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PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC

Clinic/Center, Federally Qualified Health Center (FQHC)·BRONX, NY·NPI: 1407830946Share

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 $64.2M 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

$64.2M

$64,214,928

Total Claims

1.7M

Beneficiaries

288K

6.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+315%
2019
$4.8M
+158%
2020
$12.4M
+9%
2021
$13.6M
+0%
2022
$13.6M
-6%
2023
$12.9M
-55%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 60% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$38.8M

1.4M claims · 60.4%

Your Cost: $27.33/claim|Median: $18.95
1.4× median
90834Top 10%

Psychotherapy, 45 minutes

$6.7M

50K claims · 10.5%

Your Cost: $134.83/claim|Median: $63.65
2.1× median
99213Top 10%

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

$6.3M

85K claims · 9.8%

Your Cost: $73.42/claim|Median: $37.81
1.9× median
90832Top 10%

Psychotherapy, 30 minutes

$4.3M

42K claims · 6.7%

Your Cost: $102.95/claim|Median: $41.28
2.5× median
99212Top 10%

Office/outpatient visit, low complexity

$2.6M

27K claims · 4.0%

Your Cost: $93.49/claim|Median: $25.06
3.7× median
H0005Normal range

Alcohol and/or drug services, group counseling

$2.0M

36K claims · 3.0%

Your Cost: $54.91/claim|Median: $47.35
1.2× median
99214Top 25%

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

$863K

11K claims · 1.3%

Your Cost: $79.47/claim|Median: $53.41
1.5× median
90791Top 10%

Psychiatric diagnostic evaluation

$452K

2,674 claims · 0.7%

Your Cost: $169.02/claim|Median: $99.21
1.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$362K

8,682 claims · 0.6%

Your Cost: $41.73/claim|Median: $55.04
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$359K

7,512 claims · 0.6%

Your Cost: $47.82/claim|Median: $74.63
0.6× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$297K

2,740 claims · 0.5%

Your Cost: $108.26/claim|Median: $76.06
1.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$172K

4,341 claims · 0.3%

Your Cost: $39.70/claim|Median: $22.44
1.8× median
99407Top 5%

$166K

3,651 claims · 0.3%

Your Cost: $45.46/claim|Median: $13.29
3.4× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$152K

4,025 claims · 0.2%

Your Cost: $37.75/claim|Median: $73.29
0.5× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$143K

783 claims · 0.2%

Your Cost: $182.93/claim|Median: $108.91
1.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$135K

1,307 claims · 0.2%

Your Cost: $103.59/claim|Median: $72.71
1.4× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$62K

533 claims · 0.1%

Your Cost: $116.11/claim|Median: $76.22
1.5× median
G2078Normal range

$60K

3,652 claims · 0.1%

Your Cost: $16.51/claim|Median: $27.04
0.6× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$59K

475 claims · 0.1%

Your Cost: $124.35/claim|Median: $87.82
1.4× median
99211Top 25%

Office/outpatient visit, minimal complexity

$49K

2,315 claims · 0.1%

Your Cost: $21.14/claim|Median: $12.93
1.6× median
99204Normal range

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

$43K

416 claims · 0.1%

Your Cost: $103.28/claim|Median: $84.03
1.2× median
H0050Normal range

$41K

853 claims · 0.1%

Your Cost: $48.52/claim|Median: $46.71
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$38K

17K claims · 0.1%

Your Cost: $2.16/claim|Median: $3.67
0.6× median
H0049Top 10%

$37K

784 claims · 0.1%

Your Cost: $47.02/claim|Median: $9.27
5.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$23K

821 claims · 0.0%

Your Cost: $27.75/claim|Median: $13.30
2.1× median
90882Normal range

Environmental intervention

$16K

502 claims · 0.0%

Your Cost: $32.58/claim|Median: $45.05
0.7× median
90471Normal range

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

$15K

1,875 claims · 0.0%

Your Cost: $8.21/claim|Median: $9.80
0.8× median
99051Normal range

$13K

1,337 claims · 0.0%

Your Cost: $9.63/claim|Median: $7.89
1.2× median
98968Top 10%

$10K

93 claims · 0.0%

Your Cost: $104.86/claim|Median: $28.39
3.7× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$9K

281 claims · 0.0%

Your Cost: $33.38/claim|Median: $33.85
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9K

654 claims · 0.0%

Your Cost: $13.34/claim|Median: $7.18
1.9× median
36415Normal range

Collection of venous blood by venipuncture

$8K

5,649 claims · 0.0%

Your Cost: $1.39/claim|Median: $1.57
0.9× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$8K

359 claims · 0.0%

Your Cost: $21.25/claim|Median: $25.93
0.8× median
99203Top 5%

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

$5K

43 claims · 0.0%

Your Cost: $122.03/claim|Median: $57.85
2.1× median
0064ANormal range

$4K

121 claims · 0.0%

Your Cost: $33.08/claim|Median: $34.17
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$4K

88 claims · 0.0%

Your Cost: $44.60/claim|Median: $74.82
0.6× median
99215Top 25%

Office/outpatient visit, high complexity

$3K

28 claims · 0.0%

Your Cost: $116.41/claim|Median: $74.09
1.6× median
90837Normal range

Psychotherapy, 60 minutes

$3K

34 claims · 0.0%

Your Cost: $87.15/claim|Median: $85.66
1.0× median
92551Top 1%

Screening audiometry, pure tone, air only

$3K

40 claims · 0.0%

Your Cost: $63.79/claim|Median: $6.61
9.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$2K

24 claims · 0.0%

Your Cost: $97.00/claim|Median: $80.15
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

13 claims · 0.0%

Your Cost: $147.70/claim|Median: $111.09
1.3× median
99173Top 1%

$2K

31 claims · 0.0%

Your Cost: $60.16/claim|Median: $2.16
27.9× median
H0001Normal range

Alcohol and/or drug assessment

$2K

12 claims · 0.0%

Your Cost: $140.29/claim|Median: $94.22
1.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1K

45 claims · 0.0%

Your Cost: $33.08/claim|Median: $47.08
0.7× median
90682Normal range

$1K

54 claims · 0.0%

Your Cost: $27.56/claim|Median: $34.72
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1K

128 claims · 0.0%

Your Cost: $11.55/claim|Median: $17.85
0.6× median
90472Normal range

Immunization administration, each additional vaccine

$1K

94 claims · 0.0%

Your Cost: $15.53/claim|Median: $11.79
1.3× median
99484Top 25%

$1K

58 claims · 0.0%

Your Cost: $21.05/claim|Median: $7.13
3.0× median
92015Normal range

Determination of refractive state

$1K

128 claims · 0.0%

Your Cost: $8.45/claim|Median: $10.36
0.8× median
90688Top 25%

$1K

61 claims · 0.0%

Your Cost: $16.66/claim|Median: $9.00
1.9× median

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