Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

MIDLAND COMMUNITY HEALTHCARE SERVICES

Clinic/Center, Federally Qualified Health Center (FQHC)·MIDLAND, TX·NPI: 1235225087Share

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 $24.9M 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

$24.9M

$24,910,920

Total Claims

463K

Beneficiaries

382K

1.2 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$226K
-42%
2019
$131K
+998%
2020
$1.4M
+300%
2021
$5.7M
+6%
2022
$6.1M
-3%
2023
$5.9M
-10%
2024
$5.4M

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 78% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$19.3M

114K claims · 77.6%

Your Cost: $169.57/claim|Median: $121.16
1.4× median
99213Normal range

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

$1.4M

49K claims · 5.8%

Your Cost: $29.69/claim|Median: $37.81
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$518K

9,853 claims · 2.1%

Your Cost: $52.57/claim|Median: $75.18
0.7× median
99214Normal range

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

$495K

13K claims · 2.0%

Your Cost: $38.46/claim|Median: $53.41
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$456K

8,673 claims · 1.8%

Your Cost: $52.53/claim|Median: $69.35
0.8× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$404K

1,994 claims · 1.6%

Your Cost: $202.74/claim|Median: $101.33
2.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$365K

6,259 claims · 1.5%

Your Cost: $58.32/claim|Median: $74.82
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$293K

11K claims · 1.2%

Your Cost: $25.86/claim|Median: $25.06
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$239K

3,696 claims · 1.0%

Your Cost: $64.76/claim|Median: $80.15
0.8× median
59409Normal range

Vaginal delivery only

$170K

286 claims · 0.7%

Your Cost: $594.34/claim|Median: $619.91
1.0× median
87804Normal range

Influenza virus detection, rapid test

$151K

23K claims · 0.6%

Your Cost: $6.51/claim|Median: $12.59
0.5× median
99381Normal range

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

$124K

2,135 claims · 0.5%

Your Cost: $57.98/claim|Median: $73.46
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$124K

39K claims · 0.5%

Your Cost: $3.18/claim|Median: $17.85
0.2× median
59430Normal range

$98K

1,535 claims · 0.4%

Your Cost: $63.67/claim|Median: $80.32
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$84K

13K claims · 0.3%

Your Cost: $6.42/claim|Median: $11.48
0.6× median
99383Normal range

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

$62K

954 claims · 0.2%

Your Cost: $64.57/claim|Median: $81.92
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$57K

683 claims · 0.2%

Your Cost: $83.53/claim|Median: $85.66
1.0× median
G0467Normal range

Federally qualified health center visit, mental health

$49K

1,459 claims · 0.2%

Your Cost: $33.74/claim|Median: $21.91
1.5× median
99203Normal range

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

$46K

1,064 claims · 0.2%

Your Cost: $43.47/claim|Median: $57.85
0.8× median
99204Normal range

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

$41K

780 claims · 0.2%

Your Cost: $52.31/claim|Median: $84.03
0.6× median
87811Normal range

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

$36K

6,170 claims · 0.1%

Your Cost: $5.78/claim|Median: $30.53
0.2× median
99382Normal range

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

$33K

536 claims · 0.1%

Your Cost: $61.68/claim|Median: $79.89
0.8× median
59025Normal range

Fetal non-stress test

$33K

1,583 claims · 0.1%

Your Cost: $20.58/claim|Median: $26.45
0.8× median
87426Normal range

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

$29K

1,871 claims · 0.1%

Your Cost: $15.26/claim|Median: $30.04
0.5× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$25K

326 claims · 0.1%

Your Cost: $75.53/claim|Median: $83.63
0.9× median
90461Normal range

Immunization admin, additional vaccine, counseling

$23K

14K claims · 0.1%

Your Cost: $1.67/claim|Median: $6.93
0.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$19K

570 claims · 0.1%

Your Cost: $33.81/claim|Median: $40.11
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$19K

352 claims · 0.1%

Your Cost: $53.24/claim|Median: $63.65
0.8× median
59514Top 25%

Cesarean delivery only

$18K

26 claims · 0.1%

Your Cost: $675.70/claim|Median: $452.80
1.5× median
87807Normal range

$17K

3,842 claims · 0.1%

Your Cost: $4.52/claim|Median: $10.06
0.4× median
83655Normal range

$17K

4,729 claims · 0.1%

Your Cost: $3.62/claim|Median: $10.49
0.3× median
81003Normal range

Urinalysis, automated without microscopy

$16K

17K claims · 0.1%

Your Cost: $0.94/claim|Median: $1.48
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$15K

175 claims · 0.1%

Your Cost: $83.18/claim|Median: $72.71
1.1× median
81025Normal range

Urine pregnancy test

$9K

3,507 claims · 0.0%

Your Cost: $2.64/claim|Median: $4.81
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$7K

147 claims · 0.0%

Your Cost: $48.66/claim|Median: $41.28
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$6K

94 claims · 0.0%

Your Cost: $60.76/claim|Median: $99.21
0.6× median
83037Normal range

$4K

1,080 claims · 0.0%

Your Cost: $3.75/claim|Median: $4.07
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$4K

1,301 claims · 0.0%

Your Cost: $2.96/claim|Median: $9.56
0.3× median
0071ANormal range

$3K

131 claims · 0.0%

Your Cost: $19.24/claim|Median: $38.71
0.5× median
90480Normal range

$2K

120 claims · 0.0%

Your Cost: $16.08/claim|Median: $25.29
0.6× median
0072ANormal range

$2K

113 claims · 0.0%

Your Cost: $16.28/claim|Median: $39.57
0.4× median
0081ANormal range

$1K

63 claims · 0.0%

Your Cost: $21.59/claim|Median: $38.21
0.6× median
90651Normal range

HPV vaccine, 9-valent

$1K

1,697 claims · 0.0%

Your Cost: $0.63/claim|Median: $8.93
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$1K

16 claims · 0.0%

Your Cost: $64.70/claim|Median: $74.09
0.9× median
88720Normal range

$997

2,536 claims · 0.0%

Your Cost: $0.39/claim|Median: $3.88
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$845

1,237 claims · 0.0%

Your Cost: $0.68/claim|Median: $9.10
0.1× median
85018Normal range

$708

8,496 claims · 0.0%

Your Cost: $0.08/claim|Median: $1.71
0.0× median
90471Normal range

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

$668

2,634 claims · 0.0%

Your Cost: $0.25/claim|Median: $9.80
0.0× median
90715Normal range

Tdap vaccine

$604

2,527 claims · 0.0%

Your Cost: $0.24/claim|Median: $10.32
0.0× median
0082ANormal range

$520

27 claims · 0.0%

Your Cost: $19.26/claim|Median: $39.88
0.5× median

Other Top Providers in Texas

View all →

Girling Health Care Inc.

Home Health

$858.2M

Aoc TX LLC

Home Health

$708.5M

Consumer Directed Services in Texas Inc.

Supports Brokerage

$624.8M

Caregivers Home Health TX INC

Nursing Care

$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

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

San Ysidro, CA

$157.3M

← All providersAll providers in Texas →How we detect fraud →