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ANTHONY L. JORDAN HEALTH CORPORATION

Clinic/Center, Federally Qualified Health Center (FQHC)·ROCHESTER, NY·NPI: 1083716088Share

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 $18.7M 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

$18.7M

$18,717,728

Total Claims

397K

Beneficiaries

309K

1.3 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$3.9M
+19%
2019
$4.7M
-61%
2020
$1.8M
+39%
2021
$2.6M
-1%
2022
$2.5M
-13%
2023
$2.2M
-55%
2024
$987K

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 45% of total spending.

99213Top 25%

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

$8.5M

148K claims · 45.4%

Your Cost: $57.30/claim|Median: $37.81
1.5× median
99214Top 25%

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

$4.9M

61K claims · 26.1%

Your Cost: $80.36/claim|Median: $53.41
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$448K

5,680 claims · 2.4%

Your Cost: $78.94/claim|Median: $74.82
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$406K

8,144 claims · 2.2%

Your Cost: $49.80/claim|Median: $43.38
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$364K

4,404 claims · 1.9%

Your Cost: $82.72/claim|Median: $75.18
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$341K

4,160 claims · 1.8%

Your Cost: $82.03/claim|Median: $80.15
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$325K

11K claims · 1.7%

Your Cost: $29.78/claim|Median: $17.85
1.7× median
D0330Normal range

Panoramic radiographic image

$292K

12K claims · 1.6%

Your Cost: $24.67/claim|Median: $37.36
0.7× median
D1120Normal range

Prophylaxis, adult

$282K

11K claims · 1.5%

Your Cost: $24.63/claim|Median: $33.86
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$201K

2,602 claims · 1.1%

Your Cost: $77.18/claim|Median: $69.35
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$191K

8,078 claims · 1.0%

Your Cost: $23.61/claim|Median: $24.34
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$176K

5,536 claims · 0.9%

Your Cost: $31.71/claim|Median: $22.44
1.4× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$150K

10K claims · 0.8%

Your Cost: $14.32/claim|Median: $17.67
0.8× median
D0274Normal range

Bitewings, four radiographic images

$145K

5,847 claims · 0.8%

Your Cost: $24.79/claim|Median: $22.54
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$132K

3,078 claims · 0.7%

Your Cost: $42.76/claim|Median: $25.06
1.7× median
90471Top 25%

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

$130K

7,907 claims · 0.7%

Your Cost: $16.48/claim|Median: $9.80
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$104K

1,724 claims · 0.6%

Your Cost: $60.17/claim|Median: $63.65
0.9× median
99443Normal range

Telephone E/M by physician, 21-30 min

$85K

1,612 claims · 0.5%

Your Cost: $53.04/claim|Median: $32.55
1.6× median
D1206Top 25%

Topical application of fluoride varnish

$82K

3,102 claims · 0.4%

Your Cost: $26.39/claim|Median: $18.12
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$80K

837 claims · 0.4%

Your Cost: $95.01/claim|Median: $85.66
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$78K

1,004 claims · 0.4%

Your Cost: $77.61/claim|Median: $72.71
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$77K

3,388 claims · 0.4%

Your Cost: $22.75/claim|Median: $27.07
0.8× median
99051Normal range

$74K

9,203 claims · 0.4%

Your Cost: $8.09/claim|Median: $7.89
1.0× median
99203Normal range

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

$69K

979 claims · 0.4%

Your Cost: $70.19/claim|Median: $57.85
1.2× median
92002Top 25%

Intermediate eye exam, new patient

$67K

1,123 claims · 0.4%

Your Cost: $59.68/claim|Median: $41.61
1.4× median
11721Top 5%

$66K

1,650 claims · 0.4%

Your Cost: $39.76/claim|Median: $8.56
4.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$63K

1,630 claims · 0.3%

Your Cost: $38.48/claim|Median: $57.39
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$59K

2,408 claims · 0.3%

Your Cost: $24.52/claim|Median: $32.07
0.8× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$58K

3,575 claims · 0.3%

Your Cost: $16.32/claim|Median: $7.18
2.3× median
92551Normal range

Screening audiometry, pure tone, air only

$55K

7,065 claims · 0.3%

Your Cost: $7.73/claim|Median: $6.61
1.2× median
D1351Normal range

Sealant, per tooth

$48K

1,690 claims · 0.3%

Your Cost: $28.24/claim|Median: $26.10
1.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$46K

1,927 claims · 0.2%

Your Cost: $23.96/claim|Median: $13.30
1.8× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$43K

1,498 claims · 0.2%

Your Cost: $28.98/claim|Median: $41.92
0.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$42K

3,012 claims · 0.2%

Your Cost: $14.03/claim|Median: $9.56
1.5× median
92015Top 25%

Determination of refractive state

$33K

1,706 claims · 0.2%

Your Cost: $19.42/claim|Median: $10.36
1.9× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$30K

2,208 claims · 0.2%

Your Cost: $13.44/claim|Median: $10.51
1.3× median
81025Normal range

Urine pregnancy test

$29K

4,394 claims · 0.2%

Your Cost: $6.53/claim|Median: $4.81
1.4× median
D0272Normal range

Bitewings, two radiographic images

$29K

1,663 claims · 0.2%

Your Cost: $17.16/claim|Median: $15.81
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$28K

690 claims · 0.2%

Your Cost: $41.03/claim|Median: $54.60
0.8× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$26K

536 claims · 0.1%

Your Cost: $48.41/claim|Median: $38.23
1.3× median
86703Top 25%

$26K

1,817 claims · 0.1%

Your Cost: $14.14/claim|Median: $10.37
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$26K

545 claims · 0.1%

Your Cost: $46.79/claim|Median: $71.00
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$25K

1,958 claims · 0.1%

Your Cost: $12.94/claim|Median: $14.36
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$23K

1,301 claims · 0.1%

Your Cost: $17.84/claim|Median: $11.79
1.5× median
90832Normal range

Psychotherapy, 30 minutes

$18K

403 claims · 0.1%

Your Cost: $45.82/claim|Median: $41.28
1.1× median
99173Normal range

$16K

6,589 claims · 0.1%

Your Cost: $2.50/claim|Median: $2.16
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$16K

816 claims · 0.1%

Your Cost: $19.84/claim|Median: $57.30
0.3× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$16K

1,442 claims · 0.1%

Your Cost: $10.98/claim|Median: $7.33
1.5× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$15K

444 claims · 0.1%

Your Cost: $34.61/claim|Median: $25.93
1.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$15K

418 claims · 0.1%

Your Cost: $36.41/claim|Median: $33.85
1.1× median

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