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NORTH SHORE COMMUNITY HEALTH, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·SALEM, MA·NPI: 1366582090Share

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 $32.2M 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

$32.2M

$32,247,083

Total Claims

458K

Beneficiaries

306K

1.5 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+17%
2019
$4.2M
+28%
2020
$5.3M
+6%
2021
$5.6M
+39%
2022
$7.8M
-57%
2023
$3.3M
-27%
2024
$2.4M

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 69% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$22.3M

148K claims · 69.2%

Your Cost: $151.16/claim|Median: $121.16
1.2× median
D9450Normal range

$2.0M

76K claims · 6.3%

Your Cost: $26.84/claim|Median: $21.95
1.2× median
T1040Normal range

Medicaid certified CCBHC services

$1.3M

9,216 claims · 3.9%

Your Cost: $135.94/claim|Median: $130.29
1.0× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$504K

3,473 claims · 1.6%

Your Cost: $145.16/claim|Median: $45.95
3.2× median
D1110Normal range

Prophylaxis, adult cleaning

$480K

22K claims · 1.5%

Your Cost: $21.55/claim|Median: $43.38
0.5× median
90834Top 25%

Psychotherapy, 45 minutes

$472K

5,571 claims · 1.5%

Your Cost: $84.81/claim|Median: $63.65
1.3× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$465K

2,872 claims · 1.4%

Your Cost: $162.03/claim|Median: $72.71
2.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$455K

11K claims · 1.4%

Your Cost: $40.36/claim|Median: $21.91
1.8× median
90832Normal range

Psychotherapy, 30 minutes

$366K

8,958 claims · 1.1%

Your Cost: $40.84/claim|Median: $41.28
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$279K

6,390 claims · 0.9%

Your Cost: $43.62/claim|Median: $57.39
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$272K

9,860 claims · 0.8%

Your Cost: $27.57/claim|Median: $46.33
0.6× median
D9110Normal range

$253K

12K claims · 0.8%

Your Cost: $21.56/claim|Median: $38.08
0.6× median
99050Top 5%

$156K

3,031 claims · 0.5%

Your Cost: $51.38/claim|Median: $11.81
4.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$152K

6,667 claims · 0.5%

Your Cost: $22.76/claim|Median: $54.60
0.4× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$137K

907 claims · 0.4%

Your Cost: $151.41/claim|Median: $80.15
1.9× median
D0120Normal range

Periodic oral evaluation, established patient

$126K

12K claims · 0.4%

Your Cost: $10.44/claim|Median: $24.34
0.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$111K

6,836 claims · 0.3%

Your Cost: $16.21/claim|Median: $32.07
0.5× median
D0274Normal range

Bitewings, four radiographic images

$109K

6,828 claims · 0.3%

Your Cost: $15.99/claim|Median: $22.54
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$109K

13K claims · 0.3%

Your Cost: $8.40/claim|Median: $10.51
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$101K

3,709 claims · 0.3%

Your Cost: $27.13/claim|Median: $71.00
0.4× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$87K

581 claims · 0.3%

Your Cost: $150.34/claim|Median: $74.82
2.0× median
90791Top 25%

Psychiatric diagnostic evaluation

$82K

569 claims · 0.3%

Your Cost: $143.28/claim|Median: $99.21
1.4× median
90651Top 10%

HPV vaccine, 9-valent

$81K

1,182 claims · 0.3%

Your Cost: $68.95/claim|Median: $8.93
7.7× median
G2025Normal range

$81K

4,957 claims · 0.3%

Your Cost: $16.38/claim|Median: $15.63
1.0× median
90882Normal range

Environmental intervention

$78K

1,901 claims · 0.2%

Your Cost: $40.99/claim|Median: $45.05
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$74K

3,372 claims · 0.2%

Your Cost: $21.81/claim|Median: $27.07
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$71K

926 claims · 0.2%

Your Cost: $77.17/claim|Median: $76.06
1.0× median
90837Top 25%

Psychotherapy, 60 minutes

$69K

634 claims · 0.2%

Your Cost: $109.02/claim|Median: $85.66
1.3× median
99213Normal range

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

$68K

7,249 claims · 0.2%

Your Cost: $9.44/claim|Median: $37.81
0.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$68K

2,355 claims · 0.2%

Your Cost: $29.04/claim|Median: $66.63
0.4× median
D2335Normal range

$66K

1,150 claims · 0.2%

Your Cost: $57.59/claim|Median: $105.06
0.5× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$62K

1,844 claims · 0.2%

Your Cost: $33.76/claim|Median: $73.58
0.5× median
G0469Top 25%

$57K

325 claims · 0.2%

Your Cost: $176.17/claim|Median: $70.42
2.5× median
90471Normal range

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

$56K

8,359 claims · 0.2%

Your Cost: $6.67/claim|Median: $9.80
0.7× median
90715Top 25%

Tdap vaccine

$54K

2,088 claims · 0.2%

Your Cost: $26.03/claim|Median: $10.32
2.5× median
D1120Top 10%

Prophylaxis, adult

$51K

1,025 claims · 0.2%

Your Cost: $49.30/claim|Median: $33.86
1.5× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$50K

1,681 claims · 0.2%

Your Cost: $29.98/claim|Median: $66.00
0.5× median
D0180Normal range

$49K

3,571 claims · 0.2%

Your Cost: $13.84/claim|Median: $35.21
0.4× median
99211Top 25%

Office/outpatient visit, minimal complexity

$49K

2,360 claims · 0.2%

Your Cost: $20.67/claim|Median: $12.93
1.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$45K

3,750 claims · 0.1%

Your Cost: $12.02/claim|Median: $7.18
1.7× median
D1206Top 25%

Topical application of fluoride varnish

$42K

1,680 claims · 0.1%

Your Cost: $25.04/claim|Median: $18.12
1.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$38K

1,309 claims · 0.1%

Your Cost: $29.24/claim|Median: $22.44
1.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$38K

1,892 claims · 0.1%

Your Cost: $20.11/claim|Median: $17.85
1.1× median
90677Top 5%

$38K

145 claims · 0.1%

Your Cost: $262.01/claim|Median: $12.96
20.2× median
D5212Normal range

$37K

178 claims · 0.1%

Your Cost: $206.61/claim|Median: $402.44
0.5× median
90682Top 10%

$36K

620 claims · 0.1%

Your Cost: $57.34/claim|Median: $34.72
1.7× median
D2740Normal range

Crown, porcelain/ceramic substrate

$35K

125 claims · 0.1%

Your Cost: $279.94/claim|Median: $509.58
0.5× median
90887Normal range

Interpretation/explanation of results

$35K

943 claims · 0.1%

Your Cost: $36.92/claim|Median: $47.55
0.8× median
90746Top 25%

Hepatitis B vaccine, adult

$34K

504 claims · 0.1%

Your Cost: $67.36/claim|Median: $48.85
1.4× median
91322Top 10%

$28K

197 claims · 0.1%

Your Cost: $142.96/claim|Median: $76.28
1.9× median

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Tempus Unlimited, Inc.

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$5.57B

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$1.35B

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$1.14B

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Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

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