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FENWAY COMMUNITY HEALTH CENTER, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·BOSTON, MA·NPI: 1003804725Share

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 $22.5M 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

$22.5M

$22,494,179

Total Claims

351K

Beneficiaries

249K

1.4 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+13%
2019
$3.0M
+12%
2020
$3.3M
+16%
2021
$3.8M
+23%
2022
$4.7M
-37%
2023
$3.0M
-29%
2024
$2.1M

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 44% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.9M

70K claims · 44.1%

Your Cost: $141.42/claim|Median: $121.16
1.2× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$2.2M

15K claims · 9.9%

Your Cost: $147.78/claim|Median: $45.95
3.2× median
T1040Normal range

Medicaid certified CCBHC services

$2.0M

16K claims · 8.9%

Your Cost: $126.90/claim|Median: $130.29
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$2.0M

27K claims · 8.9%

Your Cost: $73.77/claim|Median: $63.65
1.2× median
D9450Top 25%

$1.4M

44K claims · 6.2%

Your Cost: $31.73/claim|Median: $21.95
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$483K

18K claims · 2.1%

Your Cost: $26.79/claim|Median: $43.38
0.6× median
D2740Normal range

Crown, porcelain/ceramic substrate

$464K

946 claims · 2.1%

Your Cost: $490.98/claim|Median: $509.58
1.0× median
G0467Top 25%

Federally qualified health center visit, mental health

$400K

12K claims · 1.8%

Your Cost: $34.62/claim|Median: $21.91
1.6× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$386K

2,710 claims · 1.7%

Your Cost: $142.60/claim|Median: $72.71
2.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$191K

5,112 claims · 0.9%

Your Cost: $37.46/claim|Median: $46.33
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$172K

15K claims · 0.8%

Your Cost: $11.44/claim|Median: $24.34
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$163K

1,371 claims · 0.7%

Your Cost: $118.74/claim|Median: $99.21
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$151K

6,368 claims · 0.7%

Your Cost: $23.72/claim|Median: $27.07
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$144K

4,128 claims · 0.6%

Your Cost: $34.79/claim|Median: $71.00
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$141K

3,304 claims · 0.6%

Your Cost: $42.53/claim|Median: $41.28
1.0× median
99214Normal range

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

$131K

7,503 claims · 0.6%

Your Cost: $17.46/claim|Median: $53.41
0.3× median
G2025Normal range

$128K

8,701 claims · 0.6%

Your Cost: $14.66/claim|Median: $15.63
0.9× median
92340Top 25%

Fitting of spectacles, except for aphakia

$127K

4,540 claims · 0.6%

Your Cost: $28.04/claim|Median: $19.46
1.4× median
D0274Normal range

Bitewings, four radiographic images

$118K

6,399 claims · 0.5%

Your Cost: $18.39/claim|Median: $22.54
0.8× median
90853Normal range

Group psychotherapy

$112K

3,688 claims · 0.5%

Your Cost: $30.32/claim|Median: $25.02
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$105K

2,637 claims · 0.5%

Your Cost: $39.98/claim|Median: $47.08
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$102K

3,673 claims · 0.5%

Your Cost: $27.79/claim|Median: $54.60
0.5× median
90682Top 10%

$100K

1,701 claims · 0.4%

Your Cost: $58.84/claim|Median: $34.72
1.7× median
99213Normal range

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

$93K

6,905 claims · 0.4%

Your Cost: $13.45/claim|Median: $37.81
0.4× median
91322Top 10%

$83K

594 claims · 0.4%

Your Cost: $140.54/claim|Median: $76.28
1.8× median
90651Top 5%

HPV vaccine, 9-valent

$82K

695 claims · 0.4%

Your Cost: $117.66/claim|Median: $8.93
13.2× median
D9110Normal range

$75K

3,828 claims · 0.3%

Your Cost: $19.61/claim|Median: $38.08
0.5× median
D0220Normal range

Intraoral periapical radiographic image, first film

$64K

7,360 claims · 0.3%

Your Cost: $8.70/claim|Median: $10.51
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$60K

3,094 claims · 0.3%

Your Cost: $19.43/claim|Median: $32.07
0.6× median
90750Normal range

$60K

426 claims · 0.3%

Your Cost: $139.85/claim|Median: $96.16
1.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$57K

751 claims · 0.3%

Your Cost: $75.95/claim|Median: $76.06
1.0× median
90471Normal range

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

$57K

9,273 claims · 0.3%

Your Cost: $6.15/claim|Median: $9.80
0.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$53K

791 claims · 0.2%

Your Cost: $67.44/claim|Median: $59.72
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$52K

1,404 claims · 0.2%

Your Cost: $36.91/claim|Median: $84.26
0.4× median
92015Normal range

Determination of refractive state

$49K

4,145 claims · 0.2%

Your Cost: $11.82/claim|Median: $10.36
1.1× median
D2950Normal range

$48K

463 claims · 0.2%

Your Cost: $103.78/claim|Median: $123.37
0.8× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$46K

2,530 claims · 0.2%

Your Cost: $17.99/claim|Median: $7.18
2.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$43K

936 claims · 0.2%

Your Cost: $45.87/claim|Median: $57.39
0.8× median
90715Top 25%

Tdap vaccine

$35K

1,085 claims · 0.2%

Your Cost: $31.85/claim|Median: $10.32
3.1× median
92310Top 10%

$33K

356 claims · 0.1%

Your Cost: $91.71/claim|Median: $35.49
2.6× median
97810Normal range

$33K

1,441 claims · 0.1%

Your Cost: $22.59/claim|Median: $23.92
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$32K

3,773 claims · 0.1%

Your Cost: $8.53/claim|Median: $9.56
0.9× median
99050Top 5%

$29K

562 claims · 0.1%

Your Cost: $51.45/claim|Median: $11.81
4.4× median
90480Top 10%

$24K

542 claims · 0.1%

Your Cost: $44.04/claim|Median: $25.29
1.7× median
D0270Normal range

$22K

3,195 claims · 0.1%

Your Cost: $7.02/claim|Median: $5.46
1.3× median
92250Normal range

Fundus photography with interpretation and report

$18K

1,161 claims · 0.1%

Your Cost: $15.91/claim|Median: $27.95
0.6× median
90677Top 5%

$18K

78 claims · 0.1%

Your Cost: $225.52/claim|Median: $12.96
17.4× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$17K

59 claims · 0.1%

Your Cost: $290.34/claim|Median: $476.00
0.6× median
D4341Normal range

Periodontal scaling, per quadrant

$16K

1,131 claims · 0.1%

Your Cost: $14.47/claim|Median: $70.00
0.2× median
92341Top 10%

$16K

458 claims · 0.1%

Your Cost: $34.80/claim|Median: $22.77
1.5× median

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