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CHEROKEE HEALTH SYSTEMS

Clinic/Center, Federally Qualified Health Center (FQHC)·TALBOTT, TN·NPI: 1134128820Share

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 $97.6M 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

$97.6M

$97,624,776

Total Claims

2.4M

Beneficiaries

1.8M

1.3 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$10.8M
-6%
2019
$10.2M
+6%
2020
$10.8M
+21%
2021
$13.0M
+42%
2022
$18.5M
+11%
2023
$20.6M
-34%
2024
$13.7M

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 32% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$31.1M

130K claims · 31.9%

Your Cost: $240.10/claim|Median: $121.16
2.0× median
99214Normal range

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

$10.7M

185K claims · 10.9%

Your Cost: $57.66/claim|Median: $53.41
1.1× median
S0280Normal range

Medical home program, comprehensive care management

$10.3M

70K claims · 10.5%

Your Cost: $147.43/claim|Median: $48.38
3.0× median
99213Normal range

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

$8.0M

202K claims · 8.2%

Your Cost: $39.63/claim|Median: $37.81
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$6.6M

150K claims · 6.7%

Your Cost: $43.77/claim|Median: $41.28
1.1× median
G9002Normal range

Coordinated care fee, maintenance period

$5.8M

127K claims · 5.9%

Your Cost: $45.72/claim|Median: $108.80
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$5.1M

84K claims · 5.2%

Your Cost: $60.25/claim|Median: $63.65
0.9× median
96110Top 10%

Developmental screening, per standardized instrument

$3.2M

131K claims · 3.2%

Your Cost: $24.15/claim|Median: $9.10
2.7× median
90791Normal range

Psychiatric diagnostic evaluation

$2.9M

27K claims · 2.9%

Your Cost: $106.67/claim|Median: $99.21
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$2.1M

54K claims · 2.2%

Your Cost: $38.78/claim|Median: $17.85
2.2× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.9M

31K claims · 2.0%

Your Cost: $61.62/claim|Median: $91.63
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

18K claims · 1.3%

Your Cost: $71.83/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

19K claims · 1.2%

Your Cost: $62.71/claim|Median: $69.35
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.2M

17K claims · 1.2%

Your Cost: $70.38/claim|Median: $74.82
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$704K

8,898 claims · 0.7%

Your Cost: $79.09/claim|Median: $80.15
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$628K

23K claims · 0.6%

Your Cost: $27.75/claim|Median: $25.06
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$509K

4,556 claims · 0.5%

Your Cost: $111.78/claim|Median: $108.91
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$274K

4,119 claims · 0.3%

Your Cost: $66.56/claim|Median: $76.61
0.9× median
87804Normal range

Influenza virus detection, rapid test

$244K

19K claims · 0.3%

Your Cost: $13.17/claim|Median: $12.59
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$203K

3,343 claims · 0.2%

Your Cost: $60.73/claim|Median: $77.33
0.8× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$193K

6,166 claims · 0.2%

Your Cost: $31.38/claim|Median: $30.53
1.0× median
H0034Normal range

Medication training and management, per 15 min

$177K

19K claims · 0.2%

Your Cost: $9.18/claim|Median: $56.90
0.2× median
90471Normal range

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

$152K

14K claims · 0.2%

Your Cost: $10.79/claim|Median: $9.80
1.1× median
G9001Normal range

$150K

2,306 claims · 0.2%

Your Cost: $64.97/claim|Median: $53.98
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$143K

12K claims · 0.1%

Your Cost: $11.53/claim|Median: $11.48
1.0× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$139K

1,564 claims · 0.1%

Your Cost: $88.67/claim|Median: $65.64
1.4× median
59426Normal range

Antepartum care only, high risk, additional visits

$135K

265 claims · 0.1%

Your Cost: $510.80/claim|Median: $122.30
4.2× median
D1206Normal range

Topical application of fluoride varnish

$126K

6,745 claims · 0.1%

Your Cost: $18.71/claim|Median: $18.12
1.0× median
96156Normal range

$112K

2,432 claims · 0.1%

Your Cost: $46.04/claim|Median: $22.36
2.1× median
D1120Normal range

Prophylaxis, adult

$107K

3,459 claims · 0.1%

Your Cost: $30.80/claim|Median: $33.86
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$105K

49K claims · 0.1%

Your Cost: $2.15/claim|Median: $1.57
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$97K

2,085 claims · 0.1%

Your Cost: $46.74/claim|Median: $39.70
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$94K

2,397 claims · 0.1%

Your Cost: $39.29/claim|Median: $43.38
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$84K

3,854 claims · 0.1%

Your Cost: $21.91/claim|Median: $24.34
0.9× median
D1351Normal range

Sealant, per tooth

$84K

4,923 claims · 0.1%

Your Cost: $17.15/claim|Median: $26.10
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$78K

2,041 claims · 0.1%

Your Cost: $38.01/claim|Median: $74.09
0.5× median
99174Normal range

$71K

11K claims · 0.1%

Your Cost: $6.45/claim|Median: $5.27
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$71K

6,189 claims · 0.1%

Your Cost: $11.40/claim|Median: $55.04
0.2× median
59430Normal range

$67K

665 claims · 0.1%

Your Cost: $100.25/claim|Median: $80.32
1.2× median
99381Normal range

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

$60K

811 claims · 0.1%

Your Cost: $73.73/claim|Median: $73.46
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$57K

2,091 claims · 0.1%

Your Cost: $27.12/claim|Median: $32.07
0.8× median
90472Normal range

Immunization administration, each additional vaccine

$56K

3,718 claims · 0.1%

Your Cost: $15.13/claim|Median: $11.79
1.3× median
92250Normal range

Fundus photography with interpretation and report

$54K

2,659 claims · 0.1%

Your Cost: $20.39/claim|Median: $27.95
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$49K

846 claims · 0.1%

Your Cost: $58.21/claim|Median: $54.60
1.1× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$49K

465 claims · 0.1%

Your Cost: $105.49/claim|Median: $182.66
0.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$48K

905 claims · 0.0%

Your Cost: $52.92/claim|Median: $47.08
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$47K

5,035 claims · 0.0%

Your Cost: $9.39/claim|Median: $9.56
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$45K

621 claims · 0.0%

Your Cost: $73.23/claim|Median: $85.66
0.9× median
D0330Normal range

Panoramic radiographic image

$42K

1,258 claims · 0.0%

Your Cost: $33.69/claim|Median: $37.36
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$35K

3,496 claims · 0.0%

Your Cost: $10.08/claim|Median: $10.51
1.0× median

Other Top Providers in Tennessee

View all →

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

Similar Providers

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El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

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