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SEA-MAR COMMUNITY HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·SEATTLE, WA·NPI: 1356487318Share

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 $42.5M 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

$42.5M

$42,522,905

Total Claims

1.0M

Beneficiaries

886K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$6.2M
+62%
2019
$10.1M
-27%
2020
$7.4M
+11%
2021
$8.2M
-10%
2022
$7.3M
-74%
2023
$1.9M
-24%
2024
$1.4M

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.

99213Normal range

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

$8.4M

251K claims · 19.7%

Your Cost: $33.34/claim|Median: $37.81
0.9× median
90834Top 25%

Psychotherapy, 45 minutes

$7.6M

78K claims · 17.8%

Your Cost: $97.46/claim|Median: $63.65
1.5× median
G9149Normal range

$5.4M

26K claims · 12.6%

Your Cost: $202.60/claim|Median: $206.55
1.0× median
99214Normal range

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

$4.2M

79K claims · 9.9%

Your Cost: $52.96/claim|Median: $53.41
1.0× median
90837Top 10%

Psychotherapy, 60 minutes

$4.1M

32K claims · 9.6%

Your Cost: $126.84/claim|Median: $85.66
1.5× median
H0018Normal range

Behavioral health; short-term residential, per diem

$1.2M

4,983 claims · 2.9%

Your Cost: $244.24/claim|Median: $467.51
0.5× median
90832Top 25%

Psychotherapy, 30 minutes

$864K

14K claims · 2.0%

Your Cost: $63.26/claim|Median: $41.28
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$715K

16K claims · 1.7%

Your Cost: $44.56/claim|Median: $75.18
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$658K

19K claims · 1.5%

Your Cost: $35.38/claim|Median: $74.82
0.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$536K

10K claims · 1.3%

Your Cost: $53.49/claim|Median: $74.63
0.7× median
96153Top 10%

Health/behavior intervention, group

$513K

8,383 claims · 1.2%

Your Cost: $61.20/claim|Median: $6.67
9.2× median
99212Normal range

Office/outpatient visit, low complexity

$486K

26K claims · 1.1%

Your Cost: $19.02/claim|Median: $25.06
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$486K

9,305 claims · 1.1%

Your Cost: $52.19/claim|Median: $69.35
0.8× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$478K

15K claims · 1.1%

Your Cost: $32.15/claim|Median: $15.54
2.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$421K

11K claims · 1.0%

Your Cost: $36.65/claim|Median: $80.15
0.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$398K

15K claims · 0.9%

Your Cost: $26.74/claim|Median: $22.44
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$326K

47K claims · 0.8%

Your Cost: $6.88/claim|Median: $7.18
1.0× median
87426Normal range

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

$281K

8,991 claims · 0.7%

Your Cost: $31.27/claim|Median: $30.04
1.0× median
96164Top 25%

$273K

15K claims · 0.6%

Your Cost: $17.65/claim|Median: $9.87
1.8× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$272K

37K claims · 0.6%

Your Cost: $7.35/claim|Median: $5.50
1.3× median
90471Normal range

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

$265K

31K claims · 0.6%

Your Cost: $8.48/claim|Median: $9.80
0.9× median
90791Top 10%

Psychiatric diagnostic evaluation

$263K

1,584 claims · 0.6%

Your Cost: $165.78/claim|Median: $99.21
1.7× median
G9150Normal range

$256K

1,840 claims · 0.6%

Your Cost: $139.37/claim|Median: $95.23
1.5× median
H0019Normal range

Behavioral health; residential, per diem

$247K

886 claims · 0.6%

Your Cost: $278.65/claim|Median: $357.16
0.8× median
99215Top 25%

Office/outpatient visit, high complexity

$237K

1,884 claims · 0.6%

Your Cost: $125.65/claim|Median: $74.09
1.7× median
99441Normal range

Telephone E/M by physician, 5-10 min

$224K

15K claims · 0.5%

Your Cost: $14.72/claim|Median: $13.30
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$217K

4,797 claims · 0.5%

Your Cost: $45.23/claim|Median: $96.24
0.5× median
G9148Normal range

$215K

740 claims · 0.5%

Your Cost: $289.90/claim|Median: $281.00
1.0× median
99203Normal range

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

$203K

3,782 claims · 0.5%

Your Cost: $53.60/claim|Median: $57.85
0.9× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$184K

2,996 claims · 0.4%

Your Cost: $61.32/claim|Median: $32.55
1.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$164K

4,131 claims · 0.4%

Your Cost: $39.69/claim|Median: $40.11
1.0× median
90853Top 5%

Group psychotherapy

$161K

1,594 claims · 0.4%

Your Cost: $101.25/claim|Median: $25.02
4.0× median
99204Normal range

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

$142K

1,896 claims · 0.3%

Your Cost: $74.96/claim|Median: $84.03
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$129K

4,300 claims · 0.3%

Your Cost: $30.04/claim|Median: $32.07
0.9× median
80061Normal range

Lipid panel

$113K

11K claims · 0.3%

Your Cost: $10.17/claim|Median: $8.41
1.2× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$101K

583 claims · 0.2%

Your Cost: $173.23/claim|Median: $108.91
1.6× median
H2036Normal range

Alcohol/drug treatment, per hour

$101K

8,543 claims · 0.2%

Your Cost: $11.81/claim|Median: $253.79
0.0× median
D1110Normal range

Prophylaxis, adult cleaning

$72K

1,867 claims · 0.2%

Your Cost: $38.60/claim|Median: $43.38
0.9× median
90715Normal range

Tdap vaccine

$72K

4,270 claims · 0.2%

Your Cost: $16.84/claim|Median: $10.32
1.6× median
D0140Normal range

Limited oral evaluation, problem focused

$71K

3,515 claims · 0.2%

Your Cost: $20.32/claim|Median: $27.07
0.8× median
90670Normal range

$67K

8,359 claims · 0.2%

Your Cost: $8.05/claim|Median: $5.94
1.4× median
H0046Normal range

Mental health services, not otherwise specified

$59K

2,236 claims · 0.1%

Your Cost: $26.31/claim|Median: $85.02
0.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$53K

6,684 claims · 0.1%

Your Cost: $7.96/claim|Median: $10.51
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$53K

9,122 claims · 0.1%

Your Cost: $5.81/claim|Median: $4.71
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$51K

2,173 claims · 0.1%

Your Cost: $23.58/claim|Median: $24.34
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$51K

2,530 claims · 0.1%

Your Cost: $20.00/claim|Median: $12.59
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$48K

918 claims · 0.1%

Your Cost: $52.47/claim|Median: $47.08
1.1× median
D1206Normal range

Topical application of fluoride varnish

$47K

2,320 claims · 0.1%

Your Cost: $20.45/claim|Median: $18.12
1.1× median
90651Normal range

HPV vaccine, 9-valent

$47K

3,195 claims · 0.1%

Your Cost: $14.80/claim|Median: $8.93
1.7× median
80305Normal range

$46K

4,850 claims · 0.1%

Your Cost: $9.47/claim|Median: $7.44
1.3× median

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