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TYLER FAMILY CIRCLE OF CARE

Clinic/Center, Federally Qualified Health Center (FQHC)·TYLER, TX·NPI: 1144575820Share

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 $48.3M 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

$48.3M

$48,265,868

Total Claims

768K

Beneficiaries

582K

1.3 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$201K
+22%
2019
$245K
+907%
2020
$2.5M
+330%
2021
$10.6M
+13%
2022
$12.0M
+3%
2023
$12.4M
-16%
2024
$10.4M

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 69% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$33.3M

229K claims · 69.1%

Your Cost: $145.36/claim|Median: $121.16
1.2× median
99213Normal range

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

$4.2M

101K claims · 8.7%

Your Cost: $41.57/claim|Median: $37.81
1.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.9M

20K claims · 3.8%

Your Cost: $91.56/claim|Median: $69.35
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.4M

19K claims · 2.9%

Your Cost: $73.70/claim|Median: $75.18
1.0× median
99214Normal range

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

$1.3M

25K claims · 2.7%

Your Cost: $52.35/claim|Median: $53.41
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.1M

15K claims · 2.3%

Your Cost: $74.29/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$835K

11K claims · 1.7%

Your Cost: $77.35/claim|Median: $80.15
1.0× median
59409Normal range

Vaginal delivery only

$631K

1,232 claims · 1.3%

Your Cost: $512.47/claim|Median: $619.91
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$502K

91K claims · 1.0%

Your Cost: $5.53/claim|Median: $17.85
0.3× median
99381Top 10%

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

$477K

4,326 claims · 1.0%

Your Cost: $110.35/claim|Median: $73.46
1.5× median
59430Normal range

$361K

4,907 claims · 0.7%

Your Cost: $73.56/claim|Median: $80.32
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$240K

6,282 claims · 0.5%

Your Cost: $38.23/claim|Median: $25.06
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$204K

3,028 claims · 0.4%

Your Cost: $67.48/claim|Median: $63.65
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$179K

1,975 claims · 0.4%

Your Cost: $90.49/claim|Median: $85.66
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$167K

4,154 claims · 0.3%

Your Cost: $40.26/claim|Median: $37.22
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$141K

2,326 claims · 0.3%

Your Cost: $60.43/claim|Median: $72.71
0.8× median
99203Normal range

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

$107K

2,059 claims · 0.2%

Your Cost: $51.99/claim|Median: $57.85
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$106K

1,204 claims · 0.2%

Your Cost: $88.19/claim|Median: $99.21
0.9× median
99204Normal range

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

$104K

1,767 claims · 0.2%

Your Cost: $58.79/claim|Median: $84.03
0.7× median
90461Normal range

Immunization admin, additional vaccine, counseling

$101K

61K claims · 0.2%

Your Cost: $1.67/claim|Median: $6.93
0.2× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$99K

1,224 claims · 0.2%

Your Cost: $81.12/claim|Median: $81.92
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$91K

3,834 claims · 0.2%

Your Cost: $23.63/claim|Median: $16.77
1.4× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$80K

967 claims · 0.2%

Your Cost: $82.87/claim|Median: $83.63
1.0× median
87804Normal range

Influenza virus detection, rapid test

$72K

13K claims · 0.1%

Your Cost: $5.60/claim|Median: $12.59
0.4× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$54K

670 claims · 0.1%

Your Cost: $81.02/claim|Median: $79.89
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$51K

793 claims · 0.1%

Your Cost: $64.54/claim|Median: $74.09
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$46K

659 claims · 0.1%

Your Cost: $69.99/claim|Median: $62.48
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$43K

528 claims · 0.1%

Your Cost: $81.53/claim|Median: $108.91
0.7× median
90715Normal range

Tdap vaccine

$42K

5,852 claims · 0.1%

Your Cost: $7.16/claim|Median: $10.32
0.7× median
59025Normal range

Fetal non-stress test

$41K

2,711 claims · 0.1%

Your Cost: $15.19/claim|Median: $26.45
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$37K

9,017 claims · 0.1%

Your Cost: $4.07/claim|Median: $11.48
0.4× median
G0467Normal range

Federally qualified health center visit, mental health

$33K

1,065 claims · 0.1%

Your Cost: $31.35/claim|Median: $21.91
1.4× median
59514Normal range

Cesarean delivery only

$23K

41 claims · 0.0%

Your Cost: $556.54/claim|Median: $452.80
1.2× median
99221Normal range

Initial hospital care, straightforward/low

$21K

509 claims · 0.0%

Your Cost: $41.63/claim|Median: $39.96
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$21K

4,429 claims · 0.0%

Your Cost: $4.73/claim|Median: $9.10
0.5× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$19K

322 claims · 0.0%

Your Cost: $59.16/claim|Median: $76.22
0.8× median
90651Normal range

HPV vaccine, 9-valent

$18K

4,913 claims · 0.0%

Your Cost: $3.62/claim|Median: $8.93
0.4× median
D0999Normal range

Unspecified diagnostic procedure, by report

$15K

156 claims · 0.0%

Your Cost: $93.98/claim|Median: $101.33
0.9× median
90677Normal range

$12K

3,767 claims · 0.0%

Your Cost: $3.22/claim|Median: $12.96
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$12K

3,044 claims · 0.0%

Your Cost: $3.83/claim|Median: $9.56
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

14K claims · 0.0%

Your Cost: $0.77/claim|Median: $7.18
0.1× median
90832Top 25%

Psychotherapy, 30 minutes

$11K

190 claims · 0.0%

Your Cost: $57.06/claim|Median: $41.28
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$8K

193 claims · 0.0%

Your Cost: $43.30/claim|Median: $40.11
1.1× median
87807Normal range

$8K

1,827 claims · 0.0%

Your Cost: $4.46/claim|Median: $10.06
0.4× median
54150Normal range

$4K

63 claims · 0.0%

Your Cost: $66.90/claim|Median: $84.60
0.8× median
81025Normal range

Urine pregnancy test

$4K

2,774 claims · 0.0%

Your Cost: $1.52/claim|Median: $4.81
0.3× median
81003Normal range

Urinalysis, automated without microscopy

$4K

5,417 claims · 0.0%

Your Cost: $0.74/claim|Median: $1.48
0.5× median
90471Normal range

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

$4K

6,179 claims · 0.0%

Your Cost: $0.63/claim|Median: $9.80
0.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$3K

113 claims · 0.0%

Your Cost: $22.96/claim|Median: $39.70
0.6× median
90682Normal range

$2K

153 claims · 0.0%

Your Cost: $11.31/claim|Median: $34.72
0.3× median

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