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THREE LOWER COUNTIES COMMUNITY SERVICES, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·PRINCESS ANNE, MD·NPI: 1154354744Share

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 $110.1M 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

$110.1M

$110,090,618

Total Claims

1.4M

Beneficiaries

1.1M

1.3 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$6.3M
+17%
2019
$7.3M
+111%
2020
$15.5M
+11%
2021
$17.1M
+15%
2022
$19.7M
+14%
2023
$22.6M
-4%
2024
$21.6M

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 52% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$57.7M

342K claims · 52.4%

Your Cost: $168.53/claim|Median: $121.16
1.4× median
99213Top 1%

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

$30.1M

173K claims · 27.3%

Your Cost: $173.61/claim|Median: $37.81
4.6× median
99214Top 5%

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

$4.0M

24K claims · 3.6%

Your Cost: $164.75/claim|Median: $53.41
3.1× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$2.3M

13K claims · 2.1%

Your Cost: $182.23/claim|Median: $69.35
2.6× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$2.2M

12K claims · 2.0%

Your Cost: $184.15/claim|Median: $75.18
2.4× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$1.9M

10K claims · 1.7%

Your Cost: $184.56/claim|Median: $74.82
2.5× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$1.8M

10K claims · 1.6%

Your Cost: $174.48/claim|Median: $72.71
2.4× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$1.1M

6,549 claims · 1.0%

Your Cost: $174.42/claim|Median: $76.06
2.3× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$1.1M

9,350 claims · 1.0%

Your Cost: $120.45/claim|Median: $74.78
1.6× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$1.1M

6,067 claims · 1.0%

Your Cost: $185.53/claim|Median: $80.15
2.3× median
3074FTop 5%

$998K

135K claims · 0.9%

Your Cost: $7.39/claim|Median: $0.11
67.1× median
99212Top 5%

Office/outpatient visit, low complexity

$930K

5,475 claims · 0.8%

Your Cost: $169.88/claim|Median: $25.06
6.8× median
3078FTop 5%

$782K

109K claims · 0.7%

Your Cost: $7.16/claim|Median: $0.08
89.4× median
76818Top 25%

$578K

5,576 claims · 0.5%

Your Cost: $103.63/claim|Median: $68.15
1.5× median
76820Top 25%

$372K

7,130 claims · 0.3%

Your Cost: $52.13/claim|Median: $31.79
1.6× median
3079FTop 5%

$367K

52K claims · 0.3%

Your Cost: $7.08/claim|Median: $0.12
59.0× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$329K

4,348 claims · 0.3%

Your Cost: $75.62/claim|Median: $36.79
2.1× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$322K

2,991 claims · 0.3%

Your Cost: $107.69/claim|Median: $58.16
1.9× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$295K

2,721 claims · 0.3%

Your Cost: $108.39/claim|Median: $70.87
1.5× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$274K

1,493 claims · 0.2%

Your Cost: $183.85/claim|Median: $106.79
1.7× median
3075FTop 5%

$154K

21K claims · 0.1%

Your Cost: $7.30/claim|Median: $0.15
48.7× median
99219Top 5%

$147K

943 claims · 0.1%

Your Cost: $155.38/claim|Median: $63.35
2.5× median
G0467Normal range

Federally qualified health center visit, mental health

$142K

7,952 claims · 0.1%

Your Cost: $17.92/claim|Median: $21.91
0.8× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$120K

1,200 claims · 0.1%

Your Cost: $100.41/claim|Median: $58.55
1.7× median
99381Top 5%

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

$81K

484 claims · 0.1%

Your Cost: $166.72/claim|Median: $73.46
2.3× median
99234Top 5%

$75K

431 claims · 0.1%

Your Cost: $174.36/claim|Median: $80.89
2.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$69K

1,020 claims · 0.1%

Your Cost: $67.52/claim|Median: $47.65
1.4× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$68K

387 claims · 0.1%

Your Cost: $174.62/claim|Median: $76.22
2.3× median
59025Normal range

Fetal non-stress test

$61K

1,506 claims · 0.1%

Your Cost: $40.31/claim|Median: $26.45
1.5× median
3077FTop 5%

$58K

8,854 claims · 0.1%

Your Cost: $6.55/claim|Median: $0.12
54.6× median
59410Top 25%

$58K

57 claims · 0.1%

Your Cost: $1,011.34/claim|Median: $781.64
1.3× median
1036FTop 25%

$43K

39K claims · 0.0%

Your Cost: $1.09/claim|Median: $0.01
108.9× median
3080FTop 5%

$41K

6,331 claims · 0.0%

Your Cost: $6.49/claim|Median: $0.16
40.6× median
76819Top 25%

Fetal biophysical profile with non-stress test

$34K

449 claims · 0.0%

Your Cost: $76.81/claim|Median: $49.45
1.6× median
99203Top 5%

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

$33K

199 claims · 0.0%

Your Cost: $166.63/claim|Median: $57.85
2.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$32K

1,736 claims · 0.0%

Your Cost: $18.16/claim|Median: $9.56
1.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$30K

2,866 claims · 0.0%

Your Cost: $10.60/claim|Median: $12.93
0.8× median
G0470Normal range

Chronic care management services, FQHC/RHC

$29K

2,367 claims · 0.0%

Your Cost: $12.14/claim|Median: $45.95
0.3× median
3008FNormal range

$24K

160K claims · 0.0%

Your Cost: $0.15/claim|Median: $0.06
2.5× median
90715Top 25%

Tdap vaccine

$21K

660 claims · 0.0%

Your Cost: $31.24/claim|Median: $10.32
3.0× median
3044FTop 5%

$19K

2,221 claims · 0.0%

Your Cost: $8.39/claim|Median: $0.16
52.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$17K

659 claims · 0.0%

Your Cost: $26.48/claim|Median: $33.85
0.8× median
0500FNormal range

$16K

475 claims · 0.0%

Your Cost: $33.89/claim|Median: $39.34
0.9× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$13K

833 claims · 0.0%

Your Cost: $15.82/claim|Median: $25.93
0.6× median
0503FNormal range

$13K

298 claims · 0.0%

Your Cost: $41.98/claim|Median: $10.68
3.9× median
99235Top 10%

$11K

65 claims · 0.0%

Your Cost: $168.97/claim|Median: $110.13
1.5× median
99386Top 5%

Preventive visit, new patient, 40-64 yr

$11K

60 claims · 0.0%

Your Cost: $175.52/claim|Median: $87.82
2.0× median
90677Top 10%

$10K

73 claims · 0.0%

Your Cost: $133.40/claim|Median: $12.96
10.3× median
99496Top 5%

Transitional care management, moderate complexity face-to-face visit

$6K

30 claims · 0.0%

Your Cost: $213.80/claim|Median: $54.66
3.9× median
0064ATop 25%

$6K

141 claims · 0.0%

Your Cost: $45.43/claim|Median: $34.17
1.3× median

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$121.8M

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$121.2M

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