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Sea Mar Community Health Centers

Clinic/Center, Federally Qualified Health Center (FQHC)·Mount Vernon, WA·NPI: 1023201076SharePrint ReportML Risk: 83%

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 $479K is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Total Paid

$479K

$478,991

Total Claims

4,753

Beneficiaries

1,468

3.2 claims/patient

Avg Cost/Claim

$101

🔍 Analysis

Provider Overview

Sea Mar Community Health Centers is a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in Mount Vernon, WA. From the 2018–2024 period, this provider received $479K in Medicaid payments across 5K claims serving 1K beneficiaries.

58% growthsince first billing year

Yearly Spending

2018
$336K
-57%
2019
$143K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$473K

2,442 claims · 98.7%

Your Cost: $193.60/claim|Median: $121.16
1.6× median
96153Normal range

Health/behavior intervention, group

$5K

1,867 claims · 1.1%

Your Cost: $2.88/claim|Median: $6.67
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$842

428 claims · 0.2%

Your Cost: $1.97/claim|Median: $74.63
0.0× median
H0001Normal range

Alcohol and/or drug assessment

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $94.22