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WHITTIER STREET HEALTH CENTER COMMITTEE INC

Clinic/Center·ROXBURY CROSSING, MA·NPI: 1457397986Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.7M is at the 50th percentile among 13 Clinic/Center providers.

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

Total Paid

$36.7M

$36,725,084

Total Claims

644K

Beneficiaries

467K

1.4 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$5.3M
-16%
2019
$4.5M
+25%
2020
$5.6M
+13%
2021
$6.3M
+17%
2022
$7.5M
-43%
2023
$4.2M
-23%
2024
$3.3M

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 59% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$21.6M

142K claims · 58.8%

Your Cost: $152.65/claim|Median: $121.16
1.3× median
G0470Top 10%

Chronic care management services, FQHC/RHC

$2.5M

16K claims · 6.8%

Your Cost: $158.63/claim|Median: $45.95
3.5× median
D9450Normal range

$2.2M

102K claims · 6.1%

Your Cost: $21.90/claim|Median: $21.95
1.0× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$638K

4,337 claims · 1.7%

Your Cost: $147.02/claim|Median: $72.71
2.0× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$618K

4,240 claims · 1.7%

Your Cost: $145.67/claim|Median: $75.18
1.9× median
G0467Top 25%

Federally qualified health center visit, mental health

$589K

13K claims · 1.6%

Your Cost: $43.79/claim|Median: $21.91
2.0× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$579K

3,930 claims · 1.6%

Your Cost: $147.23/claim|Median: $74.82
2.0× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$555K

3,730 claims · 1.5%

Your Cost: $148.86/claim|Median: $69.35
2.1× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$493K

3,364 claims · 1.3%

Your Cost: $146.45/claim|Median: $80.15
1.8× median
D1110Normal range

Prophylaxis, adult cleaning

$488K

28K claims · 1.3%

Your Cost: $17.18/claim|Median: $43.38
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$479K

6,731 claims · 1.3%

Your Cost: $71.11/claim|Median: $63.65
1.1× median
99213Normal range

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

$452K

19K claims · 1.2%

Your Cost: $23.94/claim|Median: $37.81
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$431K

11K claims · 1.2%

Your Cost: $38.48/claim|Median: $41.28
0.9× median
D2740Normal range

Crown, porcelain/ceramic substrate

$289K

1,042 claims · 0.8%

Your Cost: $277.27/claim|Median: $509.58
0.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$288K

5,884 claims · 0.8%

Your Cost: $49.01/claim|Median: $47.08
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$286K

12K claims · 0.8%

Your Cost: $23.79/claim|Median: $46.33
0.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$239K

5,738 claims · 0.7%

Your Cost: $41.69/claim|Median: $57.39
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$236K

9,596 claims · 0.6%

Your Cost: $24.55/claim|Median: $71.00
0.3× median
D9110Normal range

$228K

9,941 claims · 0.6%

Your Cost: $22.89/claim|Median: $38.08
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$223K

11K claims · 0.6%

Your Cost: $21.14/claim|Median: $27.07
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$185K

9,992 claims · 0.5%

Your Cost: $18.55/claim|Median: $54.60
0.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$178K

2,695 claims · 0.5%

Your Cost: $65.93/claim|Median: $59.72
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$171K

17K claims · 0.5%

Your Cost: $10.19/claim|Median: $24.34
0.4× median
D0274Normal range

Bitewings, four radiographic images

$158K

11K claims · 0.4%

Your Cost: $13.76/claim|Median: $22.54
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$155K

9,999 claims · 0.4%

Your Cost: $15.54/claim|Median: $32.07
0.5× median
D0220Normal range

Intraoral periapical radiographic image, first film

$155K

17K claims · 0.4%

Your Cost: $9.29/claim|Median: $10.51
0.9× median
D1120Top 10%

Prophylaxis, adult

$148K

3,033 claims · 0.4%

Your Cost: $48.68/claim|Median: $33.86
1.4× median
T1040Normal range

Medicaid certified CCBHC services

$129K

969 claims · 0.4%

Your Cost: $133.32/claim|Median: $130.29
1.0× median
G2025Normal range

$123K

6,483 claims · 0.3%

Your Cost: $18.96/claim|Median: $15.63
1.2× median
99214Normal range

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

$114K

5,664 claims · 0.3%

Your Cost: $20.06/claim|Median: $53.41
0.4× median
D0330Normal range

Panoramic radiographic image

$101K

2,639 claims · 0.3%

Your Cost: $38.44/claim|Median: $37.36
1.0× median
90715Top 25%

Tdap vaccine

$91K

4,129 claims · 0.2%

Your Cost: $22.10/claim|Median: $10.32
2.1× median
92015Normal range

Determination of refractive state

$84K

6,977 claims · 0.2%

Your Cost: $12.03/claim|Median: $10.36
1.2× median
92340Top 25%

Fitting of spectacles, except for aphakia

$81K

2,899 claims · 0.2%

Your Cost: $28.06/claim|Median: $19.46
1.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$79K

3,530 claims · 0.2%

Your Cost: $22.27/claim|Median: $84.26
0.3× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$78K

1,163 claims · 0.2%

Your Cost: $67.47/claim|Median: $109.42
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$78K

10K claims · 0.2%

Your Cost: $7.45/claim|Median: $7.33
1.0× median
D4342Normal range

$66K

3,295 claims · 0.2%

Your Cost: $20.07/claim|Median: $42.00
0.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$62K

5,859 claims · 0.2%

Your Cost: $10.56/claim|Median: $12.93
0.8× median
90746Top 25%

Hepatitis B vaccine, adult

$59K

937 claims · 0.2%

Your Cost: $62.83/claim|Median: $48.85
1.3× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$44K

975 claims · 0.1%

Your Cost: $45.24/claim|Median: $33.85
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$43K

1,644 claims · 0.1%

Your Cost: $25.94/claim|Median: $18.12
1.4× median
90649Top 25%

$42K

1,616 claims · 0.1%

Your Cost: $26.14/claim|Median: $6.42
4.1× median
D4341Normal range

Periodontal scaling, per quadrant

$41K

4,209 claims · 0.1%

Your Cost: $9.80/claim|Median: $70.00
0.1× median
99381Top 5%

Preventive visit, new patient, infant (<1 yr)

$40K

230 claims · 0.1%

Your Cost: $174.02/claim|Median: $73.46
2.4× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$38K

998 claims · 0.1%

Your Cost: $38.18/claim|Median: $25.93
1.5× median
D5212Normal range

$38K

265 claims · 0.1%

Your Cost: $143.09/claim|Median: $402.44
0.4× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$37K

863 claims · 0.1%

Your Cost: $43.06/claim|Median: $33.72
1.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$33K

1,745 claims · 0.1%

Your Cost: $19.06/claim|Median: $66.63
0.3× median
90670Normal range

$32K

3,312 claims · 0.1%

Your Cost: $9.81/claim|Median: $5.94
1.7× median