Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

CODMAN SQUARE HEALTH CENTER

Clinic/Center, Community Health·DORCHESTER CENTER, MA·NPI: 1396808309Share

Compared to Clinic/Center, Community Health Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.7M is at the 25th percentile among 8 Clinic/Center, Community Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$44.7M

$44,673,487

Total Claims

996K

Beneficiaries

922K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$6.9M
+1%
2019
$6.9M
-4%
2020
$6.7M
+34%
2021
$9.0M
-8%
2022
$8.2M
-52%
2023
$4.0M
-26%
2024
$3.0M

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 35% of total spending.

99213Top 10%

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

$15.8M

202K claims · 35.3%

Your Cost: $78.16/claim|Median: $37.81
2.1× median
99214Top 25%

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

$9.2M

109K claims · 20.6%

Your Cost: $84.49/claim|Median: $53.41
1.6× median
99211Top 5%

Office/outpatient visit, minimal complexity

$3.0M

41K claims · 6.7%

Your Cost: $73.08/claim|Median: $12.93
5.7× median
99212Top 10%

Office/outpatient visit, low complexity

$1.5M

18K claims · 3.3%

Your Cost: $80.88/claim|Median: $25.06
3.2× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.1M

14K claims · 2.5%

Your Cost: $82.05/claim|Median: $47.08
1.7× median
D9450Normal range

$670K

40K claims · 1.5%

Your Cost: $16.80/claim|Median: $21.95
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$643K

8,674 claims · 1.4%

Your Cost: $74.12/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$632K

12K claims · 1.4%

Your Cost: $54.10/claim|Median: $74.82
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$615K

10K claims · 1.4%

Your Cost: $60.98/claim|Median: $75.18
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$529K

9,882 claims · 1.2%

Your Cost: $53.55/claim|Median: $80.15
0.7× median
99203Top 10%

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

$488K

4,789 claims · 1.1%

Your Cost: $101.87/claim|Median: $57.85
1.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$474K

8,502 claims · 1.1%

Your Cost: $55.76/claim|Median: $72.71
0.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$432K

6,946 claims · 1.0%

Your Cost: $62.14/claim|Median: $63.08
1.0× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$381K

6,570 claims · 0.9%

Your Cost: $57.94/claim|Median: $12.70
4.6× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$323K

13K claims · 0.7%

Your Cost: $24.32/claim|Median: $23.39
1.0× median
77067Top 25%

Screening mammography, bilateral, including CAD

$321K

3,417 claims · 0.7%

Your Cost: $94.03/claim|Median: $39.33
2.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$319K

13K claims · 0.7%

Your Cost: $24.32/claim|Median: $24.95
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$301K

7,246 claims · 0.7%

Your Cost: $41.57/claim|Median: $43.38
1.0× median
99173Top 5%

$261K

14K claims · 0.6%

Your Cost: $19.30/claim|Median: $2.16
8.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$255K

5,166 claims · 0.6%

Your Cost: $49.39/claim|Median: $76.06
0.6× median
G2023Normal range

Specimen collection for COVID-19 testing

$235K

12K claims · 0.5%

Your Cost: $19.67/claim|Median: $17.15
1.1× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$235K

13K claims · 0.5%

Your Cost: $18.49/claim|Median: $18.03
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$233K

3,798 claims · 0.5%

Your Cost: $61.27/claim|Median: $71.00
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$229K

4,528 claims · 0.5%

Your Cost: $50.52/claim|Median: $54.60
0.9× median
90658Top 25%

$211K

12K claims · 0.5%

Your Cost: $17.46/claim|Median: $8.96
1.9× median
D1120Top 10%

Prophylaxis, adult

$208K

4,169 claims · 0.5%

Your Cost: $49.97/claim|Median: $33.86
1.5× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$201K

3,461 claims · 0.4%

Your Cost: $58.07/claim|Median: $24.33
2.4× median
99215Normal range

Office/outpatient visit, high complexity

$196K

2,238 claims · 0.4%

Your Cost: $87.69/claim|Median: $74.09
1.2× median
D0274Top 25%

Bitewings, four radiographic images

$196K

6,376 claims · 0.4%

Your Cost: $30.76/claim|Median: $22.54
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$182K

8,713 claims · 0.4%

Your Cost: $20.83/claim|Median: $24.34
0.9× median
D0140Top 25%

Limited oral evaluation, problem focused

$178K

4,782 claims · 0.4%

Your Cost: $37.31/claim|Median: $27.07
1.4× median
99050Top 25%

$174K

10K claims · 0.4%

Your Cost: $16.94/claim|Median: $11.81
1.4× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$170K

2,330 claims · 0.4%

Your Cost: $72.85/claim|Median: $57.39
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$153K

15K claims · 0.3%

Your Cost: $10.29/claim|Median: $9.10
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$141K

3,566 claims · 0.3%

Your Cost: $39.55/claim|Median: $32.07
1.2× median
92340Top 25%

Fitting of spectacles, except for aphakia

$138K

4,816 claims · 0.3%

Your Cost: $28.56/claim|Median: $19.46
1.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$133K

2,597 claims · 0.3%

Your Cost: $51.35/claim|Median: $46.33
1.1× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$132K

6,528 claims · 0.3%

Your Cost: $20.25/claim|Median: $15.76
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$131K

5,119 claims · 0.3%

Your Cost: $25.51/claim|Median: $18.12
1.4× median
92551Normal range

Screening audiometry, pure tone, air only

$123K

13K claims · 0.3%

Your Cost: $9.34/claim|Median: $6.61
1.4× median
90715Top 25%

Tdap vaccine

$118K

5,371 claims · 0.3%

Your Cost: $21.97/claim|Median: $10.32
2.1× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$115K

2,209 claims · 0.3%

Your Cost: $51.90/claim|Median: $41.92
1.2× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$114K

1,153 claims · 0.3%

Your Cost: $98.88/claim|Median: $73.46
1.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$111K

16K claims · 0.2%

Your Cost: $7.05/claim|Median: $5.50
1.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$110K

1,282 claims · 0.2%

Your Cost: $86.11/claim|Median: $59.72
1.4× median
99204Top 25%

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

$103K

884 claims · 0.2%

Your Cost: $116.96/claim|Median: $84.03
1.4× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$96K

750 claims · 0.2%

Your Cost: $128.58/claim|Median: $13.30
9.7× median
90471Normal range

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

$95K

18K claims · 0.2%

Your Cost: $5.30/claim|Median: $9.80
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$94K

8,049 claims · 0.2%

Your Cost: $11.69/claim|Median: $9.56
1.2× median
90651Top 25%

HPV vaccine, 9-valent

$91K

2,427 claims · 0.2%

Your Cost: $37.47/claim|Median: $8.93
4.2× median

Other Top Providers in Massachusetts

View all →

Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

Other top providers in Clinic/Center, Community Health

Sac Health System

San Bernardino, CA

$260.2M

Medical Associates of Ebnhc

East Boston, MA

$179.3M

Trilogy, Inc.

Chicago, IL

$143.5M

Lynn Community Health, Inc.

Lynn, MA

$138.3M

← All providersAll providers in Massachusetts →How we detect fraud →