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MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Clinic/Center, Federally Qualified Health Center (FQHC)·PHOENIX, AZ·NPI: 1164840302Share

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 $56.7M 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

$56.7M

$56,691,552

Total Claims

1.1M

Beneficiaries

852K

1.3 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$7.5M
+1%
2019
$7.5M
-4%
2020
$7.2M
+24%
2021
$8.9M
+2%
2022
$9.1M
-6%
2023
$8.6M
-8%
2024
$7.8M

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 100% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$56.6M

209K claims · 99.8%

Your Cost: $270.42/claim|Median: $121.16
2.2× median
99213Normal range

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

$42K

103K claims · 0.1%

Your Cost: $0.41/claim|Median: $37.81
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$28K

42K claims · 0.0%

Your Cost: $0.66/claim|Median: $69.35
0.0× median
99214Normal range

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

$9K

72K claims · 0.0%

Your Cost: $0.12/claim|Median: $53.41
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$8K

27K claims · 0.0%

Your Cost: $0.31/claim|Median: $75.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$7K

18K claims · 0.0%

Your Cost: $0.38/claim|Median: $74.82
0.0× median
99204Normal range

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

$6K

6,000 claims · 0.0%

Your Cost: $0.97/claim|Median: $84.03
0.0× median
90648Normal range

$4K

7,367 claims · 0.0%

Your Cost: $0.59/claim|Median: $4.08
0.1× median
99203Normal range

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

$3K

4,862 claims · 0.0%

Your Cost: $0.61/claim|Median: $57.85
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$2K

26K claims · 0.0%

Your Cost: $0.09/claim|Median: $11.79
0.0× median
76815Normal range

Ultrasound, pregnant uterus, limited

$2K

3,463 claims · 0.0%

Your Cost: $0.62/claim|Median: $36.79
0.0× median
90685Normal range

$2K

2,780 claims · 0.0%

Your Cost: $0.77/claim|Median: $5.96
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2K

10K claims · 0.0%

Your Cost: $0.21/claim|Median: $80.15
0.0× median
99383Normal range

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

$2K

1,061 claims · 0.0%

Your Cost: $1.69/claim|Median: $81.92
0.0× median
T1016Normal range

Case management, each 15 min

$2K

88 claims · 0.0%

Your Cost: $18.70/claim|Median: $49.62
0.4× median
99381Normal range

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

$2K

1,607 claims · 0.0%

Your Cost: $0.98/claim|Median: $73.46
0.0× median
99382Normal range

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

$1K

159 claims · 0.0%

Your Cost: $8.43/claim|Median: $79.89
0.1× median
90723Normal range

DTaP-HepB-IPV vaccine

$1K

4,419 claims · 0.0%

Your Cost: $0.30/claim|Median: $5.78
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$1K

17K claims · 0.0%

Your Cost: $0.07/claim|Median: $74.09
0.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$1K

1,070 claims · 0.0%

Your Cost: $1.05/claim|Median: $12.70
0.1× median
90471Normal range

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

$1K

47K claims · 0.0%

Your Cost: $0.02/claim|Median: $9.80
0.0× median
59025Normal range

Fetal non-stress test

$1K

4,374 claims · 0.0%

Your Cost: $0.23/claim|Median: $26.45
0.0× median
80053Normal range

Comprehensive metabolic panel

$950

10K claims · 0.0%

Your Cost: $0.09/claim|Median: $7.24
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$845

7,499 claims · 0.0%

Your Cost: $0.11/claim|Median: $25.06
0.0× median
86480Normal range

Tuberculosis test, cell-mediated immunity

$702

2,046 claims · 0.0%

Your Cost: $0.34/claim|Median: $38.35
0.0× median
90474Normal range

$659

12K claims · 0.0%

Your Cost: $0.06/claim|Median: $8.42
0.0× median
90633Normal range

$591

6,891 claims · 0.0%

Your Cost: $0.09/claim|Median: $3.56
0.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$467

811 claims · 0.0%

Your Cost: $0.58/claim|Median: $111.09
0.0× median
90715Normal range

Tdap vaccine

$328

4,481 claims · 0.0%

Your Cost: $0.07/claim|Median: $10.32
0.0× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$323

735 claims · 0.0%

Your Cost: $0.44/claim|Median: $38.79
0.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$259

5,923 claims · 0.0%

Your Cost: $0.04/claim|Median: $58.55
0.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$245

5,607 claims · 0.0%

Your Cost: $0.04/claim|Median: $9.87
0.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$238

15K claims · 0.0%

Your Cost: $0.02/claim|Median: $10.51
0.0× median
D0140Normal range

Limited oral evaluation, problem focused

$228

5,634 claims · 0.0%

Your Cost: $0.04/claim|Median: $27.07
0.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$187

4,670 claims · 0.0%

Your Cost: $0.04/claim|Median: $74.78
0.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$187

2,620 claims · 0.0%

Your Cost: $0.07/claim|Median: $58.16
0.0× median
80061Normal range

Lipid panel

$52

6,394 claims · 0.0%

Your Cost: $0.01/claim|Median: $8.41
0.0× median
85027Normal range

Complete blood count (CBC), automated

$49

3,529 claims · 0.0%

Your Cost: $0.01/claim|Median: $3.72
0.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$40

470 claims · 0.0%

Your Cost: $0.09/claim|Median: $33.72
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$38

1,794 claims · 0.0%

Your Cost: $0.02/claim|Median: $72.71
0.0× median
D1120Normal range

Prophylaxis, adult

$30

10K claims · 0.0%

Your Cost: $0.00/claim|Median: $33.86
0.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$28

14K claims · 0.0%

Your Cost: $0.00/claim|Median: $4.71
0.0× median
D0120Normal range

Periodic oral evaluation, established patient

$19

9,355 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.34
0.0× median
81025Normal range

Urine pregnancy test

$17

5,876 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
0.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$17

2,113 claims · 0.0%

Your Cost: $0.01/claim|Median: $26.24
0.0× median
D0272Normal range

Bitewings, two radiographic images

$15

5,357 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.81
0.0× median
D1206Normal range

Topical application of fluoride varnish

$13

7,550 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.12
0.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$8

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $7.33
0.0× median
90670Normal range

$2

12K claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

12K claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18

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