

Your Cost: $37.13/claim|Median: $20.02
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$13K

13K claims · 0.0%

Your Cost: $1.02/claim|Median: $69.35
0.0× median
0052ANormal range

$12K

298 claims · 0.0%

Your Cost: $38.66/claim|Median: $37.79
1.0× median
99213Normal range

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

$11K

233K claims · 0.0%

Your Cost: $0.05/claim|Median: $37.81
0.0× median
0081ATop 10%

$10K

155 claims · 0.0%

Your Cost: $67.00/claim|Median: $38.21
1.8× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$10K

129 claims · 0.0%

Your Cost: $78.86/claim|Median: $12.70
6.2× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$8K

362 claims · 0.0%

Your Cost: $21.02/claim|Median: $32.49
0.7× 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

Similar Providers

Other top providers in Clinic/Center Federally Qualified Health Center (FQHC)

Sun River Health Inc.

Peekskill, NY

$546.5M

Dap Health Inc.

Desert Hot Springs, CA

$463.0M

Altamed Health Services Corp.

Los Angeles, CA

$305.8M

Family Healthcare Network

Fresno, CA

$218.3M

Contra Costa County

Pittsburg, CA

$202.2M

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