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CARECONNECT HEALTH, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·RICHLAND, GA·NPI: 1063436624Share

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 $93.2M 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

$93.2M

$93,237,647

Total Claims

3.2M

Beneficiaries

2.7M

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$7.5M
+42%
2019
$10.7M
+1%
2020
$10.8M
+38%
2021
$14.9M
+21%
2022
$18.0M
+8%
2023
$19.4M
-39%
2024
$11.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 64% of total spending.

99213Top 5%

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

$59.4M

543K claims · 63.7%

Your Cost: $109.39/claim|Median: $37.81
2.9× median
99212Top 5%

Office/outpatient visit, low complexity

$12.0M

110K claims · 12.8%

Your Cost: $109.13/claim|Median: $25.06
4.4× median
99203Top 10%

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

$5.3M

48K claims · 5.6%

Your Cost: $110.13/claim|Median: $57.85
1.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2.5M

97K claims · 2.7%

Your Cost: $25.52/claim|Median: $30.04
0.8× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$1.9M

15K claims · 2.0%

Your Cost: $128.52/claim|Median: $75.18
1.7× median
99214Top 25%

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

$1.8M

23K claims · 2.0%

Your Cost: $81.00/claim|Median: $53.41
1.5× median
99051Normal range

$1.7M

117K claims · 1.8%

Your Cost: $14.55/claim|Median: $7.89
1.8× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$1.5M

12K claims · 1.6%

Your Cost: $128.45/claim|Median: $69.35
1.9× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$1.2M

9,132 claims · 1.2%

Your Cost: $126.21/claim|Median: $74.82
1.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$868K

35K claims · 0.9%

Your Cost: $24.55/claim|Median: $17.85
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$658K

5,228 claims · 0.7%

Your Cost: $125.93/claim|Median: $80.15
1.6× median
D0999Normal range

Unspecified diagnostic procedure, by report

$463K

6,324 claims · 0.5%

Your Cost: $73.15/claim|Median: $101.33
0.7× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$405K

5,819 claims · 0.4%

Your Cost: $69.62/claim|Median: $41.92
1.7× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$330K

3,032 claims · 0.4%

Your Cost: $108.87/claim|Median: $40.11
2.7× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$242K

2,141 claims · 0.3%

Your Cost: $113.05/claim|Median: $37.22
3.0× median
90791Normal range

Psychiatric diagnostic evaluation

$240K

2,395 claims · 0.3%

Your Cost: $100.31/claim|Median: $99.21
1.0× median
D1208Top 1%

Topical application of fluoride, excluding varnish

$234K

4,546 claims · 0.3%

Your Cost: $51.43/claim|Median: $14.36
3.6× median
99211Top 5%

Office/outpatient visit, minimal complexity

$207K

1,952 claims · 0.2%

Your Cost: $105.91/claim|Median: $12.93
8.2× median
90832Top 25%

Psychotherapy, 30 minutes

$204K

2,457 claims · 0.2%

Your Cost: $83.11/claim|Median: $41.28
2.0× median
99234Top 10%

$184K

1,625 claims · 0.2%

Your Cost: $113.48/claim|Median: $80.89
1.4× median
99231Top 1%

Subsequent hospital care, per day, low complexity

$151K

1,385 claims · 0.2%

Your Cost: $109.31/claim|Median: $16.77
6.5× median
99401Normal range

$150K

71K claims · 0.2%

Your Cost: $2.11/claim|Median: $16.53
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$125K

32K claims · 0.1%

Your Cost: $3.93/claim|Median: $9.56
0.4× median
D0140Top 5%

Limited oral evaluation, problem focused

$123K

1,994 claims · 0.1%

Your Cost: $61.93/claim|Median: $27.07
2.3× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$112K

1,883 claims · 0.1%

Your Cost: $59.32/claim|Median: $10.51
5.6× median
96110Normal range

Developmental screening, per standardized instrument

$109K

9,780 claims · 0.1%

Your Cost: $11.18/claim|Median: $9.10
1.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$108K

60K claims · 0.1%

Your Cost: $1.80/claim|Median: $3.67
0.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$107K

3,090 claims · 0.1%

Your Cost: $34.57/claim|Median: $24.34
1.4× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$89K

3,307 claims · 0.1%

Your Cost: $27.03/claim|Median: $39.63
0.7× median
99173Normal range

$89K

22K claims · 0.1%

Your Cost: $4.06/claim|Median: $2.16
1.9× median
92551Normal range

Screening audiometry, pure tone, air only

$64K

16K claims · 0.1%

Your Cost: $3.91/claim|Median: $6.61
0.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$54K

11K claims · 0.1%

Your Cost: $4.86/claim|Median: $6.93
0.7× median
99381Top 25%

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

$53K

502 claims · 0.1%

Your Cost: $105.43/claim|Median: $73.46
1.4× median
D1120Normal range

Prophylaxis, adult

$49K

3,139 claims · 0.1%

Your Cost: $15.62/claim|Median: $33.86
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$46K

1,879 claims · 0.0%

Your Cost: $24.51/claim|Median: $32.07
0.8× median
99221Top 5%

Initial hospital care, straightforward/low

$44K

401 claims · 0.0%

Your Cost: $110.28/claim|Median: $39.96
2.8× median
D1110Normal range

Prophylaxis, adult cleaning

$42K

1,323 claims · 0.0%

Your Cost: $31.99/claim|Median: $43.38
0.7× median
99204Normal range

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

$37K

344 claims · 0.0%

Your Cost: $106.95/claim|Median: $84.03
1.3× median
59409Normal range

Vaginal delivery only

$35K

55 claims · 0.0%

Your Cost: $638.44/claim|Median: $619.91
1.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$33K

304 claims · 0.0%

Your Cost: $108.42/claim|Median: $72.71
1.5× median
D0330Normal range

Panoramic radiographic image

$33K

1,014 claims · 0.0%

Your Cost: $32.24/claim|Median: $37.36
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$33K

472 claims · 0.0%

Your Cost: $69.24/claim|Median: $54.60
1.3× median
D0274Normal range

Bitewings, four radiographic images

$29K

1,154 claims · 0.0%

Your Cost: $25.20/claim|Median: $22.54
1.1× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$24K

285 claims · 0.0%

Your Cost: $84.61/claim|Median: $57.39
1.5× median
81025Normal range

Urine pregnancy test

$22K

23K claims · 0.0%

Your Cost: $0.95/claim|Median: $4.81
0.2× median
59025Normal range

Fetal non-stress test

$21K

899 claims · 0.0%

Your Cost: $23.61/claim|Median: $26.45
0.9× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$20K

26 claims · 0.0%

Your Cost: $757.01/claim|Median: $786.43
1.0× median
99429Normal range

$19K

3,053 claims · 0.0%

Your Cost: $6.23/claim|Median: $28.58
0.2× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$17K

497 claims · 0.0%

Your Cost: $34.83/claim|Median: $56.18
0.6× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$16K

1,744 claims · 0.0%

Your Cost: $9.16/claim|Median: $38.83
0.2× median

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$211.1M

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