Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

JAMESTOWN S'KLALLAM TRIBE

Clinic/Center, Federally Qualified Health Center (FQHC)·SEQUIM, WA·NPI: 1134181555Share

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 $37.6M 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

$37.6M

$37,605,298

Total Claims

207K

Beneficiaries

171K

1.2 claims/patient

Avg Cost/Claim

$182

Monthly Spending Trend

Yearly Spending

2018
$4.0M
+3%
2019
$4.1M
+4%
2020
$4.2M
+35%
2021
$5.7M
+17%
2022
$6.6M
+2%
2023
$6.8M
-8%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 41 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 93% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$34.8M

80K claims · 92.5%

Your Cost: $437.27/claim|Median: $121.16
3.6× median
99213Normal range

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

$1.3M

55K claims · 3.4%

Your Cost: $22.84/claim|Median: $37.81
0.6× median
99214Normal range

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

$628K

20K claims · 1.7%

Your Cost: $31.07/claim|Median: $53.41
0.6× median
G0467Normal range

Federally qualified health center visit, mental health

$412K

30K claims · 1.1%

Your Cost: $13.56/claim|Median: $21.91
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$192K

4,167 claims · 0.5%

Your Cost: $46.10/claim|Median: $63.65
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$187K

2,266 claims · 0.5%

Your Cost: $82.38/claim|Median: $85.66
1.0× median
80305Normal range

$46K

4,973 claims · 0.1%

Your Cost: $9.35/claim|Median: $7.44
1.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$23K

864 claims · 0.1%

Your Cost: $26.70/claim|Median: $33.85
0.8× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$11K

918 claims · 0.0%

Your Cost: $12.46/claim|Median: $25.93
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$9K

402 claims · 0.0%

Your Cost: $21.55/claim|Median: $25.06
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$7K

85 claims · 0.0%

Your Cost: $78.89/claim|Median: $99.21
0.8× median
Q3014Top 25%

Telehealth originating site facility fee

$6K

274 claims · 0.0%

Your Cost: $23.26/claim|Median: $15.37
1.5× median
90674Normal range

$5K

590 claims · 0.0%

Your Cost: $7.90/claim|Median: $15.16
0.5× median
G0470Normal range

Chronic care management services, FQHC/RHC

$5K

356 claims · 0.0%

Your Cost: $13.00/claim|Median: $45.95
0.3× median
0064ANormal range

$3K

208 claims · 0.0%

Your Cost: $16.54/claim|Median: $34.17
0.5× median
90833Normal range

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

$3K

61 claims · 0.0%

Your Cost: $42.85/claim|Median: $38.83
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

158 claims · 0.0%

Your Cost: $12.92/claim|Median: $12.93
1.0× median
99204Normal range

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

$2K

27 claims · 0.0%

Your Cost: $75.45/claim|Median: $84.03
0.9× median
99203Normal range

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

$2K

38 claims · 0.0%

Your Cost: $47.52/claim|Median: $57.85
0.8× median
90471Normal range

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

$2K

188 claims · 0.0%

Your Cost: $8.33/claim|Median: $9.80
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$1K

14 claims · 0.0%

Your Cost: $100.21/claim|Median: $74.09
1.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$1K

60 claims · 0.0%

Your Cost: $23.31/claim|Median: $22.44
1.0× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$1K

61 claims · 0.0%

Your Cost: $17.96/claim|Median: $21.28
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$1K

52 claims · 0.0%

Your Cost: $20.60/claim|Median: $29.03
0.7× median
91322Normal range

$876

27 claims · 0.0%

Your Cost: $32.43/claim|Median: $76.28
0.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$441

12 claims · 0.0%

Your Cost: $36.72/claim|Median: $40.11
0.9× median
J0702Normal range

$426

142 claims · 0.0%

Your Cost: $3.00/claim|Median: $7.64
0.4× median
90480Normal range

$240

27 claims · 0.0%

Your Cost: $8.89/claim|Median: $25.29
0.4× median
99308Normal range

Nursing facility care, subsequent, straightforward

$41

22 claims · 0.0%

Your Cost: $1.86/claim|Median: $9.79
0.2× median
1036FNormal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G0009Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.11
3079FNormal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
3078FNormal range

$0

881 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
99309Normal range

Nursing facility care, subsequent, low complexity

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.00
90662Normal range

$0

51 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
3074FNormal range

$0

1,213 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11

$0

28 claims · 0.0%

G2025Normal range

$0

1,181 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.63
Q0091Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.15
G0008Normal range

$0

380 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54

COVID-19 vaccine (Moderna), first dose

$0

1,397 claims · 0.0%