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BROCKTON NEIGHBORHOOD HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·BROCKTON, MA·NPI: 1225085319Share

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 $91.3M 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

$91.3M

$91,335,250

Total Claims

1.7M

Beneficiaries

1.3M

1.3 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$13.4M
+7%
2019
$14.4M
-17%
2020
$12.0M
+20%
2021
$14.4M
+42%
2022
$20.4M
-51%
2023
$10.0M
-33%
2024
$6.7M

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 62% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$56.6M

379K claims · 62.0%

Your Cost: $149.42/claim|Median: $121.16
1.2× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$4.0M

1,901 claims · 4.4%

Your Cost: $2,116.95/claim|Median: $1,482.45
1.4× median
D9450Normal range

$2.7M

117K claims · 3.0%

Your Cost: $23.17/claim|Median: $21.95
1.1× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$2.4M

18K claims · 2.7%

Your Cost: $138.14/claim|Median: $69.35
2.0× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$1.7M

12K claims · 1.8%

Your Cost: $134.28/claim|Median: $75.18
1.8× median
99213Normal range

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

$1.5M

51K claims · 1.6%

Your Cost: $28.58/claim|Median: $37.81
0.8× median
G0467Normal range

Federally qualified health center visit, mental health

$1.3M

40K claims · 1.4%

Your Cost: $32.47/claim|Median: $21.91
1.5× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$1.3M

8,963 claims · 1.4%

Your Cost: $141.71/claim|Median: $74.82
1.9× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$1.2M

7,324 claims · 1.3%

Your Cost: $157.57/claim|Median: $72.71
2.2× median
T1040Normal range

Medicaid certified CCBHC services

$1.0M

7,737 claims · 1.1%

Your Cost: $131.16/claim|Median: $130.29
1.0× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$972K

6,691 claims · 1.1%

Your Cost: $145.29/claim|Median: $80.15
1.8× median
59510Top 25%

$880K

374 claims · 1.0%

Your Cost: $2,353.22/claim|Median: $1,543.20
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$568K

41K claims · 0.6%

Your Cost: $13.77/claim|Median: $17.85
0.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$538K

12K claims · 0.6%

Your Cost: $45.19/claim|Median: $47.08
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$464K

48K claims · 0.5%

Your Cost: $9.60/claim|Median: $9.10
1.1× median
90739Top 25%

$440K

3,259 claims · 0.5%

Your Cost: $134.94/claim|Median: $74.43
1.8× median
99214Normal range

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

$399K

13K claims · 0.4%

Your Cost: $29.54/claim|Median: $53.41
0.6× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$391K

988 claims · 0.4%

Your Cost: $396.05/claim|Median: $786.43
0.5× median
G0470Normal range

Chronic care management services, FQHC/RHC

$385K

9,037 claims · 0.4%

Your Cost: $42.64/claim|Median: $45.95
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$383K

18K claims · 0.4%

Your Cost: $21.33/claim|Median: $27.07
0.8× median
D9110Normal range

$380K

16K claims · 0.4%

Your Cost: $23.16/claim|Median: $38.08
0.6× median
99050Top 5%

$358K

7,709 claims · 0.4%

Your Cost: $46.40/claim|Median: $11.81
3.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$327K

8,244 claims · 0.4%

Your Cost: $39.62/claim|Median: $57.39
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$309K

36K claims · 0.3%

Your Cost: $8.55/claim|Median: $10.51
0.8× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$273K

6,766 claims · 0.3%

Your Cost: $40.30/claim|Median: $33.72
1.2× median
81025Top 25%

Urine pregnancy test

$270K

40K claims · 0.3%

Your Cost: $6.80/claim|Median: $4.81
1.4× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$257K

6,081 claims · 0.3%

Your Cost: $42.34/claim|Median: $36.70
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$253K

7,453 claims · 0.3%

Your Cost: $33.90/claim|Median: $63.65
0.5× median
D1110Normal range

Prophylaxis, adult cleaning

$252K

16K claims · 0.3%

Your Cost: $15.96/claim|Median: $43.38
0.4× median
G2023Top 5%

Specimen collection for COVID-19 testing

$246K

8,370 claims · 0.3%

Your Cost: $29.39/claim|Median: $17.15
1.7× median
59025Normal range

Fetal non-stress test

$244K

13K claims · 0.3%

Your Cost: $18.99/claim|Median: $26.45
0.7× median
99173Top 10%

$243K

16K claims · 0.3%

Your Cost: $15.50/claim|Median: $2.16
7.2× median
90715Top 25%

Tdap vaccine

$238K

11K claims · 0.3%

Your Cost: $22.56/claim|Median: $10.32
2.2× median
90651Top 25%

HPV vaccine, 9-valent

$237K

6,525 claims · 0.3%

Your Cost: $36.26/claim|Median: $8.93
4.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$230K

8,745 claims · 0.3%

Your Cost: $26.32/claim|Median: $19.46
1.4× median
59409Top 25%

Vaginal delivery only

$228K

269 claims · 0.2%

Your Cost: $848.57/claim|Median: $619.91
1.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$228K

21K claims · 0.2%

Your Cost: $10.99/claim|Median: $6.93
1.6× median
90677Top 25%

$226K

3,170 claims · 0.2%

Your Cost: $71.19/claim|Median: $12.96
5.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$223K

15K claims · 0.2%

Your Cost: $15.31/claim|Median: $54.60
0.3× median
90471Normal range

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

$215K

36K claims · 0.2%

Your Cost: $5.94/claim|Median: $9.80
0.6× median
90746Top 25%

Hepatitis B vaccine, adult

$206K

3,216 claims · 0.2%

Your Cost: $64.05/claim|Median: $48.85
1.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$203K

12K claims · 0.2%

Your Cost: $17.27/claim|Median: $46.33
0.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$202K

29K claims · 0.2%

Your Cost: $6.87/claim|Median: $7.33
0.9× median
D5212Normal range

$174K

1,625 claims · 0.2%

Your Cost: $107.22/claim|Median: $402.44
0.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$165K

2,619 claims · 0.2%

Your Cost: $63.17/claim|Median: $62.48
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$163K

8,131 claims · 0.2%

Your Cost: $20.07/claim|Median: $25.06
0.8× median
90750Normal range

$162K

1,242 claims · 0.2%

Your Cost: $130.27/claim|Median: $96.16
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$160K

8,370 claims · 0.2%

Your Cost: $19.15/claim|Median: $71.00
0.3× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$158K

3,601 claims · 0.2%

Your Cost: $43.74/claim|Median: $38.23
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$157K

24K claims · 0.2%

Your Cost: $6.47/claim|Median: $7.18
0.9× median

Other Top Providers in Massachusetts

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Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

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$352.1M

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Neighborhood Healthcare

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$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

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$157.3M

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