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PEOPLES COMMUNITY HEALTH CLINIC, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·WATERLOO, IA·NPI: 1093703639Share

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 $44.8M 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

$44.8M

$44,828,198

Total Claims

885K

Beneficiaries

773K

1.1 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$4.7M
+15%
2019
$5.5M
+5%
2020
$5.7M
+28%
2021
$7.4M
+5%
2022
$7.8M
-9%
2023
$7.1M
-6%
2024
$6.7M

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 79% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$35.3M

177K claims · 78.7%

Your Cost: $199.10/claim|Median: $121.16
1.6× median
D9999Top 25%

Unspecified adjunctive procedure, by report

$5.9M

31K claims · 13.2%

Your Cost: $192.88/claim|Median: $37.60
5.1× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$3.1M

13K claims · 6.8%

Your Cost: $228.08/claim|Median: $101.33
2.3× median
S0280Normal range

Medical home program, comprehensive care management

$151K

3,363 claims · 0.3%

Your Cost: $44.95/claim|Median: $48.38
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$139K

4,521 claims · 0.3%

Your Cost: $30.76/claim|Median: $21.91
1.4× median
D1206Normal range

Topical application of fluoride varnish

$34K

16K claims · 0.1%

Your Cost: $2.11/claim|Median: $18.12
0.1× median
D0120Normal range

Periodic oral evaluation, established patient

$28K

11K claims · 0.1%

Your Cost: $2.60/claim|Median: $24.34
0.1× median
D1110Normal range

Prophylaxis, adult cleaning

$23K

9,304 claims · 0.1%

Your Cost: $2.45/claim|Median: $43.38
0.1× median
D1120Normal range

Prophylaxis, adult

$22K

8,289 claims · 0.0%

Your Cost: $2.64/claim|Median: $33.86
0.1× median
D0274Normal range

Bitewings, four radiographic images

$16K

8,859 claims · 0.0%

Your Cost: $1.81/claim|Median: $22.54
0.1× median
D1999Top 1%

$14K

202 claims · 0.0%

Your Cost: $68.77/claim|Median: $11.95
5.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$13K

1,237 claims · 0.0%

Your Cost: $10.58/claim|Median: $71.00
0.1× median
D1351Normal range

Sealant, per tooth

$13K

6,836 claims · 0.0%

Your Cost: $1.89/claim|Median: $26.10
0.1× median
D0330Normal range

Panoramic radiographic image

$12K

4,513 claims · 0.0%

Your Cost: $2.65/claim|Median: $37.36
0.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$12K

3,226 claims · 0.0%

Your Cost: $3.70/claim|Median: $46.33
0.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$11K

5,731 claims · 0.0%

Your Cost: $1.91/claim|Median: $32.07
0.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$5K

1,333 claims · 0.0%

Your Cost: $4.11/claim|Median: $54.60
0.1× median
99213Normal range

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

$5K

90K claims · 0.0%

Your Cost: $0.06/claim|Median: $37.81
0.0× median
D0190Normal range

$4K

5,439 claims · 0.0%

Your Cost: $0.70/claim|Median: $12.78
0.1× median
99214Normal range

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

$4K

31K claims · 0.0%

Your Cost: $0.11/claim|Median: $53.41
0.0× median
3074FNormal range

$3K

14K claims · 0.0%

Your Cost: $0.23/claim|Median: $0.11
2.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$3K

14K claims · 0.0%

Your Cost: $0.21/claim|Median: $7.33
0.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$3K

11K claims · 0.0%

Your Cost: $0.25/claim|Median: $10.51
0.0× median
3078FNormal range

$3K

13K claims · 0.0%

Your Cost: $0.22/claim|Median: $0.08
2.8× median
D0272Normal range

Bitewings, two radiographic images

$3K

2,714 claims · 0.0%

Your Cost: $0.94/claim|Median: $15.81
0.1× median
3079FNormal range

$2K

4,999 claims · 0.0%

Your Cost: $0.50/claim|Median: $0.12
4.1× median
D0140Normal range

Limited oral evaluation, problem focused

$2K

4,803 claims · 0.0%

Your Cost: $0.41/claim|Median: $27.07
0.0× median
3077FNormal range

$2K

2,474 claims · 0.0%

Your Cost: $0.75/claim|Median: $0.12
6.2× median
3075FNormal range

$2K

2,732 claims · 0.0%

Your Cost: $0.55/claim|Median: $0.15
3.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$1K

11K claims · 0.0%

Your Cost: $0.11/claim|Median: $7.18
0.0× median
3044FTop 25%

$1K

668 claims · 0.0%

Your Cost: $1.71/claim|Median: $0.16
10.7× median
90471Normal range

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

$1K

20K claims · 0.0%

Your Cost: $0.05/claim|Median: $9.80
0.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$857

1,040 claims · 0.0%

Your Cost: $0.82/claim|Median: $14.36
0.1× median
3051FTop 25%

$584

177 claims · 0.0%

Your Cost: $3.30/claim|Median: $0.33
10.0× median
90472Normal range

Immunization administration, each additional vaccine

$546

9,067 claims · 0.0%

Your Cost: $0.06/claim|Median: $11.79
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$537

5,340 claims · 0.0%

Your Cost: $0.10/claim|Median: $108.91
0.0× median
3048FTop 25%

$522

539 claims · 0.0%

Your Cost: $0.97/claim|Median: $0.03
32.3× median
D0603Normal range

$425

1,629 claims · 0.0%

Your Cost: $0.26/claim|Median: $6.54
0.0× median
D4355Normal range

$412

339 claims · 0.0%

Your Cost: $1.21/claim|Median: $64.42
0.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$400

20 claims · 0.0%

Your Cost: $20.01/claim|Median: $84.26
0.2× median
90649Normal range

$360

233 claims · 0.0%

Your Cost: $1.55/claim|Median: $6.42
0.2× median
71046Normal range

Chest X-ray, 2 views

$331

1,729 claims · 0.0%

Your Cost: $0.19/claim|Median: $8.92
0.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$305

887 claims · 0.0%

Your Cost: $0.34/claim|Median: $57.39
0.0× median
3052FTop 25%

$300

80 claims · 0.0%

Your Cost: $3.75/claim|Median: $0.18
20.8× median
D0601Normal range

$260

1,579 claims · 0.0%

Your Cost: $0.16/claim|Median: $7.50
0.0× median
90651Normal range

HPV vaccine, 9-valent

$238

3,127 claims · 0.0%

Your Cost: $0.08/claim|Median: $8.93
0.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$222

321 claims · 0.0%

Your Cost: $0.69/claim|Median: $57.30
0.0× median
3049FTop 25%

$220

280 claims · 0.0%

Your Cost: $0.79/claim|Median: $0.03
26.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$159

6,784 claims · 0.0%

Your Cost: $0.02/claim|Median: $76.06
0.0× median
90716Normal range

$138

1,571 claims · 0.0%

Your Cost: $0.09/claim|Median: $6.18
0.0× median

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