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FOND DU LAC RESERVATION BUSINESS COMMITTEE

Clinic/Center·CLOQUET, MN·NPI: 1326053166Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.8M is at the 50th percentile among 13 Clinic/Center providers.

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$25.8M

$25,842,248

Total Claims

105K

Beneficiaries

82K

1.3 claims/patient

Avg Cost/Claim

$247

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-2%
2019
$4.5M
-23%
2020
$3.5M
+43%
2021
$5.0M
-25%
2022
$3.7M
-25%
2023
$2.8M
-34%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 20% of total spending.

99213Top 1%

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

$5.2M

11K claims · 20.1%

Your Cost: $455.54/claim|Median: $37.81
12.0× median
99214Top 1%

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

$3.6M

7,658 claims · 14.1%

Your Cost: $475.78/claim|Median: $53.41
8.9× median
99211Top 1%

Office/outpatient visit, minimal complexity

$3.4M

8,021 claims · 13.2%

Your Cost: $426.07/claim|Median: $12.93
33.0× median
S9123Top 25%

Nursing care, in the home, by RN, per 15 minutes

$2.4M

4,463 claims · 9.2%

Your Cost: $529.91/claim|Median: $124.86
4.2× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$1.4M

2,864 claims · 5.6%

Your Cost: $503.59/claim|Median: $13.30
37.9× median
T1017Top 25%

Targeted case management, per 15 min

$1.2M

5,503 claims · 4.6%

Your Cost: $215.39/claim|Median: $69.56
3.1× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$772K

1,424 claims · 3.0%

Your Cost: $542.11/claim|Median: $20.83
26.0× median
98940Top 1%

$764K

1,743 claims · 3.0%

Your Cost: $438.42/claim|Median: $14.55
30.1× median
D0120Top 1%

Periodic oral evaluation, established patient

$636K

3,012 claims · 2.5%

Your Cost: $211.11/claim|Median: $24.34
8.7× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$556K

1,146 claims · 2.2%

Your Cost: $485.35/claim|Median: $22.44
21.6× median
97110Top 1%

Therapeutic exercises, each 15 min

$499K

1,821 claims · 1.9%

Your Cost: $274.26/claim|Median: $24.49
11.2× median
D0140Top 1%

Limited oral evaluation, problem focused

$484K

2,183 claims · 1.9%

Your Cost: $221.80/claim|Median: $27.07
8.2× median
92015Top 1%

Determination of refractive state

$457K

1,494 claims · 1.8%

Your Cost: $305.74/claim|Median: $10.36
29.5× median
99215Top 1%

Office/outpatient visit, high complexity

$374K

726 claims · 1.4%

Your Cost: $514.86/claim|Median: $74.09
6.9× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$371K

1,610 claims · 1.4%

Your Cost: $230.55/claim|Median: $10.51
21.9× median
D1110Top 1%

Prophylaxis, adult cleaning

$336K

1,273 claims · 1.3%

Your Cost: $263.89/claim|Median: $43.38
6.1× median
D0274Top 1%

Bitewings, four radiographic images

$317K

1,526 claims · 1.2%

Your Cost: $207.43/claim|Median: $22.54
9.2× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$262K

561 claims · 1.0%

Your Cost: $467.34/claim|Median: $25.93
18.0× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$255K

1,953 claims · 1.0%

Your Cost: $130.47/claim|Median: $17.85
7.3× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$252K

551 claims · 1.0%

Your Cost: $457.17/claim|Median: $75.18
6.1× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$240K

499 claims · 0.9%

Your Cost: $481.44/claim|Median: $33.85
14.2× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$217K

476 claims · 0.8%

Your Cost: $455.15/claim|Median: $69.35
6.6× median
99212Top 1%

Office/outpatient visit, low complexity

$206K

462 claims · 0.8%

Your Cost: $445.54/claim|Median: $25.06
17.8× median
D1206Top 1%

Topical application of fluoride varnish

$204K

3,008 claims · 0.8%

Your Cost: $67.87/claim|Median: $18.12
3.7× median
D0330Top 1%

Panoramic radiographic image

$158K

919 claims · 0.6%

Your Cost: $171.71/claim|Median: $37.36
4.6× median
90471Top 1%

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

$144K

1,517 claims · 0.6%

Your Cost: $94.64/claim|Median: $9.80
9.7× median
92012Top 1%

Ophthalmological exam, intermediate, established patient

$135K

812 claims · 0.5%

Your Cost: $166.55/claim|Median: $38.23
4.4× median
D1120Top 1%

Prophylaxis, adult

$130K

581 claims · 0.5%

Your Cost: $223.17/claim|Median: $33.86
6.6× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$112K

