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COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC

Clinic/Center, Federally Qualified Health Center (FQHC)·WEST BURLINGTON, IA·NPI: 1255339750Share

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 $35.4M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$35.4M

$35,379,672

Total Claims

582K

Beneficiaries

487K

1.2 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+20%
2019
$3.8M
+2%
2020
$3.9M
+73%
2021
$6.8M
+6%
2022
$7.2M
-12%
2023
$6.3M
-32%
2024
$4.2M

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 75% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$26.5M

126K claims · 75.0%

Your Cost: $210.30/claim|Median: $121.16
1.7× median
D9999Normal range

Unspecified adjunctive procedure, by report

$5.0M

37K claims · 14.3%

Your Cost: $134.80/claim|Median: $37.60
3.6× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$3.3M

15K claims · 9.2%

Your Cost: $212.96/claim|Median: $101.33
2.1× median
G0467Top 25%

Federally qualified health center visit, mental health

$252K

4,134 claims · 0.7%

Your Cost: $61.05/claim|Median: $21.91
2.8× median
S0280Normal range

Medical home program, comprehensive care management

$93K

5,296 claims · 0.3%

Your Cost: $17.64/claim|Median: $48.38
0.4× median
99213Normal range

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

$65K

61K claims · 0.2%

Your Cost: $1.06/claim|Median: $37.81
0.0× median
99214Normal range

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

$40K

28K claims · 0.1%

Your Cost: $1.44/claim|Median: $53.41
0.0× median
G2025Top 5%

$20K

177 claims · 0.1%

Your Cost: $110.95/claim|Median: $15.63
7.1× median
D1999Top 1%

$10K

53 claims · 0.0%

Your Cost: $179.99/claim|Median: $11.95
15.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$5K

3,712 claims · 0.0%

Your Cost: $1.37/claim|Median: $75.18
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$5K

2,543 claims · 0.0%

Your Cost: $1.99/claim|Median: $108.91
0.0× median
90471Normal range

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

$5K

7,450 claims · 0.0%

Your Cost: $0.65/claim|Median: $9.80
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$4K

6,580 claims · 0.0%

Your Cost: $0.61/claim|Median: $85.66
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

1,043 claims · 0.0%

Your Cost: $3.33/claim|Median: $99.21
0.0× median
99490Normal range

Chronic care management services, 20 minutes per month

$3K

1,179 claims · 0.0%

Your Cost: $2.92/claim|Median: $6.31
0.5× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$3K

1,065 claims · 0.0%

Your Cost: $2.96/claim|Median: $11.35
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$3K

1,909 claims · 0.0%

Your Cost: $1.43/claim|Median: $74.82
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

3,997 claims · 0.0%

Your Cost: $0.59/claim|Median: $69.35
0.0× median
99409Normal range

$2K

213 claims · 0.0%

Your Cost: $9.48/claim|Median: $34.77
0.3× median
90472Normal range

Immunization administration, each additional vaccine

$2K

9,424 claims · 0.0%

Your Cost: $0.21/claim|Median: $11.79
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$2K

3,858 claims · 0.0%

Your Cost: $0.49/claim|Median: $1.57
0.3× median
99203Normal range

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

$2K

1,347 claims · 0.0%

Your Cost: $1.37/claim|Median: $57.85
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2K

1,757 claims · 0.0%

Your Cost: $1.02/claim|Median: $80.15
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$2K

2,963 claims · 0.0%

Your Cost: $0.59/claim|Median: $25.06
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$2K

1,762 claims · 0.0%

Your Cost: $0.93/claim|Median: $63.65
0.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$2K

50 claims · 0.0%

Your Cost: $31.77/claim|Median: $41.92
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$1K

1,025 claims · 0.0%

Your Cost: $1.32/claim|Median: $9.56
0.1× median
91322Normal range

$1K

14 claims · 0.0%

Your Cost: $83.38/claim|Median: $76.28
1.1× median
96156Normal range

$1K

600 claims · 0.0%

Your Cost: $1.79/claim|Median: $22.36
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$1K

1,035 claims · 0.0%

Your Cost: $0.98/claim|Median: $41.28
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$879

1,143 claims · 0.0%

Your Cost: $0.77/claim|Median: $7.18
0.1× median
90677Normal range

$840

82 claims · 0.0%

Your Cost: $10.24/claim|Median: $12.96
0.8× median
90651Normal range

HPV vaccine, 9-valent

$823

186 claims · 0.0%

Your Cost: $4.42/claim|Median: $8.93
0.5× median
90734Normal range

$790

139 claims · 0.0%

Your Cost: $5.68/claim|Median: $6.40
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$768

133 claims · 0.0%

Your Cost: $5.77/claim|Median: $9.10
0.6× median
90656Normal range

$678

365 claims · 0.0%

Your Cost: $1.86/claim|Median: $8.67
0.2× median
3074FNormal range

$540

5,504 claims · 0.0%

Your Cost: $0.10/claim|Median: $0.11
0.9× median
3079FNormal range

$500

1,659 claims · 0.0%

Your Cost: $0.30/claim|Median: $0.12
2.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$478

605 claims · 0.0%

Your Cost: $0.79/claim|Median: $37.22
0.0× median
99204Normal range

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

$462

238 claims · 0.0%

Your Cost: $1.94/claim|Median: $84.03
0.0× median
90716Normal range

$417

436 claims · 0.0%

Your Cost: $0.96/claim|Median: $6.18
0.2× median
80305Normal range

$414

364 claims · 0.0%

Your Cost: $1.14/claim|Median: $7.44
0.2× median
3078FNormal range

$360

4,844 claims · 0.0%

Your Cost: $0.07/claim|Median: $0.08
0.9× median
87426Normal range

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

$353

1,025 claims · 0.0%

Your Cost: $0.34/claim|Median: $30.04
0.0× median
3077FNormal range

$340

523 claims · 0.0%

Your Cost: $0.65/claim|Median: $0.12
5.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$331

710 claims · 0.0%

Your Cost: $0.47/claim|Median: $40.11
0.0× median
3075FNormal range

$320

842 claims · 0.0%

Your Cost: $0.38/claim|Median: $0.15
2.5× median
90619Normal range

$316

32 claims · 0.0%

Your Cost: $9.87/claim|Median: $8.36
1.2× median
90707Normal range

MMR vaccine

$307

434 claims · 0.0%

Your Cost: $0.71/claim|Median: $5.76
0.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$282

446 claims · 0.0%

Your Cost: $0.63/claim|Median: $38.83
0.0× median