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ADVOCATES FOR A HEALTHY COMMUNITY INC

Clinic/Center, Federally Qualified Health Center (FQHC)·SPRINGFIELD, MO·NPI: 1164657318Share

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 $23.2M 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

$23.2M

$23,211,913

Total Claims

438K

Beneficiaries

383K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$809K
+36%
2019
$1.1M
+137%
2020
$2.6M
+46%
2021
$3.8M
+45%
2022
$5.6M
+1%
2023
$5.6M
-34%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 38% of total spending.

99214Top 25%

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

$8.9M

97K claims · 38.2%

Your Cost: $91.80/claim|Median: $53.41
1.7× median
99213Top 25%

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

$3.5M

59K claims · 15.1%

Your Cost: $59.26/claim|Median: $37.81
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$784K

16K claims · 3.4%

Your Cost: $47.58/claim|Median: $41.28
1.2× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$675K

5,532 claims · 2.9%

Your Cost: $122.07/claim|Median: $59.72
2.0× median
90834Normal range

Psychotherapy, 45 minutes

$622K

7,916 claims · 2.7%

Your Cost: $78.55/claim|Median: $63.65
1.2× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$515K

5,799 claims · 2.2%

Your Cost: $88.87/claim|Median: $47.08
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$487K

6,723 claims · 2.1%

Your Cost: $72.38/claim|Median: $69.35
1.0× median
87801Top 10%

Infectious agent detection, amplified probe, multiple organisms

$441K

5,513 claims · 1.9%

Your Cost: $79.92/claim|Median: $38.79
2.1× median
80053Top 10%

Comprehensive metabolic panel

$398K

17K claims · 1.7%

Your Cost: $23.96/claim|Median: $7.24
3.3× median
87428Normal range

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

$393K

6,877 claims · 1.7%

Your Cost: $57.22/claim|Median: $39.63
1.4× median
80055Top 5%

$393K

2,765 claims · 1.7%

Your Cost: $142.26/claim|Median: $28.10
5.1× median
80061Top 5%

Lipid panel

$322K

9,126 claims · 1.4%

Your Cost: $35.32/claim|Median: $8.41
4.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$314K

4,401 claims · 1.4%

Your Cost: $71.33/claim|Median: $75.18
0.9× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$274K

19K claims · 1.2%

Your Cost: $14.52/claim|Median: $4.71
3.1× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$272K

6,678 claims · 1.2%

Your Cost: $40.71/claim|Median: $9.87
4.1× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$269K

1,708 claims · 1.2%

Your Cost: $157.39/claim|Median: $108.91
1.4× median
80306Top 25%

$263K

9,682 claims · 1.1%

Your Cost: $27.20/claim|Median: $10.29
2.6× median
V2020Normal range

Frames, purchases

$253K

11K claims · 1.1%

Your Cost: $23.42/claim|Median: $19.33
1.2× median
99204Top 10%

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

$230K

1,446 claims · 1.0%

Your Cost: $159.13/claim|Median: $84.03
1.9× median
92015Top 25%

Determination of refractive state

$204K

12K claims · 0.9%

Your Cost: $16.51/claim|Median: $10.36
1.6× median
G0467Normal range

Federally qualified health center visit, mental health

$198K

7,269 claims · 0.9%

Your Cost: $27.27/claim|Median: $21.91
1.2× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$197K

6,671 claims · 0.9%

Your Cost: $29.60/claim|Median: $5.50
5.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$195K

2,819 claims · 0.8%

Your Cost: $69.27/claim|Median: $58.55
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$174K

1,369 claims · 0.7%

Your Cost: $126.99/claim|Median: $74.09
1.7× median
V2103Normal range

Lens, sphere-cylinder, single vision, plus or minus 4.00

$164K

9,402 claims · 0.7%

Your Cost: $17.44/claim|Median: $18.82
0.9× median
87426Top 25%

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

$158K

3,787 claims · 0.7%

Your Cost: $41.77/claim|Median: $30.04
1.4× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$150K

2,393 claims · 0.6%

Your Cost: $62.69/claim|Median: $36.79
1.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$146K

2,016 claims · 0.6%

Your Cost: $72.58/claim|Median: $74.82
1.0× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$125K

1,583 claims · 0.5%

Your Cost: $78.95/claim|Median: $62.48
1.3× median
97530Normal range

Therapeutic activities, each 15 min

$125K

3,844 claims · 0.5%

Your Cost: $32.40/claim|Median: $33.11
1.0× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$121K

1,646 claims · 0.5%

Your Cost: $73.21/claim|Median: $35.43
2.1× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$120K

850 claims · 0.5%

Your Cost: $140.60/claim|Median: $91.47
1.5× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$109K

1,118 claims · 0.5%

Your Cost: $97.74/claim|Median: $74.78
1.3× median
87661Top 5%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$96K

1,860 claims · 0.4%

Your Cost: $51.37/claim|Median: $21.08
2.4× median
59025Normal range

Fetal non-stress test

$95K

2,923 claims · 0.4%

Your Cost: $32.67/claim|Median: $26.45
1.2× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$89K

805 claims · 0.4%

Your Cost: $111.05/claim|Median: $58.16
1.9× median
86803Top 10%

Hepatitis C antibody

$88K

2,971 claims · 0.4%

Your Cost: $29.51/claim|Median: $10.17
2.9× median
82306Top 5%

Vitamin D, 25 hydroxy

$83K

1,171 claims · 0.4%

Your Cost: $70.78/claim|Median: $18.18
3.9× median
90791Top 25%

Psychiatric diagnostic evaluation

$81K

560 claims · 0.3%

Your Cost: $144.26/claim|Median: $99.21
1.5× median
87806Top 5%

$80K

1,381 claims · 0.3%

Your Cost: $58.16/claim|Median: $20.54
2.8× median
92507Normal range

Speech/hearing/language treatment

$80K

2,399 claims · 0.3%

Your Cost: $33.40/claim|Median: $49.45
0.7× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$80K

5,717 claims · 0.3%

Your Cost: $14.00/claim|Median: $11.48
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$73K

1,247 claims · 0.3%

Your Cost: $58.60/claim|Median: $37.22
1.6× median
99203Top 25%

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

$67K

733 claims · 0.3%

Your Cost: $91.06/claim|Median: $57.85
1.6× median
V2784Normal range

Lens, polycarbonate or equal

$60K

11K claims · 0.3%

Your Cost: $5.49/claim|Median: $9.50
0.6× median
99212Top 25%

Office/outpatient visit, low complexity

$54K

1,164 claims · 0.2%

Your Cost: $46.43/claim|Median: $25.06
1.9× median
90837Normal range

Psychotherapy, 60 minutes

$52K

596 claims · 0.2%

Your Cost: $86.58/claim|Median: $85.66
1.0× median
90853Top 25%

Group psychotherapy

$43K

1,041 claims · 0.2%

Your Cost: $41.21/claim|Median: $25.02
1.6× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$43K

803 claims · 0.2%

Your Cost: $53.35/claim|Median: $39.70
1.3× median
59430Top 25%

$35K

236 claims · 0.1%

Your Cost: $146.96/claim|Median: $80.32
1.8× median

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