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ALCONA CITIZENS FOR HEALTH, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·HARRISVILLE, MI·NPI: 1326055450Share

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 $25.6M 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

$25.6M

$25,563,786

Total Claims

1.7M

Beneficiaries

1.5M

1.1 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-17%
2019
$3.1M
-12%
2020
$2.7M
+43%
2021
$3.9M
+5%
2022
$4.1M
+1%
2023
$4.2M
-10%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 43% of total spending.

G0467Top 25%

Federally qualified health center visit, mental health

$11.0M

241K claims · 43.1%

Your Cost: $45.70/claim|Median: $21.91
2.1× median
G0470Normal range

Chronic care management services, FQHC/RHC

$2.7M

57K claims · 10.6%

Your Cost: $47.81/claim|Median: $45.95
1.0× median
99214Normal range

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

$1.8M

77K claims · 7.2%

Your Cost: $23.79/claim|Median: $53.41
0.4× median
99213Normal range

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

$1.7M

116K claims · 6.5%

Your Cost: $14.23/claim|Median: $37.81
0.4× median
90837Normal range

Psychotherapy, 60 minutes

$750K

24K claims · 2.9%

Your Cost: $31.44/claim|Median: $85.66
0.4× median
D1110Top 10%

Prophylaxis, adult cleaning

$653K

7,679 claims · 2.6%

Your Cost: $85.09/claim|Median: $43.38
2.0× median
G0466Normal range

$639K

11K claims · 2.5%

Your Cost: $58.70/claim|Median: $63.31
0.9× median
D0140Top 5%

Limited oral evaluation, problem focused

$404K

4,472 claims · 1.6%

Your Cost: $90.36/claim|Median: $27.07
3.3× median
D0120Top 10%

Periodic oral evaluation, established patient

$401K

8,807 claims · 1.6%

Your Cost: $45.48/claim|Median: $24.34
1.9× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$367K

4,822 claims · 1.4%

Your Cost: $76.13/claim|Median: $57.39
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$267K

13K claims · 1.0%

Your Cost: $20.00/claim|Median: $63.65
0.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$255K

6,927 claims · 1.0%

Your Cost: $36.80/claim|Median: $76.06
0.5× median
D1120Top 25%

Prophylaxis, adult

$254K

6,282 claims · 1.0%

Your Cost: $40.49/claim|Median: $33.86
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$237K

5,873 claims · 0.9%

Your Cost: $40.35/claim|Median: $75.18
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$231K

15K claims · 0.9%

Your Cost: $15.34/claim|Median: $41.28
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$221K

5,491 claims · 0.9%

Your Cost: $40.25/claim|Median: $74.82
0.5× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$214K

3,035 claims · 0.8%

Your Cost: $70.37/claim|Median: $32.07
2.2× median
D1206Top 25%

Topical application of fluoride varnish

$194K

7,586 claims · 0.8%

Your Cost: $25.63/claim|Median: $18.12
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$194K

5,093 claims · 0.8%

Your Cost: $38.15/claim|Median: $99.21
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$175K

4,657 claims · 0.7%

Your Cost: $37.48/claim|Median: $80.15
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$153K

5,611 claims · 0.6%

Your Cost: $27.26/claim|Median: $72.71
0.4× median
Q3014Normal range

Telehealth originating site facility fee

$136K

9,895 claims · 0.5%

Your Cost: $13.79/claim|Median: $15.37
0.9× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$123K

1,126 claims · 0.5%

Your Cost: $109.40/claim|Median: $71.00
1.5× median
D2391Top 25%

Resin-based composite, one surface, posterior

$121K

1,328 claims · 0.5%

Your Cost: $91.04/claim|Median: $54.60
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$110K

3,138 claims · 0.4%

Your Cost: $35.01/claim|Median: $74.09
0.5× median
G0469Normal range

$107K

2,066 claims · 0.4%

Your Cost: $51.65/claim|Median: $70.42
0.7× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$105K

1,583 claims · 0.4%

Your Cost: $66.51/claim|Median: $41.92
1.6× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$100K

1,597 claims · 0.4%

Your Cost: $62.83/claim|Median: $97.61
0.6× median
D0274Normal range

Bitewings, four radiographic images

$91K

4,087 claims · 0.4%

Your Cost: $22.31/claim|Median: $22.54
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$91K

4,113 claims · 0.4%

Your Cost: $22.13/claim|Median: $69.35
0.3× median
D2150Top 5%

Amalgam, two surfaces, primary or permanent

$90K

894 claims · 0.4%

Your Cost: $100.94/claim|Median: $66.00
1.5× median
87428Normal range

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

$70K

5,109 claims · 0.3%

Your Cost: $13.63/claim|Median: $39.63
0.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$69K

14K claims · 0.3%

Your Cost: $4.78/claim|Median: $11.48
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$65K

12K claims · 0.3%

Your Cost: $5.44/claim|Median: $17.85
0.3× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$64K

717 claims · 0.2%

Your Cost: $88.70/claim|Median: $73.58
1.2× median
G9002Normal range

Coordinated care fee, maintenance period

$62K

3,505 claims · 0.2%

Your Cost: $17.60/claim|Median: $108.80
0.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$61K

1,010 claims · 0.2%

Your Cost: $60.14/claim|Median: $108.91
0.6× median
99203Normal range

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

$61K

3,315 claims · 0.2%

Your Cost: $18.26/claim|Median: $57.85
0.3× median
D1351Normal range

Sealant, per tooth

$54K

2,130 claims · 0.2%

Your Cost: $25.52/claim|Median: $26.10
1.0× median
D0330Normal range

Panoramic radiographic image

$52K

1,063 claims · 0.2%

Your Cost: $49.34/claim|Median: $37.36
1.3× median
90651Top 25%

HPV vaccine, 9-valent

$50K

2,104 claims · 0.2%

Your Cost: $23.86/claim|Median: $8.93
2.7× median
99212Normal range

Office/outpatient visit, low complexity

$48K

4,567 claims · 0.2%

Your Cost: $10.59/claim|Median: $25.06
0.4× median
90632Normal range

$47K

1,746 claims · 0.2%

Your Cost: $27.02/claim|Median: $40.43
0.7× median
D2140Top 5%

Amalgam, one surface, primary or permanent

$47K

540 claims · 0.2%

Your Cost: $87.23/claim|Median: $52.77
1.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$45K

5,067 claims · 0.2%

Your Cost: $8.88/claim|Median: $10.51
0.8× median
99204Normal range

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

$45K

1,496 claims · 0.2%

Your Cost: $30.01/claim|Median: $84.03
0.4× median
D2160Top 10%

Amalgam filling, three surfaces

$42K

402 claims · 0.2%

Your Cost: $104.25/claim|Median: $78.55
1.3× median
87426Normal range

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

$41K

3,105 claims · 0.2%

Your Cost: $13.24/claim|Median: $30.04
0.4× median
D0272Top 25%

Bitewings, two radiographic images

$39K

1,742 claims · 0.2%

Your Cost: $22.58/claim|Median: $15.81
1.4× median
90471Normal range

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

$39K

8,177 claims · 0.2%

Your Cost: $4.77/claim|Median: $9.80
0.5× median