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

⚖️ Compare🖨️ Print Report

CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED

Clinic/Center, Federally Qualified Health Center (FQHC)·BATON ROUGE, LA·NPI: 1265548614Share

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 $21.5M 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

$21.5M

$21,541,127

Total Claims

471K

Beneficiaries

352K

1.3 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+10%
2019
$2.9M
-2%
2020
$2.8M
+8%
2021
$3.0M
+10%
2022
$3.4M
+7%
2023
$3.6M
-11%
2024
$3.2M

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 73% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$15.7M

131K claims · 72.7%

Your Cost: $119.88/claim|Median: $121.16
1.0× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$3.7M

36K claims · 17.1%

Your Cost: $101.57/claim|Median: $144.05
0.7× median
D0999Normal range

Unspecified diagnostic procedure, by report

$2.1M

26K claims · 9.8%

Your Cost: $80.57/claim|Median: $101.33
0.8× median
D0330Normal range

Panoramic radiographic image

$39K

10K claims · 0.2%

Your Cost: $3.83/claim|Median: $37.36
0.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$19K

4,446 claims · 0.1%

Your Cost: $4.21/claim|Median: $57.39
0.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$18K

6,917 claims · 0.1%

Your Cost: $2.56/claim|Median: $32.07
0.1× median
D0140Normal range

Limited oral evaluation, problem focused

$6K

2,457 claims · 0.0%

Your Cost: $2.55/claim|Median: $27.07
0.1× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$4K

655 claims · 0.0%

Your Cost: $6.17/claim|Median: $109.42
0.1× median
D0274Normal range

Bitewings, four radiographic images

$3K

5,676 claims · 0.0%

Your Cost: $0.58/claim|Median: $22.54
0.0× median
D1110Normal range

Prophylaxis, adult cleaning

$3K

1,022 claims · 0.0%

Your Cost: $2.61/claim|Median: $43.38
0.1× median
99051Top 25%

$2K

109 claims · 0.0%

Your Cost: $19.47/claim|Median: $7.89
2.5× median
3044FNormal range

$2K

3,496 claims · 0.0%

Your Cost: $0.53/claim|Median: $0.16
3.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$2K

598 claims · 0.0%

Your Cost: $2.86/claim|Median: $25.93
0.1× median
71015Top 25%

$2K

95 claims · 0.0%

Your Cost: $16.00/claim|Median: $14.26
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$1K

970 claims · 0.0%

Your Cost: $1.54/claim|Median: $24.34
0.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$1K

581 claims · 0.0%

Your Cost: $2.15/claim|Median: $33.85
0.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$852

207 claims · 0.0%

Your Cost: $4.11/claim|Median: $71.00
0.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$725

118 claims · 0.0%

Your Cost: $6.14/claim|Median: $33.72
0.2× median
3077FNormal range

$525

2,848 claims · 0.0%

Your Cost: $0.18/claim|Median: $0.12
1.5× median
3079FNormal range

$485

3,835 claims · 0.0%

Your Cost: $0.13/claim|Median: $0.12
1.1× median
3080FNormal range

$360

1,892 claims · 0.0%

Your Cost: $0.19/claim|Median: $0.16
1.2× median
98960Normal range

$325

163 claims · 0.0%

Your Cost: $2.00/claim|Median: $12.74
0.2× median
3074FNormal range

$290

2,884 claims · 0.0%

Your Cost: $0.10/claim|Median: $0.11
0.9× median
D4341Normal range

Periodontal scaling, per quadrant

$228

111 claims · 0.0%

Your Cost: $2.05/claim|Median: $70.00
0.0× median
99050Normal range

$197

33 claims · 0.0%

Your Cost: $5.98/claim|Median: $11.81
0.5× median
3075FNormal range

$195

1,613 claims · 0.0%

Your Cost: $0.12/claim|Median: $0.15
0.8× median
3078FNormal range

$185

1,676 claims · 0.0%

Your Cost: $0.11/claim|Median: $0.08
1.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$89

176 claims · 0.0%

Your Cost: $0.51/claim|Median: $10.51
0.0× median
0013ANormal range

$72

154 claims · 0.0%

Your Cost: $0.47/claim|Median: $35.38
0.0× median
99213Normal range

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

$67

54K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
0.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$35

51 claims · 0.0%

Your Cost: $0.68/claim|Median: $54.60
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$25

14K claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$0

7,686 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.93
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$0

6,500 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$0

6,923 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21
0.0× median
99173Normal range

$0

5,942 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
0.0× median
81000Normal range

Urinalysis with microscopy, non-automated

$0

4,462 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.51
0.0× median
36416Normal range

$0

247 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.31
0.0× median
99214Normal range

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

$0

29K claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$0

736 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$0

859 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
0.0× median
1125FNormal range

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
90688Normal range

$0

88 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

1,903 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
D1208Normal range

Topical application of fluoride, excluding varnish

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.36
D0272Normal range

Bitewings, two radiographic images

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.81
G0467Normal range

Federally qualified health center visit, mental health

$0

887 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.91
1126FNormal range

$0

501 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
90723Normal range

DTaP-HepB-IPV vaccine

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.78
96160Normal range

Patient-focused health risk assessment

$0

423 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.10

Other Top Providers in Louisiana

View all →

Acadian Ambulance Service Inc.

Ambulance Air Transport

$422.7M

Lsu Health Sciences Center Shreveport Faculty Group Practice

Oral & Maxillofacial Surgery

$235.7M

Physicians Group Laboratories, LLC

Clinical Medical Laboratory

$208.1M

Our Lady of the Lake Hospital Inc.

General Acute Care Hospital

$205.7M

Ochsner Clinic Foundation

General Acute Care Hospital

$167.0M

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 Louisiana →How we detect fraud →