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RIVER VALLEY HEALTH

Clinic/Center, Federally Qualified Health Center (FQHC)·WILLIAMSPORT, PA·NPI: 1184998361Share

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 $22.3M 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

$22.3M

$22,278,233

Total Claims

349K

Beneficiaries

307K

1.1 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$746K
+262%
2019
$2.7M
+66%
2020
$4.5M
+14%
2021
$5.1M
-34%
2022
$3.4M
-24%
2023
$2.5M
+32%
2024
$3.3M

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 99% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$22.1M

132K claims · 99.4%

Your Cost: $167.49/claim|Median: $121.16
1.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$26K

765 claims · 0.1%

Your Cost: $33.77/claim|Median: $33.85
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$22K

767 claims · 0.1%

Your Cost: $29.10/claim|Median: $25.93
1.1× median
0064ANormal range

$10K

291 claims · 0.0%

Your Cost: $34.47/claim|Median: $34.17
1.0× median
3074FNormal range

$8K

20K claims · 0.0%

Your Cost: $0.42/claim|Median: $0.11
3.8× median
G0467Normal range

Federally qualified health center visit, mental health

$8K

2,414 claims · 0.0%

Your Cost: $3.44/claim|Median: $21.91
0.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$8K

216 claims · 0.0%

Your Cost: $35.02/claim|Median: $33.72
1.0× median
99213Normal range

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

$7K

23K claims · 0.0%

Your Cost: $0.30/claim|Median: $37.81
0.0× median
3079FNormal range

$7K

8,703 claims · 0.0%

Your Cost: $0.79/claim|Median: $0.12
6.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$7K

193 claims · 0.0%

Your Cost: $35.23/claim|Median: $36.70
1.0× median
3078FNormal range

$7K

16K claims · 0.0%

Your Cost: $0.40/claim|Median: $0.08
5.0× median
99214Normal range

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

$5K

22K claims · 0.0%

Your Cost: $0.22/claim|Median: $53.41
0.0× median
3077FTop 25%

$5K

3,208 claims · 0.0%

Your Cost: $1.43/claim|Median: $0.12
11.9× median
3075FNormal range

$4K

4,147 claims · 0.0%

Your Cost: $0.86/claim|Median: $0.15
5.7× median
0071ANormal range

$3K

81 claims · 0.0%

Your Cost: $35.93/claim|Median: $38.71
0.9× median
3080FNormal range

$2K

2,100 claims · 0.0%

Your Cost: $1.13/claim|Median: $0.16
7.0× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$2K

53 claims · 0.0%

Your Cost: $35.00/claim|Median: $32.49
1.1× median
0072ANormal range

$2K

48 claims · 0.0%

Your Cost: $36.35/claim|Median: $39.57
0.9× median
0004ANormal range

$1K

33 claims · 0.0%

Your Cost: $35.00/claim|Median: $35.62
1.0× median
0134ANormal range

$1K

29 claims · 0.0%

Your Cost: $37.24/claim|Median: $33.54
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$972

1,764 claims · 0.0%

Your Cost: $0.55/claim|Median: $25.06
0.0× median
D0120Normal range

Periodic oral evaluation, established patient

$583

9,252 claims · 0.0%

Your Cost: $0.06/claim|Median: $24.34
0.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$540

2,142 claims · 0.0%

Your Cost: $0.25/claim|Median: $71.00
0.0× median
D1206Normal range

Topical application of fluoride varnish

$456

9,620 claims · 0.0%

Your Cost: $0.05/claim|Median: $18.12
0.0× median
3044FNormal range

$420

524 claims · 0.0%

Your Cost: $0.80/claim|Median: $0.16
5.0× median
D1110Normal range

Prophylaxis, adult cleaning

$384

6,679 claims · 0.0%

Your Cost: $0.06/claim|Median: $43.38
0.0× median
90688Normal range

$280

574 claims · 0.0%

Your Cost: $0.49/claim|Median: $9.00
0.1× median
D0274Normal range

Bitewings, four radiographic images

$228

5,928 claims · 0.0%

Your Cost: $0.04/claim|Median: $22.54
0.0× median
99177Normal range

$200

2,692 claims · 0.0%

Your Cost: $0.07/claim|Median: $3.74
0.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$150

1,426 claims · 0.0%

Your Cost: $0.11/claim|Median: $54.60
0.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$130

788 claims · 0.0%

Your Cost: $0.16/claim|Median: $57.39
0.0× median
D1120Normal range

Prophylaxis, adult

$110

6,171 claims · 0.0%

Your Cost: $0.02/claim|Median: $33.86
0.0× median
99204Normal range

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

$99

287 claims · 0.0%

Your Cost: $0.35/claim|Median: $84.03
0.0× median
D0330Normal range

Panoramic radiographic image

$74

3,223 claims · 0.0%

Your Cost: $0.02/claim|Median: $37.36
0.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$65

692 claims · 0.0%

Your Cost: $0.09/claim|Median: $84.26
0.0× median
99203Normal range

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

$60

234 claims · 0.0%

Your Cost: $0.26/claim|Median: $57.85
0.0× median
D0140Normal range

Limited oral evaluation, problem focused

$55

347 claims · 0.0%

Your Cost: $0.16/claim|Median: $27.07
0.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$50

491 claims · 0.0%

Your Cost: $0.10/claim|Median: $66.63
0.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$46

3,135 claims · 0.0%

Your Cost: $0.01/claim|Median: $10.51
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$39

13 claims · 0.0%

Your Cost: $2.99/claim|Median: $40.11
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$37

1,266 claims · 0.0%

Your Cost: $0.03/claim|Median: $7.18
0.0× median
D9110Normal range

$30

1,586 claims · 0.0%

Your Cost: $0.02/claim|Median: $38.08
0.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$20

1,808 claims · 0.0%

Your Cost: $0.01/claim|Median: $32.07
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$14

1,146 claims · 0.0%

Your Cost: $0.01/claim|Median: $6.61
0.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$13

4,267 claims · 0.0%

Your Cost: $0.00/claim|Median: $20.83
0.0× median
87210Normal range

$6

882 claims · 0.0%

Your Cost: $0.01/claim|Median: $3.65
0.0× median
90710Normal range

MMRV vaccine

$0

24 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.00
D0230Normal range

Intraoral, periapical radiographic image, first film

$0

1,582 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.33
G9920Normal range

$0

1,701 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.56
90471Normal range

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

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80

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$308.4M

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$286.9M

Procare Pharmacy Direct, Llc.

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