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EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·COLUMBIA, SC·NPI: 1346249430Share

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 $84.5M 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

$84.5M

$84,469,762

Total Claims

905K

Beneficiaries

829K

1.1 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$12.3M
-0%
2019
$12.3M
-20%
2020
$9.8M
+19%
2021
$11.7M
+4%
2022
$12.1M
+19%
2023
$14.4M
-18%
2024
$11.9M

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 36% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$30.0M

203K claims · 35.6%

Your Cost: $147.88/claim|Median: $121.16
1.2× median
99213Top 1%

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

$20.4M

112K claims · 24.2%

Your Cost: $181.65/claim|Median: $37.81
4.8× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$6.5M

35K claims · 7.6%

Your Cost: $184.11/claim|Median: $69.35
2.7× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$5.4M

29K claims · 6.4%

Your Cost: $186.47/claim|Median: $75.18
2.5× median
99214Top 5%

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

$5.0M

28K claims · 6.0%

Your Cost: $180.34/claim|Median: $53.41
3.4× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$4.5M

25K claims · 5.4%

Your Cost: $185.27/claim|Median: $74.82
2.5× median
99212Top 5%

Office/outpatient visit, low complexity

$3.7M

21K claims · 4.4%

Your Cost: $180.26/claim|Median: $25.06
7.2× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$3.2M

17K claims · 3.8%

Your Cost: $184.68/claim|Median: $80.15
2.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.3M

61K claims · 1.6%

Your Cost: $21.79/claim|Median: $17.85
1.2× median
87428Top 25%

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

$942K

16K claims · 1.1%

Your Cost: $60.44/claim|Median: $39.63
1.5× median
90832Top 5%

Psychotherapy, 30 minutes

$580K

3,294 claims · 0.7%

Your Cost: $176.07/claim|Median: $41.28
4.3× median
90837Top 5%

Psychotherapy, 60 minutes

$390K

2,225 claims · 0.5%

Your Cost: $175.26/claim|Median: $85.66
2.0× median
G9153Normal range

$352K

7,321 claims · 0.4%

Your Cost: $48.10/claim|Median: $43.70
1.1× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$334K

4,273 claims · 0.4%

Your Cost: $78.11/claim|Median: $41.92
1.9× median
59409Top 10%

Vaginal delivery only

$331K

328 claims · 0.4%

Your Cost: $1,010.06/claim|Median: $619.91
1.6× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$275K

3,506 claims · 0.3%

Your Cost: $78.31/claim|Median: $62.48
1.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$196K

3,172 claims · 0.2%

Your Cost: $61.63/claim|Median: $37.22
1.7× median
96160Top 5%

Patient-focused health risk assessment

$86K

3,472 claims · 0.1%

Your Cost: $24.84/claim|Median: $2.10
11.8× median
90847Top 10%

Family psychotherapy with patient, 50 min

$82K

492 claims · 0.1%

Your Cost: $166.34/claim|Median: $77.33
2.2× median
90791Top 10%

Psychiatric diagnostic evaluation

$57K

339 claims · 0.1%

Your Cost: $167.47/claim|Median: $99.21
1.7× median
99215Top 10%

Office/outpatient visit, high complexity

$51K

313 claims · 0.1%

Your Cost: $162.01/claim|Median: $74.09
2.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$45K

1,152 claims · 0.1%

Your Cost: $38.75/claim|Median: $32.07
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$40K

832 claims · 0.0%

Your Cost: $47.95/claim|Median: $43.38
1.1× median
97802Top 5%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$34K

192 claims · 0.0%

Your Cost: $174.63/claim|Median: $12.70
13.8× median
99051Normal range

$30K

2,680 claims · 0.0%

Your Cost: $11.28/claim|Median: $7.89
1.4× median
D0274Normal range

Bitewings, four radiographic images

$28K

1,118 claims · 0.0%

Your Cost: $25.19/claim|Median: $22.54
1.1× median
G0467Top 5%

Federally qualified health center visit, mental health

$27K

134 claims · 0.0%

Your Cost: $198.13/claim|Median: $21.91
9.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$25K

47K claims · 0.0%

Your Cost: $0.53/claim|Median: $3.67
0.1× median
59514Top 10%

Cesarean delivery only

$25K

27 claims · 0.0%

Your Cost: $922.96/claim|Median: $452.80
2.0× median
87426Normal range

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

$22K

792 claims · 0.0%

Your Cost: $28.26/claim|Median: $30.04
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$18K

792 claims · 0.0%

Your Cost: $22.40/claim|Median: $24.34
0.9× median
D0330Top 25%

Panoramic radiographic image

$17K

344 claims · 0.0%

Your Cost: $49.94/claim|Median: $37.36
1.3× median
96161Top 5%

$17K

684 claims · 0.0%

Your Cost: $25.01/claim|Median: $2.49
10.0× median
96110Normal range

Developmental screening, per standardized instrument

$17K

27K claims · 0.0%

Your Cost: $0.61/claim|Median: $9.10
0.1× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$16K

184 claims · 0.0%

Your Cost: $84.44/claim|Median: $57.39
1.5× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$15K

92 claims · 0.0%

Your Cost: $168.29/claim|Median: $72.71
2.3× median
90834Top 5%

Psychotherapy, 45 minutes

$15K

85 claims · 0.0%

Your Cost: $175.08/claim|Median: $63.65
2.8× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$14K

241 claims · 0.0%

Your Cost: $59.53/claim|Median: $23.99
2.5× median
D1206Normal range

Topical application of fluoride varnish

$13K

802 claims · 0.0%

Your Cost: $16.40/claim|Median: $18.12
0.9× median
99462Normal range

$12K

445 claims · 0.0%

Your Cost: $27.98/claim|Median: $27.49
1.0× median
D1120Normal range

Prophylaxis, adult

$12K

356 claims · 0.0%

Your Cost: $34.41/claim|Median: $33.86
1.0× median
99203Top 5%

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

$11K

53 claims · 0.0%

Your Cost: $205.73/claim|Median: $57.85
3.6× median
99383Top 5%

Preventive visit, new patient, late childhood (5-11 yr)

$11K

58 claims · 0.0%

Your Cost: $186.60/claim|Median: $81.92
2.3× median
0071ANormal range

$10K

256 claims · 0.0%

Your Cost: $39.10/claim|Median: $38.71
1.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$10K

4,629 claims · 0.0%

Your Cost: $2.16/claim|Median: $5.50
0.4× median
0072ANormal range

$9K

231 claims · 0.0%

Your Cost: $38.89/claim|Median: $39.57
1.0× median
90715Normal range

Tdap vaccine

$8K

1,591 claims · 0.0%

Your Cost: $4.99/claim|Median: $10.32
0.5× median
D0140Top 25%

Limited oral evaluation, problem focused

$8K

205 claims · 0.0%

Your Cost: $37.30/claim|Median: $27.07
1.4× median
90688Normal range

$7K

639 claims · 0.0%

Your Cost: $11.66/claim|Median: $9.00
1.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$7K

334 claims · 0.0%

Your Cost: $20.99/claim|Median: $32.55
0.6× median

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