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SU CLINICA FAMILIAR

Clinic/Center, Federally Qualified Health Center (FQHC)·HARLINGEN, TX·NPI: 1285643304Share

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 $37.6M 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

$37.6M

$37,575,627

Total Claims

787K

Beneficiaries

628K

1.3 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$329K
+1%
2019
$334K
+653%
2020
$2.5M
+223%
2021
$8.1M
+40%
2022
$11.4M
-45%
2023
$6.3M
+38%
2024
$8.6M

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 68% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$25.6M

183K claims · 68.2%

Your Cost: $139.95/claim|Median: $121.16
1.2× median
99213Normal range

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

$3.1M

72K claims · 8.2%

Your Cost: $42.84/claim|Median: $37.81
1.1× median
D0999Normal range

Unspecified diagnostic procedure, by report

$2.5M

16K claims · 6.7%

Your Cost: $160.65/claim|Median: $101.33
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$2.0M

48K claims · 5.2%

Your Cost: $40.47/claim|Median: $25.06
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$611K

9,030 claims · 1.6%

Your Cost: $67.69/claim|Median: $80.15
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$512K

7,463 claims · 1.4%

Your Cost: $68.56/claim|Median: $74.82
0.9× median
99214Normal range

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

$449K

8,940 claims · 1.2%

Your Cost: $50.18/claim|Median: $53.41
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$427K

6,657 claims · 1.1%

Your Cost: $64.18/claim|Median: $75.18
0.9× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$424K

3,301 claims · 1.1%

Your Cost: $128.34/claim|Median: $72.71
1.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$375K

4,712 claims · 1.0%

Your Cost: $79.63/claim|Median: $69.35
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$182K

2,129 claims · 0.5%

Your Cost: $85.65/claim|Median: $85.66
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$149K

34K claims · 0.4%

Your Cost: $4.40/claim|Median: $17.85
0.2× median
87428Normal range

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

$139K

5,820 claims · 0.4%

Your Cost: $23.92/claim|Median: $39.63
0.6× median
99381Top 10%

Preventive visit, new patient, infant (<1 yr)

$132K

1,145 claims · 0.4%

Your Cost: $115.42/claim|Median: $73.46
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$131K

2,278 claims · 0.3%

Your Cost: $57.65/claim|Median: $63.65
0.9× median
99050Normal range

$116K

12K claims · 0.3%

Your Cost: $10.08/claim|Median: $11.81
0.9× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$82K

510 claims · 0.2%

Your Cost: $160.65/claim|Median: $76.06
2.1× median
90832Normal range

Psychotherapy, 30 minutes

$53K

1,203 claims · 0.1%

Your Cost: $44.24/claim|Median: $41.28
1.1× median
59409Normal range

Vaginal delivery only

$40K

102 claims · 0.1%

Your Cost: $395.00/claim|Median: $619.91
0.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$34K

1,155 claims · 0.1%

Your Cost: $29.46/claim|Median: $12.93
2.3× median
99203Normal range

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

$27K

549 claims · 0.1%

Your Cost: $49.89/claim|Median: $57.85
0.9× median
59430Normal range

$27K

597 claims · 0.1%

Your Cost: $45.55/claim|Median: $80.32
0.6× median
59025Normal range

Fetal non-stress test

$24K

1,331 claims · 0.1%

Your Cost: $17.68/claim|Median: $26.45
0.7× median
87804Normal range

Influenza virus detection, rapid test

$22K

4,396 claims · 0.1%

Your Cost: $5.06/claim|Median: $12.59
0.4× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$21K

134 claims · 0.1%

Your Cost: $158.02/claim|Median: $76.22
2.1× median
90461Normal range

Immunization admin, additional vaccine, counseling

$21K

13K claims · 0.1%

Your Cost: $1.66/claim|Median: $6.93
0.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$19K

1,077 claims · 0.1%

Your Cost: $17.88/claim|Median: $33.72
0.5× median
87081Normal range

Culture screening for pathogenic organisms

$18K

7,871 claims · 0.0%

Your Cost: $2.29/claim|Median: $5.09
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$18K

347 claims · 0.0%

Your Cost: $51.04/claim|Median: $40.11
1.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$18K

738 claims · 0.0%

Your Cost: $23.99/claim|Median: $58.16
0.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$17K

6,697 claims · 0.0%

Your Cost: $2.48/claim|Median: $9.87
0.3× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$15K

914 claims · 0.0%

Your Cost: $16.70/claim|Median: $36.70
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$14K

10K claims · 0.0%

Your Cost: $1.43/claim|Median: $4.71
0.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$11K

6,072 claims · 0.0%

Your Cost: $1.84/claim|Median: $23.39
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$11K

122 claims · 0.0%

Your Cost: $90.46/claim|Median: $108.91
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$11K

3,275 claims · 0.0%

Your Cost: $3.35/claim|Median: $39.70
0.1× median
80053Normal range

Comprehensive metabolic panel

$11K

7,600 claims · 0.0%

Your Cost: $1.43/claim|Median: $7.24
0.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$11K

6,080 claims · 0.0%

Your Cost: $1.78/claim|Median: $24.95
0.1× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$11K

5,505 claims · 0.0%

Your Cost: $1.92/claim|Median: $18.03
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$10K

136 claims · 0.0%

Your Cost: $74.22/claim|Median: $74.09
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$10K

200 claims · 0.0%

Your Cost: $48.14/claim|Median: $58.55
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$9K

2,049 claims · 0.0%

Your Cost: $4.61/claim|Median: $9.10
0.5× median
96160Normal range

Patient-focused health risk assessment

$8K

6,061 claims · 0.0%

Your Cost: $1.36/claim|Median: $2.10
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$8K

1,035 claims · 0.0%

Your Cost: $7.61/claim|Median: $35.43
0.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$8K

13K claims · 0.0%

Your Cost: $0.60/claim|Median: $2.00
0.3× median
81025Normal range

Urine pregnancy test

$8K

5,691 claims · 0.0%

Your Cost: $1.32/claim|Median: $4.81
0.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$7K

61 claims · 0.0%

Your Cost: $119.78/claim|Median: $120.85
1.0× median
59514Normal range

Cesarean delivery only

$7K

23 claims · 0.0%

Your Cost: $298.27/claim|Median: $452.80
0.7× median
71046Normal range

Chest X-ray, 2 views

$6K

552 claims · 0.0%

Your Cost: $11.56/claim|Median: $8.92
1.3× median
80061Normal range

Lipid panel

$6K

7,999 claims · 0.0%

Your Cost: $0.72/claim|Median: $8.41
0.1× median

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