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ESPERANZA HEALTH CENTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·PHILADELPHIA, PA·NPI: 1255726659Share

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 $40.8M 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

$40.8M

$40,830,267

Total Claims

455K

Beneficiaries

407K

1.1 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$380K
-45%
2019
$211K
+1054%
2020
$2.4M
+296%
2021
$9.6M
-9%
2022
$8.7M
+11%
2023
$9.7M
+1%
2024
$9.8M

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 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$40.5M

191K claims · 99.3%

Your Cost: $212.12/claim|Median: $121.16
1.8× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$92K

2,424 claims · 0.2%

Your Cost: $37.97/claim|Median: $33.85
1.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$85K

2,528 claims · 0.2%

Your Cost: $33.68/claim|Median: $25.93
1.3× median
0064ANormal range

$26K

682 claims · 0.1%

Your Cost: $38.77/claim|Median: $34.17
1.1× median
0071ANormal range

$12K

298 claims · 0.0%

Your Cost: $39.33/claim|Median: $38.71
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$11K

289 claims · 0.0%

Your Cost: $39.72/claim|Median: $36.70
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$11K

547 claims · 0.0%

Your Cost: $20.98/claim|Median: $21.91
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$11K

288 claims · 0.0%

Your Cost: $39.31/claim|Median: $33.72
1.2× median
99213Normal range

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

$10K

59K claims · 0.0%

Your Cost: $0.17/claim|Median: $37.81
0.0× median
0072ANormal range

$10K

250 claims · 0.0%

Your Cost: $38.56/claim|Median: $39.57
1.0× median
99214Normal range

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

$6K

44K claims · 0.0%

Your Cost: $0.14/claim|Median: $53.41
0.0× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$6K

74 claims · 0.0%

Your Cost: $81.10/claim|Median: $41.92
1.9× median
G2025Normal range

$3K

197 claims · 0.0%

Your Cost: $17.57/claim|Median: $15.63
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

5,116 claims · 0.0%

Your Cost: $0.50/claim|Median: $7.18
0.1× median
0004ATop 25%

$2K

45 claims · 0.0%

Your Cost: $40.00/claim|Median: $35.62
1.1× median
90471Normal range

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

$2K

14K claims · 0.0%

Your Cost: $0.12/claim|Median: $9.80
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1K

2,318 claims · 0.0%

Your Cost: $0.60/claim|Median: $74.82
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1K

1,103 claims · 0.0%

Your Cost: $1.01/claim|Median: $80.15
0.0× median
0134ANormal range

$1K

40 claims · 0.0%

Your Cost: $26.00/claim|Median: $33.54
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$911

2,201 claims · 0.0%

Your Cost: $0.41/claim|Median: $75.18
0.0× median
91322Normal range

$584

15 claims · 0.0%

Your Cost: $38.91/claim|Median: $76.28
0.5× median
90472Normal range

Immunization administration, each additional vaccine

$317

4,010 claims · 0.0%

Your Cost: $0.08/claim|Median: $11.79
0.0× median
90677Normal range

$284

269 claims · 0.0%

Your Cost: $1.05/claim|Median: $12.96
0.1× median
90688Top 25%

$248

14 claims · 0.0%

Your Cost: $17.72/claim|Median: $9.00
2.0× median
92551Normal range

Screening audiometry, pure tone, air only

$206

3,381 claims · 0.0%

Your Cost: $0.06/claim|Median: $6.61
0.0× median
85018Normal range

$183

2,045 claims · 0.0%

Your Cost: $0.09/claim|Median: $1.71
0.1× median
90480Normal range

$160

32 claims · 0.0%

Your Cost: $5.00/claim|Median: $25.29
0.2× median
90746Normal range

Hepatitis B vaccine, adult

$120

12 claims · 0.0%

Your Cost: $9.97/claim|Median: $48.85
0.2× median
99204Normal range

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

$78

85 claims · 0.0%

Your Cost: $0.92/claim|Median: $84.03
0.0× median
99203Normal range

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

$65

125 claims · 0.0%

Your Cost: $0.52/claim|Median: $57.85
0.0× median
99173Normal range

$54

3,857 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.16
0.0× median
96110Normal range

Developmental screening, per standardized instrument

$44

604 claims · 0.0%

Your Cost: $0.07/claim|Median: $9.10
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$29

603 claims · 0.0%

Your Cost: $0.05/claim|Median: $2.00
0.0× median
81025Normal range

Urine pregnancy test

$8

1,099 claims · 0.0%

Your Cost: $0.01/claim|Median: $4.81
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$8

514 claims · 0.0%

Your Cost: $0.02/claim|Median: $3.67
0.0× median
D0270Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.46
99396Normal range

Preventive medicine, established patient, age 40-64

$0

61 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.06
90750Normal range

$0

87 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.16
D0190Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.78
D2393Normal range

Resin-based composite, three surfaces, posterior

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.26
91300Normal range

COVID-19 vaccine (Pfizer), first dose

$0

77 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
87210Normal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.65
4010FNormal range

$0

2,174 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.58
90710Normal range

MMRV vaccine

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.00
G9920Normal range

$0

4,638 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.56
91301

COVID-19 vaccine (Moderna), first dose

$0

25 claims · 0.0%

90696Normal range

DTaP-IPV vaccine

$0

24 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.95
3078FNormal range

$0

24K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
1160FNormal range

$0

77 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01

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