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SYRACUSE COMMUNITY HEALTH CENTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·SYRACUSE, NY·NPI: 1497796353Share

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 $36.0M 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

$36.0M

$36,012,243

Total Claims

762K

Beneficiaries

414K

1.8 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$5.6M
+0%
2019
$5.7M
-7%
2020
$5.2M
+5%
2021
$5.5M
-20%
2022
$4.4M
+16%
2023
$5.1M
-11%
2024
$4.5M

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 28% of total spending.

99213Top 25%

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

$10.1M

163K claims · 28.1%

Your Cost: $61.94/claim|Median: $37.81
1.6× median
99214Normal range

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

$8.3M

118K claims · 23.2%

Your Cost: $70.46/claim|Median: $53.41
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$1.8M

36K claims · 4.9%

Your Cost: $49.25/claim|Median: $25.06
2.0× median
90853Top 25%

Group psychotherapy

$993K

22K claims · 2.8%

Your Cost: $46.01/claim|Median: $25.02
1.8× median
99443Normal range

Telephone E/M by physician, 21-30 min

$928K

20K claims · 2.6%

Your Cost: $45.45/claim|Median: $32.55
1.4× median
90832Top 25%

Psychotherapy, 30 minutes

$788K

13K claims · 2.2%

Your Cost: $59.07/claim|Median: $41.28
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$776K

38K claims · 2.2%

Your Cost: $20.18/claim|Median: $17.85
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$747K

21K claims · 2.1%

Your Cost: $35.54/claim|Median: $74.82
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$717K

20K claims · 2.0%

Your Cost: $35.89/claim|Median: $75.18
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$669K

7,171 claims · 1.9%

Your Cost: $93.29/claim|Median: $108.91
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$646K

19K claims · 1.8%

Your Cost: $34.03/claim|Median: $80.15
0.4× median
D0140Normal range

Limited oral evaluation, problem focused

$555K

22K claims · 1.5%

Your Cost: $25.34/claim|Median: $27.07
0.9× median
59426Normal range

Antepartum care only, high risk, additional visits

$525K

2,577 claims · 1.5%

Your Cost: $203.85/claim|Median: $122.30
1.7× median
11721Top 5%

$512K

15K claims · 1.4%

Your Cost: $33.76/claim|Median: $8.56
3.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$504K

16K claims · 1.4%

Your Cost: $31.76/claim|Median: $69.35
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$390K

5,100 claims · 1.1%

Your Cost: $76.54/claim|Median: $85.66
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$377K

4,320 claims · 1.0%

Your Cost: $87.25/claim|Median: $99.21
0.9× median
99211Top 10%

Office/outpatient visit, minimal complexity

$358K

7,308 claims · 1.0%

Your Cost: $48.92/claim|Median: $12.93
3.8× median
99203Normal range

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

$351K

5,462 claims · 1.0%

Your Cost: $64.24/claim|Median: $57.85
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$340K

9,253 claims · 0.9%

Your Cost: $36.75/claim|Median: $43.38
0.8× median
92551Top 10%

Screening audiometry, pure tone, air only

$286K

23K claims · 0.8%

Your Cost: $12.20/claim|Median: $6.61
1.8× median
0502FNormal range

$277K

9,738 claims · 0.8%

Your Cost: $28.48/claim|Median: $44.10
0.6× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$249K

2,600 claims · 0.7%

Your Cost: $95.66/claim|Median: $58.55
1.6× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$248K

4,856 claims · 0.7%

Your Cost: $51.10/claim|Median: $27.38
1.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$245K

3,861 claims · 0.7%

Your Cost: $63.37/claim|Median: $72.71
0.9× median
92015Top 10%

Determination of refractive state

$234K

10K claims · 0.7%

Your Cost: $23.18/claim|Median: $10.36
2.2× median
59425Top 25%

Antepartum care only, 4-6 visits

$217K

1,653 claims · 0.6%

Your Cost: $131.06/claim|Median: $63.63
2.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$200K

3,197 claims · 0.6%

Your Cost: $62.66/claim|Median: $47.08
1.3× median
D0120Normal range

Periodic oral evaluation, established patient

$193K

7,305 claims · 0.5%

Your Cost: $26.42/claim|Median: $24.34
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$191K

2,666 claims · 0.5%

Your Cost: $71.79/claim|Median: $76.06
0.9× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$176K

3,421 claims · 0.5%

Your Cost: $51.52/claim|Median: $38.23
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$172K

6,827 claims · 0.5%

Your Cost: $25.23/claim|Median: $32.07
0.8× median
D0330Normal range

Panoramic radiographic image

$160K

5,465 claims · 0.4%

Your Cost: $29.26/claim|Median: $37.36
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$158K

3,647 claims · 0.4%

Your Cost: $43.37/claim|Median: $57.39
0.8× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$153K

1,261 claims · 0.4%

Your Cost: $121.47/claim|Median: $74.78
1.6× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$140K

1,395 claims · 0.4%

Your Cost: $100.49/claim|Median: $58.16
1.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$131K

3,151 claims · 0.4%

Your Cost: $41.71/claim|Median: $22.44
1.9× median
90471Normal range

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

$123K

8,824 claims · 0.3%

Your Cost: $13.89/claim|Median: $9.80
1.4× median
D1120Normal range

Prophylaxis, adult

$117K

3,799 claims · 0.3%

Your Cost: $30.75/claim|Median: $33.86
0.9× median
D9999Normal range

Unspecified adjunctive procedure, by report

$113K

1,149 claims · 0.3%

Your Cost: $97.97/claim|Median: $37.60
2.6× median
59430Normal range

$102K

968 claims · 0.3%

Your Cost: $105.63/claim|Median: $80.32
1.3× median
11056Top 5%

Paring or cutting of benign hyperkeratotic lesions, two to four

$96K

1,934 claims · 0.3%

Your Cost: $49.65/claim|Median: $11.01
4.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$93K

3,273 claims · 0.3%

Your Cost: $28.52/claim|Median: $30.04
0.9× median
90839Normal range

Psychotherapy for crisis, first 60 min

$91K

1,112 claims · 0.3%

Your Cost: $81.47/claim|Median: $83.98
1.0× median
77067Top 10%

Screening mammography, bilateral, including CAD

$87K

796 claims · 0.2%

Your Cost: $109.16/claim|Median: $39.33
2.8× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$83K

4,539 claims · 0.2%

Your Cost: $18.24/claim|Median: $10.51
1.7× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$73K

1,917 claims · 0.2%

Your Cost: $37.89/claim|Median: $13.30
2.8× median
D0274Normal range

Bitewings, four radiographic images

$71K

3,047 claims · 0.2%

Your Cost: $23.29/claim|Median: $22.54
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$66K

1,082 claims · 0.2%

Your Cost: $60.97/claim|Median: $63.65
1.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$61K

992 claims · 0.2%

Your Cost: $61.88/claim|Median: $40.11
1.5× median

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