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PRIMARY HEALTH NETWORK

Clinic/Center, Federally Qualified Health Center (FQHC)·SHARON, PA·NPI: 1417932609Share

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 $57.9M 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

$57.9M

$57,948,192

Total Claims

397K

Beneficiaries

324K

1.2 claims/patient

Avg Cost/Claim

$146

Monthly Spending Trend

Yearly Spending

2018
$5.4M
-24%
2019
$4.1M
+43%
2020
$5.9M
+79%
2021
$10.5M
+7%
2022
$11.2M
-7%
2023
$10.4M
-1%
2024
$10.4M

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 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$57.2M

298K claims · 98.7%

Your Cost: $192.04/claim|Median: $121.16
1.6× median
99213Normal range

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

$405K

34K claims · 0.7%

Your Cost: $11.95/claim|Median: $37.81
0.3× median
99214Normal range

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

$196K

8,861 claims · 0.3%

Your Cost: $22.16/claim|Median: $53.41
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$62K

6,273 claims · 0.1%

Your Cost: $9.84/claim|Median: $25.06
0.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$24K

706 claims · 0.0%

Your Cost: $34.06/claim|Median: $33.85
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$21K

744 claims · 0.0%

Your Cost: $28.79/claim|Median: $25.93
1.1× median
0064ANormal range

$5K

166 claims · 0.0%

Your Cost: $31.67/claim|Median: $34.17
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$3K

57 claims · 0.0%

Your Cost: $50.17/claim|Median: $80.15
0.6× median
90471Normal range

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

$3K

228 claims · 0.0%

Your Cost: $11.51/claim|Median: $9.80
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$2K

1,244 claims · 0.0%

Your Cost: $1.94/claim|Median: $1.57
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

1,177 claims · 0.0%

Your Cost: $1.99/claim|Median: $7.18
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1K

122 claims · 0.0%

Your Cost: $10.25/claim|Median: $75.18
0.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$1K

437 claims · 0.0%

Your Cost: $2.39/claim|Median: $5.50
0.4× median
G0467Normal range

Federally qualified health center visit, mental health

$595

411 claims · 0.0%

Your Cost: $1.45/claim|Median: $21.91
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$449

247 claims · 0.0%

Your Cost: $1.82/claim|Median: $72.71
0.0× median
11721Normal range

$392

515 claims · 0.0%

Your Cost: $0.76/claim|Median: $8.56
0.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$233

15 claims · 0.0%

Your Cost: $15.50/claim|Median: $17.85
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$210

17 claims · 0.0%

Your Cost: $12.34/claim|Median: $11.48
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$174

29 claims · 0.0%

Your Cost: $6.02/claim|Median: $74.82
0.1× median
90472Normal range

Immunization administration, each additional vaccine

$160

17 claims · 0.0%

Your Cost: $9.39/claim|Median: $11.79
0.8× median
98940Normal range

$76

433 claims · 0.0%

Your Cost: $0.18/claim|Median: $14.55
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$66

115 claims · 0.0%

Your Cost: $0.58/claim|Median: $76.06
0.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$21

45 claims · 0.0%

Your Cost: $0.47/claim|Median: $20.83
0.0× median
91301

COVID-19 vaccine (Moderna), first dose

$0

1,218 claims · 0.0%

90647Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.31
91306

$0

160 claims · 0.0%

D0330Normal range

Panoramic radiographic image

$0

77 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.36
90723Normal range

DTaP-HepB-IPV vaccine

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.78
3075FNormal range

$0

197 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
D0272Normal range

Bitewings, two radiographic images

$0

68 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.81
3074FNormal range

$0

1,134 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
90715Normal range

Tdap vaccine

$0

77 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
D1120Normal range

Prophylaxis, adult

$0

358 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.86
90670Normal range

$0

102 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
3008FNormal range

$0

24K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
D1110Normal range

Prophylaxis, adult cleaning

$0

877 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.38
99215Normal range

Office/outpatient visit, high complexity

$0

211 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09
G9919Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.66
3079FNormal range

$0

752 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
90656Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
87210Normal range

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.65
92551Normal range

Screening audiometry, pure tone, air only

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
3078FNormal range

$0

544 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
G9920Normal range

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.56
90734Normal range

$0

133 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.40
G0444Normal range

Annual depression screening, fifteen minutes

$0

203 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.23
99173Normal range

$0

227 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
D0220Normal range

Intraoral periapical radiographic image, first film

$0

242 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.51
D1206Normal range

Topical application of fluoride varnish

$0

1,455 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.12
D0120Normal range

Periodic oral evaluation, established patient

$0

1,213 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.34

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$308.4M

Childrens Hospital of Philadelphia

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$286.9M

Procare Pharmacy Direct, Llc.

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$227.3M

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$352.1M

La Maestra Family Clinic, Inc.

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$202.1M

Neighborhood Healthcare

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$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

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