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BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·BRONX, NY·NPI: 1437231693Share

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 $60.4M 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

$60.4M

$60,393,888

Total Claims

1.1M

Beneficiaries

895K

1.3 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$5.4M
+66%
2019
$9.0M
+8%
2020
$9.8M
+15%
2021
$11.2M
-19%
2022
$9.1M
+2%
2023
$9.3M
-30%
2024
$6.5M

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 37% of total spending.

99213Top 5%

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

$22.4M

259K claims · 37.1%

Your Cost: $86.61/claim|Median: $37.81
2.3× median
99214Top 25%

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

$5.1M

52K claims · 8.4%

Your Cost: $97.04/claim|Median: $53.41
1.8× median
99212Top 10%

Office/outpatient visit, low complexity

$5.0M

59K claims · 8.3%

Your Cost: $85.20/claim|Median: $25.06
3.4× median
36415Top 5%

Collection of venous blood by venipuncture

$2.6M

58K claims · 4.3%

Your Cost: $44.33/claim|Median: $1.57
28.2× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$2.0M

23K claims · 3.3%

Your Cost: $87.77/claim|Median: $47.08
1.9× median
99203Top 10%

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

$1.9M

18K claims · 3.1%

Your Cost: $105.75/claim|Median: $57.85
1.8× median
90832Top 10%

Psychotherapy, 30 minutes

$1.5M

16K claims · 2.5%

Your Cost: $96.94/claim|Median: $41.28
2.3× median
D0120Normal range

Periodic oral evaluation, established patient

$1.2M

50K claims · 2.0%

Your Cost: $23.77/claim|Median: $24.34
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1.0M

19K claims · 1.7%

Your Cost: $54.56/claim|Median: $57.39
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$1.0M

71K claims · 1.7%

Your Cost: $14.16/claim|Median: $10.51
1.3× median
D8670Normal range

Periodic orthodontic treatment visit

$933K

9,009 claims · 1.5%

Your Cost: $103.57/claim|Median: $185.01
0.6× median
D1110Top 25%

Prophylaxis, adult cleaning

$903K

16K claims · 1.5%

Your Cost: $56.57/claim|Median: $43.38
1.3× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$859K

9,903 claims · 1.4%

Your Cost: $86.75/claim|Median: $38.23
2.3× median
D1120Top 25%

Prophylaxis, adult

$791K

20K claims · 1.3%

Your Cost: $40.35/claim|Median: $33.86
1.2× median
92551Top 1%

Screening audiometry, pure tone, air only

$681K

14K claims · 1.1%

Your Cost: $47.41/claim|Median: $6.61
7.2× median
D0140Normal range

Limited oral evaluation, problem focused

$660K

31K claims · 1.1%

Your Cost: $21.47/claim|Median: $27.07
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$633K

33K claims · 1.0%

Your Cost: $19.28/claim|Median: $17.85
1.1× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$593K

5,958 claims · 1.0%

Your Cost: $99.49/claim|Median: $40.11
2.5× median
D0330Normal range

Panoramic radiographic image

$510K

18K claims · 0.8%

Your Cost: $28.71/claim|Median: $37.36
0.8× median
D0274Normal range

Bitewings, four radiographic images

$433K

20K claims · 0.7%

Your Cost: $21.76/claim|Median: $22.54
1.0× median
D1206Top 10%

Topical application of fluoride varnish

$413K

14K claims · 0.7%

Your Cost: $28.95/claim|Median: $18.12
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$398K

6,646 claims · 0.7%

Your Cost: $59.90/claim|Median: $74.82
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$393K

4,550 claims · 0.7%

Your Cost: $86.40/claim|Median: $75.18
1.1× median
99000Top 1%

$386K

10K claims · 0.6%

Your Cost: $38.55/claim|Median: $2.30
16.8× median
D1351Top 25%

Sealant, per tooth

$380K

9,802 claims · 0.6%

Your Cost: $38.74/claim|Median: $26.10
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$376K

5,915 claims · 0.6%

Your Cost: $63.61/claim|Median: $80.15
0.8× median
99204Top 25%

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

$368K

2,737 claims · 0.6%

Your Cost: $134.38/claim|Median: $84.03
1.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$351K

13K claims · 0.6%

Your Cost: $26.36/claim|Median: $32.07
0.8× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$345K

3,625 claims · 0.6%

Your Cost: $95.21/claim|Median: $69.35
1.4× median
D9430Normal range

$332K

11K claims · 0.5%

Your Cost: $28.96/claim|Median: $31.69
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$298K

4,442 claims · 0.5%

Your Cost: $66.98/claim|Median: $71.00
0.9× median
99211Top 5%

Office/outpatient visit, minimal complexity

$294K

3,424 claims · 0.5%

Your Cost: $85.76/claim|Median: $12.93
6.6× median
99215Top 25%

Office/outpatient visit, high complexity

$292K

2,512 claims · 0.5%

Your Cost: $116.42/claim|Median: $74.09
1.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$277K

3,126 claims · 0.5%

Your Cost: $88.71/claim|Median: $72.71
1.2× median
C9803Top 5%

$268K

3,585 claims · 0.4%

Your Cost: $74.63/claim|Median: $13.20
5.7× median
90834Top 25%

Psychotherapy, 45 minutes

$263K

2,487 claims · 0.4%

Your Cost: $105.57/claim|Median: $63.65
1.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$258K

26K claims · 0.4%

Your Cost: $9.94/claim|Median: $7.33
1.4× median
D0272Normal range

Bitewings, two radiographic images

$242K

16K claims · 0.4%

Your Cost: $14.67/claim|Median: $15.81
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$216K

3,940 claims · 0.4%

Your Cost: $54.86/claim|Median: $54.60
1.0× median
G0108Top 25%

Diabetes self-management training, individual

$198K

3,047 claims · 0.3%

Your Cost: $64.93/claim|Median: $35.89
1.8× median
99173Top 5%

$196K

10K claims · 0.3%

Your Cost: $18.95/claim|Median: $2.16
8.8× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$187K

5,262 claims · 0.3%

Your Cost: $35.47/claim|Median: $17.67
2.0× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$175K

1,748 claims · 0.3%

Your Cost: $100.30/claim|Median: $76.06
1.3× median
D9995Top 25%

$161K

6,110 claims · 0.3%

Your Cost: $26.28/claim|Median: $13.12
2.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$153K

2,224 claims · 0.3%

Your Cost: $68.87/claim|Median: $9.56
7.2× median
D9310Normal range

$147K

4,000 claims · 0.2%

Your Cost: $36.86/claim|Median: $46.20
0.8× median
90471Normal range

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

$136K

21K claims · 0.2%

Your Cost: $6.38/claim|Median: $9.80
0.7× median
D0210Normal range

Intraoral, complete series of radiographic images

$130K

11K claims · 0.2%

Your Cost: $12.18/claim|Median: $46.33
0.3× median
G0467Normal range

Federally qualified health center visit, mental health

$119K

16K claims · 0.2%

Your Cost: $7.36/claim|Median: $21.91
0.3× median
D0340Normal range

$114K

2,518 claims · 0.2%

Your Cost: $45.36/claim|Median: $49.44
0.9× median

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