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SUNSET COMMUNITY HEALTH CENTER INC

Clinic/Center, Federally Qualified Health Center (FQHC)·YUMA, AZ·NPI: 1063433720Share

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 $82.3M 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

$82.3M

$82,346,646

Total Claims

1.4M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$11.7M
+14%
2019
$13.3M
-30%
2020
$9.2M
+24%
2021
$11.4M
+7%
2022
$12.3M
+2%
2023
$12.6M
-6%
2024
$11.8M

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 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$81.9M

375K claims · 99.5%

Your Cost: $218.28/claim|Median: $121.16
1.8× median
99213Normal range

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

$99K

179K claims · 0.1%

Your Cost: $0.55/claim|Median: $37.81
0.0× median
59409Normal range

Vaginal delivery only

$52K

73 claims · 0.1%

Your Cost: $709.74/claim|Median: $619.91
1.1× median
59514Top 10%

Cesarean delivery only

$50K

58 claims · 0.1%

Your Cost: $854.18/claim|Median: $452.80
1.9× median
99214Normal range

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

$47K

81K claims · 0.1%

Your Cost: $0.58/claim|Median: $53.41
0.0× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$41K

4,617 claims · 0.1%

Your Cost: $8.93/claim|Median: $11.35
0.8× median
99219Normal range

$14K

275 claims · 0.0%

Your Cost: $51.18/claim|Median: $63.35
0.8× median
90471Normal range

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

$11K

60K claims · 0.0%

Your Cost: $0.19/claim|Median: $9.80
0.0× median
99243Normal range

Office or other outpatient consultation, low complexity

$11K

1,276 claims · 0.0%

Your Cost: $8.82/claim|Median: $82.43
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$11K

8,917 claims · 0.0%

Your Cost: $1.20/claim|Median: $69.35
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$8K

23K claims · 0.0%

Your Cost: $0.34/claim|Median: $21.91
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$8K

10K claims · 0.0%

Your Cost: $0.75/claim|Median: $74.82
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$7K

9,739 claims · 0.0%

Your Cost: $0.74/claim|Median: $75.18
0.0× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$7K

399 claims · 0.0%

Your Cost: $16.52/claim|Median: $786.43
0.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$6K

4,926 claims · 0.0%

Your Cost: $1.20/claim|Median: $57.85
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$6K

7,562 claims · 0.0%

Your Cost: $0.74/claim|Median: $80.15
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$6K

2,258 claims · 0.0%

Your Cost: $2.47/claim|Median: $33.85
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$5K

15K claims · 0.0%

Your Cost: $0.35/claim|Median: $6.61
0.1× median
90472Normal range

Immunization administration, each additional vaccine

$5K

26K claims · 0.0%

Your Cost: $0.20/claim|Median: $11.79
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$4K

5,146 claims · 0.0%

Your Cost: $0.80/claim|Median: $72.71
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$4K

2,411 claims · 0.0%

Your Cost: $1.49/claim|Median: $25.93
0.1× median
90715Normal range

Tdap vaccine

$3K

6,840 claims · 0.0%

Your Cost: $0.46/claim|Median: $10.32
0.0× median
T1016Normal range

Case management, each 15 min

$3K

162 claims · 0.0%

Your Cost: $18.77/claim|Median: $49.62
0.4× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$3K

1,465 claims · 0.0%

Your Cost: $1.74/claim|Median: $73.46
0.0× median
90670Normal range

$2K

7,226 claims · 0.0%

Your Cost: $0.33/claim|Median: $5.94
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$2K

3,844 claims · 0.0%

Your Cost: $0.61/claim|Median: $76.06
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$2K

15K claims · 0.0%

Your Cost: $0.15/claim|Median: $25.06
0.0× median
99490Normal range

Chronic care management services, 20 minutes per month

$2K

316 claims · 0.0%

Your Cost: $7.13/claim|Median: $6.31
1.1× median
83037Normal range

$2K

27K claims · 0.0%

Your Cost: $0.07/claim|Median: $4.07
0.0× median
90714Normal range

Td vaccine

$2K

3,968 claims · 0.0%

Your Cost: $0.38/claim|Median: $13.20
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$1K

5,924 claims · 0.0%

Your Cost: $0.25/claim|Median: $9.56
0.0× median
0064ANormal range

$1K

2,290 claims · 0.0%

Your Cost: $0.62/claim|Median: $34.17
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1K

1,377 claims · 0.0%

Your Cost: $0.96/claim|Median: $40.11
0.0× median
99001Normal range

$1K

1,390 claims · 0.0%

Your Cost: $0.92/claim|Median: $2.31
0.4× median
90474Normal range

$1K

5,409 claims · 0.0%

Your Cost: $0.22/claim|Median: $8.42
0.0× median
0071ANormal range

$913

458 claims · 0.0%

Your Cost: $1.99/claim|Median: $38.71
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$792

22K claims · 0.0%

Your Cost: $0.04/claim|Median: $2.00
0.0× median
83655Normal range

$754

6,408 claims · 0.0%

Your Cost: $0.12/claim|Median: $10.49
0.0× median
11981Normal range

$750

136 claims · 0.0%

Your Cost: $5.52/claim|Median: $117.16
0.0× median
0072ANormal range

$664

382 claims · 0.0%

Your Cost: $1.74/claim|Median: $39.57
0.0× median
Q0091Normal range

$542

4,021 claims · 0.0%

Your Cost: $0.13/claim|Median: $11.15
0.0× median
85018Normal range

$507

19K claims · 0.0%

Your Cost: $0.03/claim|Median: $1.71
0.0× median
99173Normal range

$475

15K claims · 0.0%

Your Cost: $0.03/claim|Median: $2.16
0.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$442

1,260 claims · 0.0%

Your Cost: $0.35/claim|Median: $84.03
0.0× median
96110Normal range

Developmental screening, per standardized instrument

$427

4,009 claims · 0.0%

Your Cost: $0.11/claim|Median: $9.10
0.0× median
90688Normal range

$397

13K claims · 0.0%

Your Cost: $0.03/claim|Median: $9.00
0.0× median
3074FNormal range

$284

18K claims · 0.0%

Your Cost: $0.02/claim|Median: $0.11
0.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$273

1,023 claims · 0.0%

Your Cost: $0.27/claim|Median: $39.70
0.0× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$194

573 claims · 0.0%

Your Cost: $0.34/claim|Median: $76.22
0.0× median
0112ANormal range

$166

46 claims · 0.0%

Your Cost: $3.61/claim|Median: $40.00
0.1× median

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