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HEALTHPOINT FAMILY CARE INC

Clinic/Center, Federally Qualified Health Center (FQHC)·NEWPORT, KY·NPI: 1508889742Share

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 $29.2M 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

$29.2M

$29,229,835

Total Claims

1.4M

Beneficiaries

1.2M

1.1 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$3.7M
+3%
2019
$3.8M
-3%
2020
$3.6M
+8%
2021
$3.9M
+20%
2022
$4.7M
+4%
2023
$4.9M
-9%
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 33% of total spending.

99213Normal range

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

$9.6M

295K claims · 32.8%

Your Cost: $32.44/claim|Median: $37.81
0.9× median
99214Normal range

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

$2.2M

44K claims · 7.7%

Your Cost: $50.34/claim|Median: $53.41
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$2.0M

80K claims · 6.9%

Your Cost: $25.02/claim|Median: $25.06
1.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.3M

35K claims · 4.3%

Your Cost: $35.63/claim|Median: $17.85
2.0× median
D0330Normal range

Panoramic radiographic image

$1.2M

31K claims · 4.2%

Your Cost: $39.99/claim|Median: $37.36
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

16K claims · 4.0%

Your Cost: $71.92/claim|Median: $75.18
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$1.1M

43K claims · 3.8%

Your Cost: $25.94/claim|Median: $32.07
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$901K

14K claims · 3.1%

Your Cost: $63.26/claim|Median: $69.35
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$883K

20K claims · 3.0%

Your Cost: $44.37/claim|Median: $57.39
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$768K

15K claims · 2.6%

Your Cost: $49.90/claim|Median: $63.65
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$747K

23K claims · 2.6%

Your Cost: $32.32/claim|Median: $27.07
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$740K

11K claims · 2.5%

Your Cost: $68.39/claim|Median: $74.82
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$733K

13K claims · 2.5%

Your Cost: $55.42/claim|Median: $71.00
0.8× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$591K

19K claims · 2.0%

Your Cost: $31.40/claim|Median: $6.93
4.5× median
D0274Normal range

Bitewings, four radiographic images

$521K

23K claims · 1.8%

Your Cost: $22.55/claim|Median: $22.54
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$483K

11K claims · 1.7%

Your Cost: $43.02/claim|Median: $54.60
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$466K

6,021 claims · 1.6%

Your Cost: $77.33/claim|Median: $80.15
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$440K

11K claims · 1.5%

Your Cost: $38.55/claim|Median: $43.38
0.9× median
D1120Top 25%

Prophylaxis, adult

$343K

8,053 claims · 1.2%

Your Cost: $42.63/claim|Median: $33.86
1.3× median
D1206Normal range

Topical application of fluoride varnish

$237K

17K claims · 0.8%

Your Cost: $13.58/claim|Median: $18.12
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$235K

3,730 claims · 0.8%

Your Cost: $63.00/claim|Median: $84.26
0.7× median
99203Normal range

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

$194K

3,683 claims · 0.7%

Your Cost: $52.68/claim|Median: $57.85
0.9× median
D0272Normal range

Bitewings, two radiographic images

$184K

11K claims · 0.6%

Your Cost: $16.27/claim|Median: $15.81
1.0× median
99381Normal range

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

$162K

2,356 claims · 0.6%

Your Cost: $68.93/claim|Median: $73.46
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$154K

4,104 claims · 0.5%

Your Cost: $37.56/claim|Median: $41.28
0.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$145K

39K claims · 0.5%

Your Cost: $3.71/claim|Median: $121.16
0.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$137K

4,829 claims · 0.5%

Your Cost: $28.40/claim|Median: $47.08
0.6× median
90471Normal range

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

$136K

10K claims · 0.5%

Your Cost: $13.14/claim|Median: $9.80
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$134K

1,611 claims · 0.5%

Your Cost: $82.90/claim|Median: $74.09
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$131K

16K claims · 0.4%

Your Cost: $8.43/claim|Median: $10.51
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$104K

1,352 claims · 0.4%

Your Cost: $76.90/claim|Median: $99.21
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$100K

7,485 claims · 0.3%

Your Cost: $13.33/claim|Median: $11.48
1.2× median
D1351Normal range

Sealant, per tooth

$92K

5,347 claims · 0.3%

Your Cost: $17.13/claim|Median: $26.10
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$89K

1,217 claims · 0.3%

Your Cost: $73.38/claim|Median: $108.91
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$88K

19K claims · 0.3%

Your Cost: $4.73/claim|Median: $7.18
0.7× median
81025Normal range

Urine pregnancy test

$81K

14K claims · 0.3%

Your Cost: $5.97/claim|Median: $4.81
1.2× median
96110Top 10%

Developmental screening, per standardized instrument

$63K

2,126 claims · 0.2%

Your Cost: $29.42/claim|Median: $9.10
3.2× median
99204Normal range

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

$60K

878 claims · 0.2%

Your Cost: $68.45/claim|Median: $84.03
0.8× median
G0467Normal range

Federally qualified health center visit, mental health

$43K

2,866 claims · 0.1%

Your Cost: $14.87/claim|Median: $21.91
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$37K

3,194 claims · 0.1%

Your Cost: $11.62/claim|Median: $11.79
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$34K

571 claims · 0.1%

Your Cost: $59.65/claim|Median: $72.71
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$23K

901 claims · 0.1%

Your Cost: $25.52/claim|Median: $24.34
1.0× median
D2335Normal range

$22K

273 claims · 0.1%

Your Cost: $79.35/claim|Median: $105.06
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$20K

533 claims · 0.1%

Your Cost: $38.36/claim|Median: $40.11
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$19K

283 claims · 0.1%

Your Cost: $68.79/claim|Median: $85.66
0.8× median
92551Top 25%

Screening audiometry, pure tone, air only

$17K

1,543 claims · 0.1%

Your Cost: $11.28/claim|Median: $6.61
1.7× median
81003Normal range

Urinalysis, automated without microscopy

$17K

37K claims · 0.1%

Your Cost: $0.45/claim|Median: $1.48
0.3× median
85018Normal range

$17K

8,685 claims · 0.1%

Your Cost: $1.93/claim|Median: $1.71
1.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$16K

1,153 claims · 0.1%

Your Cost: $14.15/claim|Median: $38.23
0.4× median
D2394Normal range

$16K

206 claims · 0.1%

Your Cost: $76.62/claim|Median: $102.14
0.8× median

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