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CHANGE, INCORPORATED

Clinic/Center, Federally Qualified Health Center (FQHC)·WEIRTON, WV·NPI: 1245244367Share

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 $21.3M 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

$21.3M

$21,256,397

Total Claims

335K

Beneficiaries

237K

1.4 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-43%
2019
$1.4M
+106%
2020
$2.9M
+15%
2021
$3.3M
+23%
2022
$4.1M
-0%
2023
$4.1M
-26%
2024
$3.0M

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 82% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$17.3M

142K claims · 81.5%

Your Cost: $122.27/claim|Median: $121.16
1.0× median
99213Normal range

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

$1.4M

81K claims · 6.8%

Your Cost: $17.81/claim|Median: $37.81
0.5× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$638K

2,931 claims · 3.0%

Your Cost: $217.52/claim|Median: $101.33
2.1× median
99214Normal range

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

$604K

31K claims · 2.8%

Your Cost: $19.38/claim|Median: $53.41
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$482K

24K claims · 2.3%

Your Cost: $19.68/claim|Median: $41.28
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$340K

19K claims · 1.6%

Your Cost: $18.28/claim|Median: $63.65
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$63K

8,152 claims · 0.3%

Your Cost: $7.68/claim|Median: $25.06
0.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$48K

2,487 claims · 0.2%

Your Cost: $19.38/claim|Median: $72.71
0.3× median
90853Normal range

Group psychotherapy

$40K

2,089 claims · 0.2%

Your Cost: $19.22/claim|Median: $25.02
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$31K

1,320 claims · 0.1%

Your Cost: $23.34/claim|Median: $75.18
0.3× median
99203Normal range

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

$27K

1,495 claims · 0.1%

Your Cost: $18.21/claim|Median: $57.85
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$19K

950 claims · 0.1%

Your Cost: $20.28/claim|Median: $85.66
0.2× median
D1110Normal range

Prophylaxis, adult cleaning

$17K

1,393 claims · 0.1%

Your Cost: $12.29/claim|Median: $43.38
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$15K

618 claims · 0.1%

Your Cost: $24.51/claim|Median: $69.35
0.4× median
H0031Normal range

Mental health assessment by non-physician

$15K

905 claims · 0.1%

Your Cost: $16.63/claim|Median: $96.18
0.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$14K

887 claims · 0.1%

Your Cost: $15.88/claim|Median: $76.06
0.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$11K

627 claims · 0.1%

Your Cost: $17.75/claim|Median: $74.82
0.2× median
90471Normal range

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

$10K

851 claims · 0.0%

Your Cost: $11.70/claim|Median: $9.80
1.2× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$10K

159 claims · 0.0%

Your Cost: $60.27/claim|Median: $58.16
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$8K

1,041 claims · 0.0%

Your Cost: $7.98/claim|Median: $24.34
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$7K

283 claims · 0.0%

Your Cost: $24.64/claim|Median: $74.09
0.3× median
99223Normal range

Initial hospital care, per day, high complexity

$7K

83 claims · 0.0%

Your Cost: $81.58/claim|Median: $67.32
1.2× median
G0467Normal range

Federally qualified health center visit, mental health

$7K

1,185 claims · 0.0%

Your Cost: $5.64/claim|Median: $21.91
0.3× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$6K

129 claims · 0.0%

Your Cost: $42.90/claim|Median: $23.99
1.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$5K

951 claims · 0.0%

Your Cost: $5.78/claim|Median: $57.39
0.1× median
76830Normal range

Ultrasound, transvaginal

$5K

73 claims · 0.0%

Your Cost: $68.49/claim|Median: $57.47
1.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$5K

58 claims · 0.0%

Your Cost: $77.66/claim|Median: $74.78
1.0× median
99204Normal range

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

$4K

232 claims · 0.0%

Your Cost: $18.78/claim|Median: $84.03
0.2× median
D0274Normal range

Bitewings, four radiographic images

$4K

922 claims · 0.0%

Your Cost: $4.36/claim|Median: $22.54
0.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$4K

338 claims · 0.0%

Your Cost: $11.19/claim|Median: $80.15
0.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$4K

251 claims · 0.0%

Your Cost: $14.79/claim|Median: $9.56
1.5× median
D9999Top 10%

Unspecified adjunctive procedure, by report

$3K

14 claims · 0.0%

Your Cost: $217.90/claim|Median: $37.60
5.8× median
90472Normal range

Immunization administration, each additional vaccine

$3K

364 claims · 0.0%

Your Cost: $7.12/claim|Median: $11.79
0.6× median
59025Normal range

Fetal non-stress test

$2K

116 claims · 0.0%

Your Cost: $21.19/claim|Median: $26.45
0.8× median
36415Normal range

Collection of venous blood by venipuncture

$2K

801 claims · 0.0%

Your Cost: $2.47/claim|Median: $1.57
1.6× median
D1120Normal range

Prophylaxis, adult

$2K

256 claims · 0.0%

Your Cost: $7.61/claim|Median: $33.86
0.2× median
59430Normal range

$2K

17 claims · 0.0%

Your Cost: $113.92/claim|Median: $80.32
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

276 claims · 0.0%

Your Cost: $6.44/claim|Median: $7.18
0.9× median
D1206Normal range

Topical application of fluoride varnish

$1K

445 claims · 0.0%

Your Cost: $2.86/claim|Median: $18.12
0.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$1K

691 claims · 0.0%

Your Cost: $1.69/claim|Median: $2.00
0.8× median
99234Normal range

$995

20 claims · 0.0%

Your Cost: $49.75/claim|Median: $80.89
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$756

16 claims · 0.0%

Your Cost: $47.24/claim|Median: $58.55
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$718

12 claims · 0.0%

Your Cost: $59.81/claim|Median: $43.85
1.4× median
3044FTop 5%

$610

36 claims · 0.0%

Your Cost: $16.95/claim|Median: $0.16
105.9× median
D0330Normal range

Panoramic radiographic image

$602

188 claims · 0.0%

Your Cost: $3.20/claim|Median: $37.36
0.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$481

46 claims · 0.0%

Your Cost: $10.45/claim|Median: $22.44
0.5× median
96110Normal range

Developmental screening, per standardized instrument

$436

55 claims · 0.0%

Your Cost: $7.94/claim|Median: $9.10
0.9× median
4004FTop 5%

$414

14 claims · 0.0%

Your Cost: $29.56/claim|Median: $0.02
1477.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$384

13 claims · 0.0%

Your Cost: $29.51/claim|Median: $12.93
2.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$316

243 claims · 0.0%

Your Cost: $1.30/claim|Median: $32.07
0.0× median

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$199.8M

Voca Corporation of West Virginia Inc.

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$178.3M

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$175.6M

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$157.3M

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