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ODA PRIMARY HEALTH CARE NETWORK, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·BROOKLYN, NY·NPI: 1184186496Share

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 $36.9M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2019-09→2024-12(64 months)

Total Paid

$36.9M

$36,909,867

Total Claims

1.2M

Beneficiaries

815K

1.5 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2019
$2.0M
+418%
2020
$10.3M
+42%
2021
$14.5M
-60%
2022
$5.8M
-49%
2023
$2.9M
-52%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 36% of total spending.

99213Normal range

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

$13.4M

338K claims · 36.2%

Your Cost: $39.51/claim|Median: $37.81
1.0× median
94760Top 5%

Pulse oximetry, single reading, noninvasive

$6.0M

219K claims · 16.2%

Your Cost: $27.31/claim|Median: $0.79
34.6× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$2.5M

116K claims · 6.7%

Your Cost: $21.31/claim|Median: $11.48
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$2.2M

54K claims · 6.1%

Your Cost: $41.72/claim|Median: $25.06
1.7× median
99214Normal range

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

$1.6M

33K claims · 4.2%

Your Cost: $47.25/claim|Median: $53.41
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.5M

43K claims · 4.1%

Your Cost: $35.31/claim|Median: $75.18
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$993K

22K claims · 2.7%

Your Cost: $44.27/claim|Median: $69.35
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$922K

28K claims · 2.5%

Your Cost: $32.71/claim|Median: $74.82
0.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$872K

22K claims · 2.4%

Your Cost: $39.39/claim|Median: $72.71
0.5× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$842K

8,153 claims · 2.3%

Your Cost: $103.25/claim|Median: $59.25
1.7× median
G0511Top 5%

RHC/FQHC visit, psychiatric collaborative care model

$672K

8,337 claims · 1.8%

Your Cost: $80.58/claim|Median: $11.35
7.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$524K

17K claims · 1.4%

Your Cost: $31.54/claim|Median: $80.15
0.4× median
36415Top 5%

Collection of venous blood by venipuncture

$367K

39K claims · 1.0%

Your Cost: $9.39/claim|Median: $1.57
6.0× median
99401Top 25%

$331K

11K claims · 0.9%

Your Cost: $29.54/claim|Median: $16.53
1.8× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$259K

10K claims · 0.7%

Your Cost: $24.84/claim|Median: $30.53
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$205K

5,558 claims · 0.6%

Your Cost: $36.87/claim|Median: $43.38
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$193K

5,552 claims · 0.5%

Your Cost: $34.68/claim|Median: $76.06
0.5× median
87426Normal range

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

$188K

9,101 claims · 0.5%

Your Cost: $20.64/claim|Median: $30.04
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$179K

8,296 claims · 0.5%

Your Cost: $21.55/claim|Median: $24.34
0.9× median
87804Normal range

Influenza virus detection, rapid test

$173K

28K claims · 0.5%

Your Cost: $6.09/claim|Median: $12.59
0.5× median
99173Top 5%

$161K

7,760 claims · 0.4%

Your Cost: $20.76/claim|Median: $2.16
9.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$152K

15K claims · 0.4%

Your Cost: $10.21/claim|Median: $10.51
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$151K

20K claims · 0.4%

Your Cost: $7.73/claim|Median: $17.85
0.4× median
99381Normal range

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

$140K

1,721 claims · 0.4%

Your Cost: $81.19/claim|Median: $73.46
1.1× median
85018Top 5%

$138K

15K claims · 0.4%

Your Cost: $9.39/claim|Median: $1.71
5.5× median
81000Top 5%

Urinalysis with microscopy, non-automated

$132K

8,597 claims · 0.4%

Your Cost: $15.40/claim|Median: $2.51
6.1× median
99490Top 5%

Chronic care management services, 20 minutes per month

$128K

1,563 claims · 0.3%

Your Cost: $81.68/claim|Median: $6.31
12.9× median
D0140Normal range

Limited oral evaluation, problem focused

$111K

11K claims · 0.3%

Your Cost: $10.44/claim|Median: $27.07
0.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$101K

2,017 claims · 0.3%

Your Cost: $50.24/claim|Median: $71.00
0.7× median
D1120Normal range

Prophylaxis, adult

$98K

3,013 claims · 0.3%

Your Cost: $32.50/claim|Median: $33.86
1.0× median
83655Top 5%

$96K

5,072 claims · 0.3%

Your Cost: $18.93/claim|Median: $10.49
1.8× median
11730Top 25%

$95K

1,713 claims · 0.3%

Your Cost: $55.45/claim|Median: $24.59
2.3× median
G0467Normal range

Federally qualified health center visit, mental health

$95K

3,561 claims · 0.3%

Your Cost: $26.54/claim|Median: $21.91
1.2× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$85K

4,765 claims · 0.2%

Your Cost: $17.91/claim|Median: $54.77
0.3× median
D0274Normal range

Bitewings, four radiographic images

$84K

4,314 claims · 0.2%

Your Cost: $19.53/claim|Median: $22.54
0.9× median
11721Top 5%

$77K

1,809 claims · 0.2%

Your Cost: $42.71/claim|Median: $8.56
5.0× median
36416Top 5%

$76K

5,404 claims · 0.2%

Your Cost: $14.10/claim|Median: $1.31
10.8× median
99215Normal range

Office/outpatient visit, high complexity

$73K

2,034 claims · 0.2%

Your Cost: $35.96/claim|Median: $74.09
0.5× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$72K

955 claims · 0.2%

Your Cost: $75.47/claim|Median: $40.11
1.9× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$70K

194 claims · 0.2%

Your Cost: $362.30/claim|Median: $476.00
0.8× median
99203Normal range

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

$68K

1,339 claims · 0.2%

Your Cost: $50.80/claim|Median: $57.85
0.9× median
D0270Top 25%

$63K

5,996 claims · 0.2%

Your Cost: $10.45/claim|Median: $5.46
1.9× median
D0272Normal range

Bitewings, two radiographic images

$48K

3,802 claims · 0.1%

Your Cost: $12.62/claim|Median: $15.81
0.8× median
69210Normal range

$48K

2,030 claims · 0.1%

Your Cost: $23.59/claim|Median: $21.74
1.1× median
10060Normal range

Incision and drainage of abscess, simple

$44K

691 claims · 0.1%

Your Cost: $63.04/claim|Median: $75.72
0.8× median
11720Top 5%

$37K

883 claims · 0.1%

Your Cost: $41.88/claim|Median: $4.64
9.0× median
92551Top 25%

Screening audiometry, pure tone, air only

$33K

3,388 claims · 0.1%

Your Cost: $9.63/claim|Median: $6.61
1.5× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$32K

458 claims · 0.1%

Your Cost: $70.94/claim|Median: $120.85
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$32K

2,866 claims · 0.1%

Your Cost: $11.17/claim|Median: $14.36
0.8× median
M0243Normal range

$29K

100 claims · 0.1%

Your Cost: $287.44/claim|Median: $215.21
1.3× median

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