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

FREDERIKSTED HEALTH CARE, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·FREDERIKSTED, VI·NPI: 1437215134Share

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 $24.4M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$24.4M

$24,357,916

Total Claims

321K

Beneficiaries

267K

1.2 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$3.5M
+29%
2019
$4.6M
-40%
2020
$2.7M
+38%
2021
$3.7M
+24%
2022
$4.7M
-40%
2023
$2.8M
-17%
2024
$2.3M

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 22% of total spending.

99213Top 5%

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

$5.4M

38K claims · 22.2%

Your Cost: $141.40/claim|Median: $37.81
3.7× median
99214Top 5%

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

$4.9M

27K claims · 20.2%

Your Cost: $183.65/claim|Median: $53.41
3.4× median
80053Top 1%

Comprehensive metabolic panel

$1.2M

7,501 claims · 5.1%

Your Cost: $166.16/claim|Median: $7.24
23.0× median
99000Top 1%

$834K

29K claims · 3.4%

Your Cost: $28.36/claim|Median: $2.30
12.3× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$729K

7,226 claims · 3.0%

Your Cost: $100.92/claim|Median: $39.70
2.5× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$611K

7,168 claims · 2.5%

Your Cost: $85.27/claim|Median: $24.95
3.4× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$599K

7,009 claims · 2.5%

Your Cost: $85.41/claim|Median: $23.39
3.7× median
36415Top 5%

Collection of venous blood by venipuncture

$502K

26K claims · 2.1%

Your Cost: $19.11/claim|Median: $1.57
12.2× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$475K

2,930 claims · 2.0%

Your Cost: $162.26/claim|Median: $75.18
2.2× median
D1330Top 1%

$411K

6,675 claims · 1.7%

Your Cost: $61.53/claim|Median: $5.73
10.7× median
80061Top 1%

Lipid panel

$383K

5,908 claims · 1.6%

Your Cost: $64.79/claim|Median: $8.41
7.7× median
99215Top 5%

Office/outpatient visit, high complexity

$368K

1,365 claims · 1.5%

Your Cost: $269.58/claim|Median: $74.09
3.6× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$352K

4,743 claims · 1.4%

Your Cost: $74.23/claim|Median: $9.87
7.5× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$351K

1,960 claims · 1.4%

Your Cost: $179.29/claim|Median: $69.35
2.6× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$308K

3,493 claims · 1.3%

Your Cost: $88.10/claim|Median: $32.07
2.7× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$289K

1,635 claims · 1.2%

Your Cost: $176.93/claim|Median: $74.82
2.4× median
81025Top 5%

Urine pregnancy test

$269K

6,854 claims · 1.1%

Your Cost: $39.32/claim|Median: $4.81
8.2× median
D0330Top 5%

Panoramic radiographic image

$265K

2,963 claims · 1.1%

Your Cost: $89.57/claim|Median: $37.36
2.4× median
D0140Top 5%

Limited oral evaluation, problem focused

$262K

3,886 claims · 1.1%

Your Cost: $67.51/claim|Median: $27.07
2.5× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$261K

1,436 claims · 1.1%

Your Cost: $181.41/claim|Median: $71.00
2.6× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$240K

1,580 claims · 1.0%

Your Cost: $151.67/claim|Median: $57.39
2.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$237K

7,085 claims · 1.0%

Your Cost: $33.40/claim|Median: $4.71
7.1× median
87086Top 5%

Urine culture, colony count, with identification

$223K

4,699 claims · 0.9%

Your Cost: $47.39/claim|Median: $5.31
8.9× median
82962Top 5%

Blood glucose test by monitoring device

$222K

8,734 claims · 0.9%

Your Cost: $25.44/claim|Median: $1.40
18.2× median
D2391Top 5%

Resin-based composite, one surface, posterior

$220K

1,570 claims · 0.9%

Your Cost: $140.37/claim|Median: $54.60
2.6× median
87389Top 10%

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

$213K

4,210 claims · 0.9%

Your Cost: $50.60/claim|Median: $18.03
2.8× median
88142Top 1%

$210K

1,556 claims · 0.9%

Your Cost: $135.20/claim|Median: $14.75
9.2× median
D4341Top 5%

Periodontal scaling, per quadrant

$195K

923 claims · 0.8%

Your Cost: $211.41/claim|Median: $70.00
3.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$175K

5,341 claims · 0.7%

Your Cost: $32.85/claim|Median: $40.52
0.8× median
83036Top 1%

Hemoglobin A1c (glycated hemoglobin)

$170K

3,394 claims · 0.7%

Your Cost: $50.14/claim|Median: $5.50
9.1× median
83037Top 5%

$169K

5,480 claims · 0.7%

Your Cost: $30.86/claim|Median: $4.07
7.6× median
D1206Top 5%

Topical application of fluoride varnish

$161K

5,017 claims · 0.7%

Your Cost: $32.08/claim|Median: $18.12
1.8× median
D1120Top 5%

Prophylaxis, adult

$159K

2,615 claims · 0.7%

Your Cost: $60.90/claim|Median: $33.86
1.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$150K

7,235 claims · 0.6%

Your Cost: $20.69/claim|Median: $17.85
1.2× median
84439Top 1%

Free thyroxine level blood test

$134K

2,237 claims · 0.6%

Your Cost: $60.06/claim|Median: $6.31
9.5× median
D0210Top 5%

Intraoral, complete series of radiographic images

$126K

1,114 claims · 0.5%

Your Cost: $113.02/claim|Median: $46.33
2.4× median
88175Top 1%

Cytopathology, cervical or vaginal, ThinPrep

$111K

892 claims · 0.5%

Your Cost: $123.90/claim|Median: $19.06
6.5× median
D1351Top 10%

Sealant, per tooth

$104K

1,973 claims · 0.4%

Your Cost: $52.81/claim|Median: $26.10
2.0× median
80074Top 1%

$102K

319 claims · 0.4%

Your Cost: $318.90/claim|Median: $27.54
11.6× median
59426Top 5%

Antepartum care only, high risk, additional visits

$101K

76 claims · 0.4%

Your Cost: $1,332.89/claim|Median: $122.30
10.9× median
59025Top 5%

Fetal non-stress test

$100K

553 claims · 0.4%

Your Cost: $181.32/claim|Median: $26.45
6.9× median
82306Top 1%

Vitamin D, 25 hydroxy

$93K

485 claims · 0.4%

Your Cost: $191.01/claim|Median: $18.18
10.5× median
86592Top 5%

$92K

4,652 claims · 0.4%

Your Cost: $19.81/claim|Median: $3.35
5.9× median
D0274Top 1%

Bitewings, four radiographic images

$83K

1,533 claims · 0.3%

Your Cost: $54.03/claim|Median: $22.54
2.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$81K

4,152 claims · 0.3%

Your Cost: $19.53/claim|Median: $6.93
2.8× median
99212Top 10%

Office/outpatient visit, low complexity

$80K

859 claims · 0.3%

Your Cost: $93.30/claim|Median: $25.06
3.7× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$76K

3,257 claims · 0.3%

Your Cost: $23.24/claim|Median: $10.51
2.2× median
81002Top 5%

Urinalysis, non-automated without microscopy

$72K

8,636 claims · 0.3%

Your Cost: $8.32/claim|Median: $2.00
4.2× median
85027Top 5%

Complete blood count (CBC), automated

$68K

2,422 claims · 0.3%

Your Cost: $28.14/claim|Median: $3.72
7.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$64K

1,601 claims · 0.3%

Your Cost: $40.22/claim|Median: $22.44
1.8× median