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

COMMUNITY HEALTHCARE NETWORK, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·NEW YORK, NY·NPI: 1477764496Share

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 $35.5M 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

$35.5M

$35,546,562

Total Claims

737K

Beneficiaries

588K

1.3 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$15.5M
-70%
2019
$4.7M
-29%
2020
$3.3M
+6%
2021
$3.5M
-6%
2022
$3.3M
-5%
2023
$3.1M
-29%
2024
$2.2M

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 52% of total spending.

99213Top 25%

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

$18.5M

277K claims · 52.0%

Your Cost: $66.79/claim|Median: $37.81
1.8× median
90832Top 25%

Psychotherapy, 30 minutes

$5.4M

77K claims · 15.3%

Your Cost: $71.00/claim|Median: $41.28
1.7× median
99214Normal range

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

$3.3M

45K claims · 9.2%

Your Cost: $73.15/claim|Median: $53.41
1.4× median
99212Top 10%

Office/outpatient visit, low complexity

$3.0M

52K claims · 8.5%

Your Cost: $58.57/claim|Median: $25.06
2.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$569K

6,335 claims · 1.6%

Your Cost: $89.88/claim|Median: $72.71
1.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$424K

11K claims · 1.2%

Your Cost: $38.36/claim|Median: $24.33
1.6× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$362K

7,123 claims · 1.0%

Your Cost: $50.81/claim|Median: $12.70
4.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$321K

3,479 claims · 0.9%

Your Cost: $92.24/claim|Median: $76.06
1.2× median
90834Top 25%

Psychotherapy, 45 minutes

$307K

3,093 claims · 0.9%

Your Cost: $99.25/claim|Median: $63.65
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$272K

3,856 claims · 0.8%

Your Cost: $70.45/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$241K

3,545 claims · 0.7%

Your Cost: $68.07/claim|Median: $74.82
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$229K

3,039 claims · 0.6%

Your Cost: $75.19/claim|Median: $80.15
0.9× median
99203Top 10%

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

$223K

2,243 claims · 0.6%

Your Cost: $99.42/claim|Median: $57.85
1.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$188K

11K claims · 0.5%

Your Cost: $17.55/claim|Median: $17.85
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$183K

7,050 claims · 0.5%

Your Cost: $25.97/claim|Median: $32.07
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$162K

8,304 claims · 0.5%

Your Cost: $19.47/claim|Median: $24.34
0.8× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$152K

1,822 claims · 0.4%

Your Cost: $83.64/claim|Median: $38.23
2.2× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$143K

1,713 claims · 0.4%

Your Cost: $83.31/claim|Median: $40.11
2.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$140K

1,641 claims · 0.4%

Your Cost: $85.18/claim|Median: $69.35
1.2× median
90471Normal range

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

$134K

15K claims · 0.4%

Your Cost: $9.12/claim|Median: $9.80
0.9× median
99402Normal range

$122K

3,369 claims · 0.3%

Your Cost: $36.17/claim|Median: $31.79
1.1× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$114K

908 claims · 0.3%

Your Cost: $125.48/claim|Median: $59.72
2.1× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$104K

883 claims · 0.3%

Your Cost: $117.93/claim|Median: $47.08
2.5× median
D0180Normal range

$92K

3,704 claims · 0.3%

Your Cost: $24.88/claim|Median: $35.21
0.7× median
36415Normal range

Collection of venous blood by venipuncture

$88K

71K claims · 0.2%

Your Cost: $1.24/claim|Median: $1.57
0.8× median
92551Normal range

Screening audiometry, pure tone, air only

$76K

14K claims · 0.2%

Your Cost: $5.47/claim|Median: $6.61
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$44K

1,396 claims · 0.1%

Your Cost: $31.54/claim|Median: $43.38
0.7× median
81025Normal range

Urine pregnancy test

$42K

8,598 claims · 0.1%

Your Cost: $4.86/claim|Median: $4.81
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$41K

1,915 claims · 0.1%

Your Cost: $21.21/claim|Median: $6.93
3.1× median
D0140Top 25%

Limited oral evaluation, problem focused

$40K

993 claims · 0.1%

Your Cost: $40.43/claim|Median: $27.07
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$31K

6,519 claims · 0.1%

Your Cost: $4.78/claim|Median: $7.18
0.7× median
81000Normal range

Urinalysis with microscopy, non-automated

$28K

9,427 claims · 0.1%

Your Cost: $3.00/claim|Median: $2.51
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$26K

400 claims · 0.1%

Your Cost: $65.56/claim|Median: $54.60
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$25K

190 claims · 0.1%

Your Cost: $131.02/claim|Median: $108.91
1.2× median
86701Normal range

$23K

3,279 claims · 0.1%

Your Cost: $7.10/claim|Median: $8.03
0.9× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$21K

233 claims · 0.1%

Your Cost: $91.92/claim|Median: $27.38
3.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$20K

1,469 claims · 0.1%

Your Cost: $13.34/claim|Median: $9.56
1.4× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$18K

1,378 claims · 0.1%

Your Cost: $13.30/claim|Median: $10.51
1.3× median
99401Top 25%

$18K

657 claims · 0.0%

Your Cost: $26.71/claim|Median: $16.53
1.6× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$17K

176 claims · 0.0%

Your Cost: $98.34/claim|Median: $76.22
1.3× median
90651Top 25%

HPV vaccine, 9-valent

$16K

427 claims · 0.0%

Your Cost: $38.17/claim|Median: $8.93
4.3× median
90688Normal range

$16K

1,238 claims · 0.0%

Your Cost: $12.61/claim|Median: $9.00
1.4× median
D0274Normal range

Bitewings, four radiographic images

$16K

896 claims · 0.0%

Your Cost: $17.34/claim|Median: $22.54
0.8× median
92015Normal range

Determination of refractive state

$14K

1,332 claims · 0.0%

Your Cost: $10.63/claim|Median: $10.36
1.0× median
90715Top 25%

Tdap vaccine

$13K

482 claims · 0.0%

Your Cost: $27.63/claim|Median: $10.32
2.7× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$12K

131 claims · 0.0%

Your Cost: $94.42/claim|Median: $22.44
4.2× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$11K

140 claims · 0.0%

Your Cost: $81.65/claim|Median: $83.63
1.0× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$11K

18K claims · 0.0%

Your Cost: $0.61/claim|Median: $0.79
0.8× median
99173Normal range

$11K

8,756 claims · 0.0%

Your Cost: $1.21/claim|Median: $2.16
0.6× median
90682Normal range

$10K

354 claims · 0.0%

Your Cost: $28.52/claim|Median: $34.72
0.8× median