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MGH FAMILY HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·MUSKEGON, MI·NPI: 1255331583Share

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 $24.4M 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

$24.4M

$24,360,952

Total Claims

1.0M

Beneficiaries

911K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$4.9M
-3%
2019
$4.8M
-53%
2020
$2.3M
+54%
2021
$3.5M
-15%
2022
$2.9M
+6%
2023
$3.1M
-9%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 34% of total spending.

G0467Top 25%

Federally qualified health center visit, mental health

$8.2M

131K claims · 33.5%

Your Cost: $62.21/claim|Median: $21.91
2.8× median
G0470Normal range

Chronic care management services, FQHC/RHC

$1.6M

25K claims · 6.6%

Your Cost: $65.24/claim|Median: $45.95
1.4× median
G0468Normal range

$1.5M

23K claims · 6.0%

Your Cost: $63.56/claim|Median: $43.74
1.5× median
D1110Top 1%

Prophylaxis, adult cleaning

$1.4M

15K claims · 5.8%

Your Cost: $96.58/claim|Median: $43.38
2.2× median
99402Top 5%

$1.4M

16K claims · 5.5%

Your Cost: $85.35/claim|Median: $31.79
2.7× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$1.2M

13K claims · 5.1%

Your Cost: $95.78/claim|Median: $57.39
1.7× median
D0140Top 5%

Limited oral evaluation, problem focused

$1.0M

11K claims · 4.3%

Your Cost: $92.54/claim|Median: $27.07
3.4× median
D0120Top 5%

Periodic oral evaluation, established patient

$582K

9,477 claims · 2.4%

Your Cost: $61.44/claim|Median: $24.34
2.5× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$498K

3,685 claims · 2.0%

Your Cost: $135.17/claim|Median: $71.00
1.9× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$497K

6,290 claims · 2.0%

Your Cost: $79.08/claim|Median: $32.07
2.5× median
G0466Normal range

$413K

5,434 claims · 1.7%

Your Cost: $76.06/claim|Median: $63.31
1.2× median
99214Normal range

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

$369K

49K claims · 1.5%

Your Cost: $7.53/claim|Median: $53.41
0.1× median
D2150Top 5%

Amalgam, two surfaces, primary or permanent

$340K

2,879 claims · 1.4%

Your Cost: $118.18/claim|Median: $66.00
1.8× median
D2391Top 5%

Resin-based composite, one surface, posterior

$331K

3,022 claims · 1.4%

Your Cost: $109.42/claim|Median: $54.60
2.0× median
D5110Top 5%

$329K

341 claims · 1.4%

Your Cost: $965.07/claim|Median: $472.15
2.0× median
99213Normal range

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

$326K

71K claims · 1.3%

Your Cost: $4.62/claim|Median: $37.81
0.1× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$279K

2,583 claims · 1.1%

Your Cost: $108.16/claim|Median: $114.71
0.9× median
D1120Normal range

Prophylaxis, adult

$269K

7,035 claims · 1.1%

Your Cost: $38.19/claim|Median: $33.86
1.1× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$267K

2,003 claims · 1.1%

Your Cost: $133.49/claim|Median: $109.42
1.2× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$231K

1,454 claims · 0.9%

Your Cost: $159.08/claim|Median: $84.26
1.9× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$217K