244 claims · 0.4%

Your Cost: $457.16/claim|Median: $74.82
6.1× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$111K

241 claims · 0.4%

Your Cost: $459.76/claim|Median: $32.55
14.1× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$74K

276 claims · 0.3%

Your Cost: $267.81/claim|Median: $32.07
8.4× median
0013ATop 1%

$70K

139 claims · 0.3%

Your Cost: $505.42/claim|Median: $35.38
14.3× median
J1050Top 1%

Injection, medroxyprogesterone acetate, one milligram

$55K

253 claims · 0.2%

Your Cost: $217.18/claim|Median: $41.92
5.2× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$51K

935 claims · 0.2%

Your Cost: $54.36/claim|Median: $23.99
2.3× median
97140Top 1%

Manual therapy techniques, per 15 minutes

$49K

402 claims · 0.2%

Your Cost: $122.68/claim|Median: $16.79
7.3× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$48K

1,259 claims · 0.2%

Your Cost: $37.96/claim|Median: $9.56
4.0× median
92002Top 1%

Intermediate eye exam, new patient

$33K

148 claims · 0.1%

Your Cost: $226.32/claim|Median: $41.61
5.4× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$33K

366 claims · 0.1%

Your Cost: $88.92/claim|Median: $37.22
2.4× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$28K

64 claims · 0.1%

Your Cost: $434.23/claim|Median: $80.15
5.4× median
97112Top 1%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$23K

161 claims · 0.1%

Your Cost: $142.73/claim|Median: $20.04
7.1× median
D2391Top 1%

Resin-based composite, one surface, posterior

$18K

92 claims · 0.1%

Your Cost: $191.63/claim|Median: $54.60
3.5× median
D0272Top 1%

Bitewings, two radiographic images

$17K

86 claims · 0.1%

Your Cost: $192.58/claim|Median: $15.81
12.2× median
90688Top 10%

$14K

717 claims · 0.1%

Your Cost: $19.48/claim|Median: $9.00
2.2× median
0134ATop 5%

$12K

36 claims · 0.0%

Your Cost: $346.56/claim|Median: $33.54
10.3× median
D1351Top 10%

Sealant, per tooth

$12K

246 claims · 0.0%

Your Cost: $48.06/claim|Median: $26.10
1.8× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$12K

831 claims · 0.0%

Your Cost: $14.09/claim|Median: $7.18
2.0× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$10K

32 claims · 0.0%

Your Cost: $314.70/claim|Median: $71.00
4.4× median
G0108Top 1%

Diabetes self-management training, individual

$7K

14 claims · 0.0%

Your Cost: $503.65/claim|Median: $35.89
14.0× median
93000Top 1%

Electrocardiogram, complete, with interpretation and report

$5K

118 claims · 0.0%

Your Cost: $42.29/claim|Median: $9.70
4.4× median
90472Normal range

Immunization administration, each additional vaccine

$5K

418 claims · 0.0%

Your Cost: $11.63/claim|Median: $11.79
1.0× median

Other Top Providers in Minnesota

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Mains'l Florida, Inc.

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$996.8M

Hennepin Healthcare System INC

General Acute Care Hospital

$708.9M

Accra Care

Home Health

$306.8M

Divine House, Inc.

Community Based Residential Treatment Facility, In

$230.9M

Activstyle, LLC

Durable Medical Equipment & Medical Supplies, Pare

$219.6M

Similar Providers

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Children's Hospital Corporation

Boston, MA

$330.8M

County of Santa Cruz

Santa Cruz, CA

$276.3M

Northern Valley Indian Health INC

Willows, CA

$217.1M

Upmc Presbyterian Shadyside

Pittsburgh, PA

$125.5M

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