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CHOPTANK COMMUNITY HEALTH SYSTEM INC

Clinic/Center, Federally Qualified Health Center (FQHC)·DENTON, MD·NPI: 1356388599Share

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 $27.2M 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

$27.2M

$27,206,838

Total Claims

278K

Beneficiaries

229K

1.2 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$40K
+267%
2019
$146K
+2003%
2020
$3.1M
+38%
2021
$4.3M
+30%
2022
$5.5M
+33%
2023
$7.3M
-7%
2024
$6.8M

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 57% of total spending.

99213Top 1%

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

$15.5M

97K claims · 57.1%

Your Cost: $159.85/claim|Median: $37.81
4.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$4.3M

42K claims · 15.9%

Your Cost: $102.36/claim|Median: $121.16
0.8× median
99214Top 5%

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

$3.1M

20K claims · 11.3%

Your Cost: $155.30/claim|Median: $53.41
2.9× median
99212Top 5%

Office/outpatient visit, low complexity

$992K

6,193 claims · 3.6%

Your Cost: $160.16/claim|Median: $25.06
6.4× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$684K

3,894 claims · 2.5%

Your Cost: $175.72/claim|Median: $75.18
2.3× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$570K

3,345 claims · 2.1%

Your Cost: $170.50/claim|Median: $69.35
2.5× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$515K

2,911 claims · 1.9%

Your Cost: $176.86/claim|Median: $74.82
2.4× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$351K

2,013 claims · 1.3%

Your Cost: $174.39/claim|Median: $80.15
2.2× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$256K

1,448 claims · 0.9%

Your Cost: $177.02/claim|Median: $72.71
2.4× median
99211Top 5%

Office/outpatient visit, minimal complexity

$193K

1,264 claims · 0.7%

Your Cost: $152.54/claim|Median: $12.93
11.8× median
W7010Normal range

$121K

15K claims · 0.4%

Your Cost: $7.94/claim|Median: $15.03
0.5× median
G0467Normal range

Federally qualified health center visit, mental health

$117K

3,874 claims · 0.4%

Your Cost: $30.19/claim|Median: $21.91
1.4× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$83K

453 claims · 0.3%

Your Cost: $182.80/claim|Median: $76.06
2.4× median
87426Normal range

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

$70K

2,480 claims · 0.3%

Your Cost: $28.24/claim|Median: $30.04
0.9× median
97803Top 10%

Medical nutrition therapy, reassessment, group, thirty minutes

$66K

694 claims · 0.2%

Your Cost: $95.11/claim|Median: $24.33
3.9× median
87428Normal range

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

$49K

3,221 claims · 0.2%

Your Cost: $15.31/claim|Median: $39.63
0.4× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$27K

5,429 claims · 0.1%

Your Cost: $4.92/claim|Median: $11.35
0.4× median
G2025Normal range

$25K

1,635 claims · 0.1%

Your Cost: $15.02/claim|Median: $15.63
1.0× median
G0470Normal range

Chronic care management services, FQHC/RHC

$21K

649 claims · 0.1%

Your Cost: $32.42/claim|Median: $45.95
0.7× median
99215Top 10%

Office/outpatient visit, high complexity

$18K

121 claims · 0.1%

Your Cost: $146.10/claim|Median: $74.09
2.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$18K

620 claims · 0.1%

Your Cost: $28.46/claim|Median: $25.93
1.1× median
G0442Top 25%

$15K

1,235 claims · 0.1%

Your Cost: $12.08/claim|Median: $4.91
2.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$12K

403 claims · 0.0%

Your Cost: $29.30/claim|Median: $33.85
0.9× median
99490Normal range

Chronic care management services, 20 minutes per month

$11K

1,992 claims · 0.0%

Your Cost: $5.29/claim|Median: $6.31
0.8× median
99204Top 5%

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

$8K

43 claims · 0.0%

Your Cost: $195.16/claim|Median: $84.03
2.3× median
90472Normal range

Immunization administration, each additional vaccine

$8K

6,442 claims · 0.0%

Your Cost: $1.20/claim|Median: $11.79
0.1× median
90471Normal range

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

$8K

15K claims · 0.0%

Your Cost: $0.50/claim|Median: $9.80
0.1× median
99000Normal range

$7K

11K claims · 0.0%

Your Cost: $0.64/claim|Median: $2.30
0.3× median
99173Normal range

$6K

3,881 claims · 0.0%

Your Cost: $1.65/claim|Median: $2.16
0.8× median
97802Top 10%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$5K

44 claims · 0.0%

Your Cost: $119.08/claim|Median: $12.70
9.4× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$4K

138 claims · 0.0%

Your Cost: $31.76/claim|Median: $36.70
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

1,093 claims · 0.0%

Your Cost: $3.97/claim|Median: $7.18
0.6× median
99401Top 1%

$4K

49 claims · 0.0%

Your Cost: $78.57/claim|Median: $16.53
4.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$3K

141 claims · 0.0%

Your Cost: $21.41/claim|Median: $33.72
0.6× median
92551Normal range

Screening audiometry, pure tone, air only

$3K

1,773 claims · 0.0%

Your Cost: $1.59/claim|Median: $6.61
0.2× median
0071ANormal range

$3K

65 claims · 0.0%

Your Cost: $39.27/claim|Median: $38.71
1.0× median
99386Top 5%

Preventive visit, new patient, 40-64 yr

$2K

12 claims · 0.0%

Your Cost: $182.39/claim|Median: $87.82
2.1× median
91320Top 25%

$2K

18 claims · 0.0%

Your Cost: $117.33/claim|Median: $72.65
1.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$2K

239 claims · 0.0%

Your Cost: $7.99/claim|Median: $22.44
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$2K

3,255 claims · 0.0%

Your Cost: $0.51/claim|Median: $5.50
0.1× median
G0008Top 25%

$2K

104 claims · 0.0%

Your Cost: $14.75/claim|Median: $2.54
5.8× median
0072ANormal range

$1K

37 claims · 0.0%

Your Cost: $38.92/claim|Median: $39.57
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$1K

6,103 claims · 0.0%

Your Cost: $0.18/claim|Median: $11.48
0.0× median
90682Normal range

$1K

173 claims · 0.0%

Your Cost: $6.26/claim|Median: $34.72
0.2× median
90480Top 25%

$680

18 claims · 0.0%

Your Cost: $37.78/claim|Median: $25.29
1.5× median
90656Normal range

$637

344 claims · 0.0%

Your Cost: $1.85/claim|Median: $8.67
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$553

157 claims · 0.0%

Your Cost: $3.52/claim|Median: $41.28
0.1× median
90670Normal range

$349

174 claims · 0.0%

Your Cost: $2.01/claim|Median: $5.94
0.3× median
90698Normal range

$303

122 claims · 0.0%

Your Cost: $2.48/claim|Median: $6.32
0.4× median
G0071Normal range

$234

92 claims · 0.0%

Your Cost: $2.54/claim|Median: $7.20
0.4× median

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