2,991 claims · 0.9%

Your Cost: $72.44/claim|Median: $41.92
1.7× median
D1206Normal range

Topical application of fluoride varnish

$202K

8,461 claims · 0.8%

Your Cost: $23.86/claim|Median: $18.12
1.3× median
D2331Top 5%

Resin-based composite filling, two surfaces, anterior

$183K

1,406 claims · 0.7%

Your Cost: $129.87/claim|Median: $73.58
1.8× median
D0274Normal range

Bitewings, four radiographic images

$153K

9,867 claims · 0.6%

Your Cost: $15.48/claim|Median: $22.54
0.7× median
D0330Normal range

Panoramic radiographic image

$147K

5,726 claims · 0.6%

Your Cost: $25.63/claim|Median: $37.36
0.7× median
D2335Top 10%

$145K

883 claims · 0.6%

Your Cost: $164.07/claim|Median: $105.06
1.6× median
D2160Top 5%

Amalgam filling, three surfaces

$125K

913 claims · 0.5%

Your Cost: $137.00/claim|Median: $78.55
1.7× median
D2140Top 5%

Amalgam, one surface, primary or permanent

$123K

1,245 claims · 0.5%

Your Cost: $98.72/claim|Median: $52.77
1.9× median
H0006Normal range

Alcohol and/or drug services, case management

$119K

2,035 claims · 0.5%

Your Cost: $58.64/claim|Median: $43.10
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$113K

2,098 claims · 0.5%

Your Cost: $53.83/claim|Median: $46.33
1.2× median
D2332Top 5%

$112K

744 claims · 0.5%

Your Cost: $151.20/claim|Median: $87.21
1.7× median
D2330Top 5%

Resin-based composite filling, one surface, anterior

$106K

948 claims · 0.4%

Your Cost: $112.13/claim|Median: $66.63
1.7× median
90832Normal range

Psychotherapy, 30 minutes

$97K

16K claims · 0.4%

Your Cost: $6.12/claim|Median: $41.28
0.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$92K

12K claims · 0.4%

Your Cost: $7.66/claim|Median: $10.51
0.7× median
H1000Top 25%

Prenatal care, at-risk assessment

$81K

951 claims · 0.3%

Your Cost: $85.10/claim|Median: $50.36
1.7× median
G9002Normal range

Coordinated care fee, maintenance period

$52K

5,943 claims · 0.2%

Your Cost: $8.82/claim|Median: $108.80
0.1× median
D0272Normal range

Bitewings, two radiographic images

$48K

2,604 claims · 0.2%

Your Cost: $18.46/claim|Median: $15.81
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$46K

3,740 claims · 0.2%

Your Cost: $12.32/claim|Median: $63.65
0.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$43K

4,032 claims · 0.2%

Your Cost: $10.63/claim|Median: $76.06
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$43K

4,278 claims · 0.2%

Your Cost: $9.94/claim|Median: $72.71
0.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$42K

1,727 claims · 0.2%

Your Cost: $24.53/claim|Median: $39.70
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$42K

3,558 claims · 0.2%

Your Cost: $11.80/claim|Median: $22.44
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$41K

2,541 claims · 0.2%

Your Cost: $16.14/claim|Median: $85.66
0.2× median
D1351Normal range

Sealant, per tooth

$40K

1,397 claims · 0.2%

Your Cost: $28.54/claim|Median: $26.10
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$39K

3,528 claims · 0.2%

Your Cost: $11.13/claim|Median: $75.18
0.1× median
90651Top 25%

HPV vaccine, 9-valent

$39K

1,352 claims · 0.2%

Your Cost: $28.97/claim|Median: $8.93
3.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$33K

3,154 claims · 0.1%

Your Cost: $10.45/claim|Median: $74.82
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$33K

2,671 claims · 0.1%

Your Cost: $12.29/claim|Median: $99.21
0.1× median
D4346Normal range

$31K

388 claims · 0.1%

Your Cost: $79.60/claim|Median: $61.42
1.3× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$29K

393 claims · 0.1%

Your Cost: $75.06/claim|Median: $97.61
0.8× median

Other Top Providers in Michigan

View all →

Guardiantrac. LLC

Community/Behavioral Health

$2.68B

Centria Healthcare LLC

Home Health

$590.6M

Integra Partners LLC

Orthotic Fitter

$422.3M

Community Mental Health Authority of Clinton Eaton Ingham Counties

Clinic/Center Mental Health (Including Community

$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

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Neighborhood Healthcare

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

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