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ESPERANZA HEALTH CENTERS

Clinic/Center, Federally Qualified Health Center (FQHC)·CHICAGO, IL·NPI: 1124187125Share

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 $39.9M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$39.9M

$39,939,426

Total Claims

1.2M

Beneficiaries

943K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+36%
2019
$2.8M
+111%
2020
$5.9M
-13%
2021
$5.1M
+33%
2022
$6.8M
+34%
2023
$9.1M
-12%
2024
$8.1M

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.

T1015Normal range

Clinic visit/encounter, all-inclusive

$39.4M

265K claims · 98.6%

Your Cost: $148.90/claim|Median: $121.16
1.2× median
T1040Normal range

Medicaid certified CCBHC services

$393K

5,850 claims · 1.0%

Your Cost: $67.15/claim|Median: $130.29
0.5× median
J7307Top 25%

Etonogestrel implant system, including implant and supplies

$63K

67 claims · 0.2%

Your Cost: $935.14/claim|Median: $786.43
1.2× median
J7298Top 5%

$13K

12 claims · 0.0%

Your Cost: $1,101.70/claim|Median: $751.11
1.5× median
90651Normal range

HPV vaccine, 9-valent

$10K

3,988 claims · 0.0%

Your Cost: $2.59/claim|Median: $8.93
0.3× median
91322Top 25%

$7K

63 claims · 0.0%

Your Cost: $118.13/claim|Median: $76.28
1.5× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$7K

311 claims · 0.0%

Your Cost: $23.83/claim|Median: $25.93
0.9× median
90670Normal range

$7K

3,778 claims · 0.0%

Your Cost: $1.83/claim|Median: $5.94
0.3× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$6K

153 claims · 0.0%

Your Cost: $41.50/claim|Median: $33.85
1.2× median
90734Normal range

$6K

491 claims · 0.0%

Your Cost: $12.06/claim|Median: $6.40
1.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$6K

15K claims · 0.0%

Your Cost: $0.38/claim|Median: $7.18
0.1× median
0124ANormal range

$4K

112 claims · 0.0%

Your Cost: $35.70/claim|Median: $34.32
1.0× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$4K

84 claims · 0.0%

Your Cost: $42.14/claim|Median: $33.72
1.2× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$3K

83 claims · 0.0%

Your Cost: $42.14/claim|Median: $36.70
1.1× median
90677Normal range

$3K

686 claims · 0.0%

Your Cost: $3.84/claim|Median: $12.96
0.3× median
99213Normal range

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

$2K

101K claims · 0.0%

Your Cost: $0.02/claim|Median: $37.81
0.0× median
90716Normal range

$1K

190 claims · 0.0%

Your Cost: $7.77/claim|Median: $6.18
1.3× median
90633Normal range

$1K

3,105 claims · 0.0%

Your Cost: $0.42/claim|Median: $3.56
0.1× median
90656Normal range

$1K

946 claims · 0.0%

Your Cost: $1.34/claim|Median: $8.67
0.2× median
90715Normal range

Tdap vaccine

$1K

3,025 claims · 0.0%

Your Cost: $0.42/claim|Median: $10.32
0.0× median
90680Normal range

$1K

592 claims · 0.0%

Your Cost: $2.02/claim|Median: $5.58
0.4× median
90723Normal range

DTaP-HepB-IPV vaccine

$1K

836 claims · 0.0%

Your Cost: $1.27/claim|Median: $5.78
0.2× median
59430Normal range

$1K

196 claims · 0.0%

Your Cost: $5.18/claim|Median: $80.32
0.1× median
0503FNormal range

$901

1,702 claims · 0.0%

Your Cost: $0.53/claim|Median: $10.68
0.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$830

28 claims · 0.0%

Your Cost: $29.65/claim|Median: $37.22
0.8× median
90647Normal range

$794

4,158 claims · 0.0%

Your Cost: $0.19/claim|Median: $4.31
0.0× median
0500FNormal range

$750

1,608 claims · 0.0%

Your Cost: $0.47/claim|Median: $39.34
0.0× median
81025Normal range

Urine pregnancy test

$687

4,021 claims · 0.0%

Your Cost: $0.17/claim|Median: $4.81
0.0× median
99214Normal range

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

$638

28K claims · 0.0%

Your Cost: $0.02/claim|Median: $53.41
0.0× median
90750Normal range

$633

690 claims · 0.0%

Your Cost: $0.92/claim|Median: $96.16
0.0× median
0502FNormal range

$620

15K claims · 0.0%

Your Cost: $0.04/claim|Median: $44.10
0.0× median
90621Normal range

$416

1,041 claims · 0.0%

Your Cost: $0.40/claim|Median: $7.66
0.1× median
90707Normal range

MMR vaccine

$361

139 claims · 0.0%

Your Cost: $2.60/claim|Median: $5.76
0.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$260

37K claims · 0.0%

Your Cost: $0.01/claim|Median: $3.67
0.0× median
90710Normal range

MMRV vaccine

$209

115 claims · 0.0%

Your Cost: $1.82/claim|Median: $7.00
0.3× median
90694Normal range

$166

74 claims · 0.0%

Your Cost: $2.24/claim|Median: $6.60
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$150

33K claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
0.0× median
90700Normal range

$142

70 claims · 0.0%

Your Cost: $2.03/claim|Median: $4.56
0.4× median
99203Normal range

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

$87

2,186 claims · 0.0%

Your Cost: $0.04/claim|Median: $57.85
0.0× median
87426Normal range

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

$71

3,348 claims · 0.0%

Your Cost: $0.02/claim|Median: $30.04
0.0× median
S5190Normal range

Wellness assessment, performed by non-physician

$69

1,299 claims · 0.0%

Your Cost: $0.05/claim|Median: $33.67
0.0× median
90696Normal range

DTaP-IPV vaccine

$58

92 claims · 0.0%

Your Cost: $0.63/claim|Median: $5.95
0.1× median
90471Normal range

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

$36

8,504 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
0.0× median
90688Normal range

$36

256 claims · 0.0%

Your Cost: $0.14/claim|Median: $9.00
0.0× median
90674Normal range

$29

366 claims · 0.0%

Your Cost: $0.08/claim|Median: $15.16
0.0× median
1160FNormal range

$22

73K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
96161Normal range

$18

4,815 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.49
0.0× median
1036FNormal range

$18

57K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
1159FNormal range

$16

68K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
3725FNormal range

$16

38K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
0.0× median