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ACCESS COMMUNITY HEALTH CENTERS, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·MADISON, WI·NPI: 1417055617Share

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 $51.9M 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

$51.9M

$51,889,940

Total Claims

555K

Beneficiaries

479K

1.2 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$6.7M
+73%
2019
$11.5M
-31%
2020
$7.9M
+20%
2021
$9.5M
+3%
2022
$9.8M
-37%
2023
$6.2M
-94%
2024
$356K

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 95% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$49.1M

187K claims · 94.6%

Your Cost: $263.02/claim|Median: $121.16
2.2× median
99213Normal range

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

$708K

35K claims · 1.4%

Your Cost: $20.51/claim|Median: $37.81
0.5× median
99214Normal range

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

$579K

17K claims · 1.1%

Your Cost: $33.35/claim|Median: $53.41
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$409K

11K claims · 0.8%

Your Cost: $37.19/claim|Median: $41.28
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$103K

4,234 claims · 0.2%

Your Cost: $24.26/claim|Median: $21.91
1.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$87K

5,771 claims · 0.2%

Your Cost: $15.14/claim|Median: $22.44
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$83K

1,844 claims · 0.2%

Your Cost: $44.97/claim|Median: $69.35
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$63K

1,317 claims · 0.1%

Your Cost: $48.01/claim|Median: $75.18
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$56K

6,386 claims · 0.1%

Your Cost: $8.70/claim|Median: $25.06
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$48K

6,979 claims · 0.1%

Your Cost: $6.81/claim|Median: $7.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$43K

879 claims · 0.1%

Your Cost: $48.62/claim|Median: $74.82
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$42K

19K claims · 0.1%

Your Cost: $2.27/claim|Median: $43.38
0.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$40K

8,608 claims · 0.1%

Your Cost: $4.65/claim|Median: $71.00
0.1× median
D1206Normal range

Topical application of fluoride varnish

$38K

37K claims · 0.1%

Your Cost: $1.04/claim|Median: $18.12
0.1× median
D1120Normal range

Prophylaxis, adult

$34K

15K claims · 0.1%

Your Cost: $2.24/claim|Median: $33.86
0.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$31K

14K claims · 0.1%

Your Cost: $2.28/claim|Median: $57.39
0.0× median
D0120Normal range

Periodic oral evaluation, established patient

$27K

24K claims · 0.1%

Your Cost: $1.14/claim|Median: $24.34
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$27K

784 claims · 0.1%

Your Cost: $33.86/claim|Median: $33.85
1.0× median
G2025Normal range

$27K

2,066 claims · 0.1%

Your Cost: $12.83/claim|Median: $15.63
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$23K

19K claims · 0.0%

Your Cost: $1.24/claim|Median: $32.07
0.0× median
D1351Normal range

Sealant, per tooth

$21K

12K claims · 0.0%

Your Cost: $1.81/claim|Median: $26.10
0.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$21K

768 claims · 0.0%

Your Cost: $27.01/claim|Median: $25.93
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$20K

25K claims · 0.0%

Your Cost: $0.80/claim|Median: $27.07
0.0× median
99441Normal range

Telephone E/M by physician, 5-10 min

$18K

2,170 claims · 0.0%

Your Cost: $8.33/claim|Median: $13.30
0.6× median
91322Top 25%

$18K

149 claims · 0.0%

Your Cost: $118.50/claim|Median: $76.28
1.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$17K

7,552 claims · 0.0%

Your Cost: $2.25/claim|Median: $46.33
0.0× median
D0274Normal range

Bitewings, four radiographic images

$15K

14K claims · 0.0%

Your Cost: $1.10/claim|Median: $22.54
0.0× median
0064ANormal range

$15K

514 claims · 0.0%

Your Cost: $28.95/claim|Median: $34.17
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$14K

127 claims · 0.0%

Your Cost: $111.70/claim|Median: $108.91
1.0× median
90674Normal range

$14K

1,049 claims · 0.0%

Your Cost: $13.41/claim|Median: $15.16
0.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$13K

370 claims · 0.0%

Your Cost: $35.02/claim|Median: $33.72
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$12K

344 claims · 0.0%

Your Cost: $36.03/claim|Median: $36.70
1.0× median
D4355Normal range

$11K

1,496 claims · 0.0%

Your Cost: $7.32/claim|Median: $64.42
0.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$11K

3,250 claims · 0.0%

Your Cost: $3.34/claim|Median: $54.60
0.1× median
90480Normal range

$10K

361 claims · 0.0%

Your Cost: $28.96/claim|Median: $25.29
1.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$10K

492 claims · 0.0%

Your Cost: $20.27/claim|Median: $32.55
0.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$9K

22K claims · 0.0%

Your Cost: $0.41/claim|Median: $10.51
0.0× median
0071ANormal range

$9K

318 claims · 0.0%

Your Cost: $27.25/claim|Median: $38.71
0.7× median
0054ANormal range

$8K

262 claims · 0.0%

Your Cost: $29.57/claim|Median: $35.83
0.8× median
99188Normal range

$7K

686 claims · 0.0%

Your Cost: $10.51/claim|Median: $12.80
0.8× median
D0272Normal range

Bitewings, two radiographic images

$7K

5,806 claims · 0.0%

Your Cost: $1.14/claim|Median: $15.81
0.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$6K

853 claims · 0.0%

Your Cost: $7.48/claim|Median: $66.00
0.1× median
90677Normal range

$6K

143 claims · 0.0%

Your Cost: $44.29/claim|Median: $12.96
3.4× median
0072ANormal range

$6K

190 claims · 0.0%

Your Cost: $31.18/claim|Median: $39.57
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$5K

111 claims · 0.0%

Your Cost: $46.34/claim|Median: $80.15
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$4K

12K claims · 0.0%

Your Cost: $0.33/claim|Median: $7.33
0.0× median
0004ANormal range

$3K

105 claims · 0.0%

Your Cost: $31.62/claim|Median: $35.62
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

39 claims · 0.0%

Your Cost: $66.17/claim|Median: $99.21
0.7× median
90670Normal range

$3K

661 claims · 0.0%

Your Cost: $3.90/claim|Median: $5.94
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

297 claims · 0.0%

Your Cost: $8.22/claim|Median: $12.93
0.6× median

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$182.0M

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