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L'REFUAH MEDICAL & REHABILITATION CENTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·BROOKLYN, NY·NPI: 1427098227Share

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 $49.7M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$49.7M

$49,707,484

Total Claims

1.1M

Beneficiaries

597K

1.8 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$931K
+358%
2019
$4.3M
+105%
2020
$8.7M
+15%
2021
$10.1M
-59%
2022
$4.2M
+81%
2023
$7.6M
+84%
2024
$13.9M

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 23% of total spending.

99213Top 25%

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

$11.3M

168K claims · 22.8%

Your Cost: $67.58/claim|Median: $37.81
1.8× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$5.6M

199K claims · 11.4%

Your Cost: $28.40/claim|Median: $10.51
2.7× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$4.0M

38K claims · 8.0%

Your Cost: $104.72/claim|Median: $71.00
1.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$2.1M

66K claims · 4.1%

Your Cost: $31.35/claim|Median: $24.34
1.3× median
92065Top 1%

$2.0M

22K claims · 4.0%

Your Cost: $92.92/claim|Median: $30.29
3.1× median
D2391Top 10%

Resin-based composite, one surface, posterior

$1.7M

18K claims · 3.5%

Your Cost: $94.03/claim|Median: $54.60
1.7× median
99212Top 10%

Office/outpatient visit, low complexity

$1.5M

22K claims · 3.1%

Your Cost: $68.22/claim|Median: $25.06
2.7× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$1.3M

23K claims · 2.7%

Your Cost: $58.81/claim|Median: $32.07
1.8× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$1.3M

15K claims · 2.6%

Your Cost: $85.28/claim|Median: $59.72
1.4× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.2M

14K claims · 2.4%

Your Cost: $83.42/claim|Median: $47.08
1.8× median
99203Top 10%

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

$1.1M

10K claims · 2.2%

Your Cost: $107.62/claim|Median: $57.85
1.9× median
D1110Normal range

Prophylaxis, adult cleaning

$1.1M

28K claims · 2.1%

Your Cost: $37.81/claim|Median: $43.38
0.9× median
D0274Normal range

Bitewings, four radiographic images

$1.0M

40K claims · 2.1%

Your Cost: $25.76/claim|Median: $22.54
1.1× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$898K

12K claims · 1.8%

Your Cost: $74.82/claim|Median: $40.11
1.9× median
D1120Normal range

Prophylaxis, adult

$730K

21K claims · 1.5%

Your Cost: $35.14/claim|Median: $33.86
1.0× median
D0140Top 5%

Limited oral evaluation, problem focused

$730K

11K claims · 1.5%

Your Cost: $65.66/claim|Median: $27.07
2.4× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$721K

7,179 claims · 1.5%

Your Cost: $100.48/claim|Median: $59.25
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$646K

12K claims · 1.3%

Your Cost: $53.66/claim|Median: $63.65
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$644K

17K claims · 1.3%

Your Cost: $38.07/claim|Median: $75.18
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$606K

10K claims · 1.2%

Your Cost: $58.45/claim|Median: $72.71
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$561K

9,978 claims · 1.1%

Your Cost: $56.23/claim|Median: $74.82
0.8× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$549K

6,072 claims · 1.1%

Your Cost: $90.45/claim|Median: $38.23
2.4× median
D1351Top 10%

Sealant, per tooth

$534K

9,401 claims · 1.1%

Your Cost: $56.76/claim|Median: $26.10
2.2× median
0502FTop 5%

$502K

5,315 claims · 1.0%

Your Cost: $94.38/claim|Median: $44.10
2.1× median
97530Top 25%

Therapeutic activities, each 15 min

$439K

6,376 claims · 0.9%

Your Cost: $68.87/claim|Median: $33.11
2.1× median
99214Normal range

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

$413K

6,059 claims · 0.8%

Your Cost: $68.15/claim|Median: $53.41
1.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$403K

15K claims · 0.8%

Your Cost: $27.60/claim|Median: $17.85
1.5× median
D0272Top 25%

Bitewings, two radiographic images

$382K

17K claims · 0.8%

Your Cost: $22.65/claim|Median: $15.81
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$368K

8,377 claims · 0.7%

Your Cost: $43.93/claim|Median: $69.35
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$358K

6,517 claims · 0.7%

Your Cost: $54.87/claim|Median: $80.15
0.7× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$330K

3,381 claims · 0.7%

Your Cost: $97.74/claim|Median: $120.85
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$289K

40K claims · 0.6%

Your Cost: $7.24/claim|Median: $7.33
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$271K

22K claims · 0.5%

Your Cost: $12.36/claim|Median: $14.36
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$240K

7,115 claims · 0.5%

Your Cost: $33.67/claim|Median: $39.70
0.8× median
92507Top 5%

Speech/hearing/language treatment

$232K

1,940 claims · 0.5%

Your Cost: $119.77/claim|Median: $49.45
2.4× median
D0603Top 1%

$230K

8,378 claims · 0.5%

Your Cost: $27.47/claim|Median: $6.54
4.2× median
92015Top 25%

Determination of refractive state

$210K

13K claims · 0.4%

Your Cost: $16.71/claim|Median: $10.36
1.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$192K

3,171 claims · 0.4%

Your Cost: $60.58/claim|Median: $24.49
2.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$186K

26K claims · 0.4%

Your Cost: $7.11/claim|Median: $11.48
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$177K

3,164 claims · 0.4%

Your Cost: $56.05/claim|Median: $76.06
0.7× median
59400Top 10%

Routine obstetric care, vaginal delivery, including postpartum

$171K

72 claims · 0.3%

Your Cost: $2,379.29/claim|Median: $1,482.45
1.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$158K

1,917 claims · 0.3%

Your Cost: $82.17/claim|Median: $100.62
0.8× median
11730Top 10%

$134K

1,490 claims · 0.3%

Your Cost: $90.24/claim|Median: $24.59
3.7× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$132K

1,870 claims · 0.3%

Your Cost: $70.41/claim|Median: $27.38
2.6× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$131K

1,526 claims · 0.3%

Your Cost: $85.87/claim|Median: $57.39
1.5× median
92066Top 1%

$124K

1,126 claims · 0.2%

Your Cost: $110.00/claim|Median: $18.32
6.0× median
90832Normal range

Psychotherapy, 30 minutes

$116K

2,467 claims · 0.2%

Your Cost: $47.10/claim|Median: $41.28
1.1× median
87070Normal range

Bacterial culture, any source except blood or urine

$111K

22K claims · 0.2%

Your Cost: $5.09/claim|Median: $5.89
0.9× median
99211Top 10%

Office/outpatient visit, minimal complexity

$105K

1,641 claims · 0.2%

Your Cost: $64.18/claim|Median: $12.93
5.0× median
D3220Normal range

Therapeutic pulpotomy

$93K

1,043 claims · 0.2%

Your Cost: $89.04/claim|Median: $81.27
1.1× median