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FAMILY HEALTH CENTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·KALAMAZOO, MI·NPI: 1023560331Share

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 $24.3M 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

$24.3M

$24,325,876

Total Claims

650K

Beneficiaries

528K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-7%
2019
$2.8M
-1%
2020
$2.7M
+23%
2021
$3.4M
+24%
2022
$4.2M
+8%
2023
$4.5M
-14%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 39% of total spending.

G0467Top 10%

Federally qualified health center visit, mental health

$9.6M

133K claims · 39.5%

Your Cost: $72.40/claim|Median: $21.91
3.3× median
G0470Normal range

Chronic care management services, FQHC/RHC

$2.0M

30K claims · 8.4%

Your Cost: $68.09/claim|Median: $45.95
1.5× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$1.7M

20K claims · 6.9%

Your Cost: $83.99/claim|Median: $57.39
1.5× median
D0140Top 5%

Limited oral evaluation, problem focused

$1.5M

19K claims · 6.3%

Your Cost: $78.90/claim|Median: $27.07
2.9× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.2M

9,067 claims · 4.7%

Your Cost: $127.43/claim|Median: $71.00
1.8× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$742K

11K claims · 3.0%

Your Cost: $70.49/claim|Median: $32.07
2.2× median
D2391Top 5%

Resin-based composite, one surface, posterior

$647K

6,247 claims · 2.7%

Your Cost: $103.50/claim|Median: $54.60
1.9× median
D1110Top 25%

Prophylaxis, adult cleaning

$617K

8,972 claims · 2.5%

Your Cost: $68.82/claim|Median: $43.38
1.6× median
G0466Top 25%

$560K

6,658 claims · 2.3%

Your Cost: $84.13/claim|Median: $63.31
1.3× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$549K

4,240 claims · 2.3%

Your Cost: $129.39/claim|Median: $109.42
1.2× median
D0120Top 10%

Periodic oral evaluation, established patient

$534K

9,461 claims · 2.2%

Your Cost: $56.49/claim|Median: $24.34
2.3× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$466K

3,281 claims · 1.9%

Your Cost: $142.00/claim|Median: $84.26
1.7× median
D1120Top 25%

Prophylaxis, adult

$369K

9,161 claims · 1.5%

Your Cost: $40.23/claim|Median: $33.86
1.2× median
G0469Normal range

$304K

4,186 claims · 1.3%

Your Cost: $72.68/claim|Median: $70.42
1.0× median
D4355Top 10%

$280K

2,364 claims · 1.1%

Your Cost: $118.26/claim|Median: $64.42
1.8× median
99214Normal range

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

$277K

47K claims · 1.1%

Your Cost: $5.83/claim|Median: $53.41
0.1× median
D1206Top 25%

Topical application of fluoride varnish

$273K

11K claims · 1.1%

Your Cost: $25.34/claim|Median: $18.12
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$251K

6,881 claims · 1.0%

Your Cost: $36.44/claim|Median: $46.33
0.8× median
99213Normal range

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

$214K

44K claims · 0.9%

Your Cost: $4.88/claim|Median: $37.81
0.1× median
D1351Normal range

Sealant, per tooth

$213K

7,548 claims · 0.9%

Your Cost: $28.17/claim|Median: $26.10
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$207K

17K claims · 0.9%

Your Cost: $12.02/claim|Median: $10.51
1.1× median
D0274Normal range

Bitewings, four radiographic images

$203K

8,637 claims · 0.8%

Your Cost: $23.48/claim|Median: $22.54
1.0× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$173K

1,615 claims · 0.7%

Your Cost: $107.42/claim|Median: $73.58
1.5× median
D2335Top 25%

$116K

876 claims · 0.5%

Your Cost: $132.74/claim|Median: $105.06
1.3× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$105K

1,348 claims · 0.4%

Your Cost: $77.57/claim|Median: $41.92
1.9× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$104K

1,116 claims · 0.4%

Your Cost: $92.76/claim|Median: $66.63
1.4× median
D0330Normal range

Panoramic radiographic image

$85K

2,478 claims · 0.3%

Your Cost: $34.23/claim|Median: $37.36
0.9× median
D2332Top 25%

$82K

734 claims · 0.3%

Your Cost: $112.11/claim|Median: $87.21
1.3× median
D0191Top 25%

$77K

3,780 claims · 0.3%

Your Cost: $20.31/claim|Median: $11.16
1.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$72K

9,607 claims · 0.3%

Your Cost: $7.45/claim|Median: $7.33
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$61K

18K claims · 0.3%

Your Cost: $3.47/claim|Median: $24.49
0.1× median
H0031Normal range

Mental health assessment by non-physician

$51K

5,849 claims · 0.2%

Your Cost: $8.73/claim|Median: $96.18
0.1× median
D0272Top 25%

Bitewings, two radiographic images

$50K

2,385 claims · 0.2%

Your Cost: $20.99/claim|Median: $15.81
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$41K

6,192 claims · 0.2%

Your Cost: $6.59/claim|Median: $85.66
0.1× median
90651Normal range

HPV vaccine, 9-valent

$40K

2,075 claims · 0.2%

Your Cost: $19.33/claim|Median: $8.93
2.2× median
D2394Top 25%

$38K

242 claims · 0.2%

Your Cost: $158.00/claim|Median: $102.14
1.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$38K

10K claims · 0.2%

Your Cost: $3.74/claim|Median: $16.79
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$34K

3,553 claims · 0.1%

Your Cost: $9.60/claim|Median: $75.18
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$32K

3,793 claims · 0.1%

Your Cost: $8.56/claim|Median: $74.82
0.1× median
D0270Top 25%

$30K

2,591 claims · 0.1%

Your Cost: $11.64/claim|Median: $5.46
2.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$27K

14K claims · 0.1%

Your Cost: $1.94/claim|Median: $74.63
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$25K

2,867 claims · 0.1%

Your Cost: $8.66/claim|Median: $80.15
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$23K

2,846 claims · 0.1%

Your Cost: $7.98/claim|Median: $69.35
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$20K

3,515 claims · 0.1%

Your Cost: $5.83/claim|Median: $63.65
0.1× median
D5110Normal range

$20K

40 claims · 0.1%

Your Cost: $488.22/claim|Median: $472.15
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$17K

79 claims · 0.1%

Your Cost: $218.84/claim|Median: $187.09
1.2× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$17K

89 claims · 0.1%

Your Cost: $186.53/claim|Median: $120.85
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$16K

4,116 claims · 0.1%

Your Cost: $3.81/claim|Median: $17.85
0.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$12K

1,540 claims · 0.0%

Your Cost: $7.60/claim|Median: $72.71
0.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$11K

396 claims · 0.0%

Your Cost: $28.37/claim|Median: $57.30
0.5× median

Other Top Providers in Michigan

View all →

Guardiantrac. LLC

Community/Behavioral Health

$2.68B

Centria Healthcare LLC

Home Health

$590.6M

Integra Partners LLC

Orthotic Fitter

$422.3M

Community Mental Health Authority of Clinton Eaton Ingham Counties

Clinic/Center Mental Health (Including Community

$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

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