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MARILLAC CLINIC, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·GRAND JUNCTION, CO·NPI: 1518239219Share

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 $38.3M 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

$38.3M

$38,287,125

Total Claims

459K

Beneficiaries

282K

1.6 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$8.3M
+13%
2019
$9.4M
-48%
2020
$4.9M
-10%
2021
$4.4M
+15%
2022
$5.1M
-11%
2023
$4.5M
-61%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (D0999 (Unspecified diagnostic procedure, by report)) accounts for 39% of total spending.

D0999Top 25%

Unspecified diagnostic procedure, by report

$14.8M

58K claims · 38.7%

Your Cost: $254.40/claim|Median: $101.33
2.5× median
99213Top 1%

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

$7.4M

47K claims · 19.3%

Your Cost: $156.27/claim|Median: $37.81
4.1× median
99214Top 5%

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

$5.1M

33K claims · 13.4%

Your Cost: $157.46/claim|Median: $53.41
2.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$3.3M

42K claims · 8.6%

Your Cost: $79.42/claim|Median: $121.16
0.7× median
T1017Top 25%

Targeted case management, per 15 min

$1.5M

7,512 claims · 4.0%

Your Cost: $202.70/claim|Median: $69.56
2.9× median
99406Top 1%

$1.2M

9,866 claims · 3.1%

Your Cost: $120.80/claim|Median: $6.53
18.5× median
90832Top 5%

Psychotherapy, 30 minutes

$1.1M

7,477 claims · 3.0%

Your Cost: $152.57/claim|Median: $41.28
3.7× median
D1206Normal range

Topical application of fluoride varnish

$370K

19K claims · 1.0%

Your Cost: $19.51/claim|Median: $18.12
1.1× median
90834Top 10%

Psychotherapy, 45 minutes

$335K

2,941 claims · 0.9%

Your Cost: $114.04/claim|Median: $63.65
1.8× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$265K

3,405 claims · 0.7%

Your Cost: $77.89/claim|Median: $57.39
1.4× median
1036FTop 1%

$218K

4,320 claims · 0.6%

Your Cost: $50.35/claim|Median: $0.01
5035.2× median
G0467Normal range

Federally qualified health center visit, mental health

$167K

8,822 claims · 0.4%

Your Cost: $18.95/claim|Median: $21.91
0.9× median
99212Top 1%

Office/outpatient visit, low complexity

$162K

734 claims · 0.4%

Your Cost: $220.63/claim|Median: $25.06
8.8× median
D1110Normal range

Prophylaxis, adult cleaning

$158K

4,372 claims · 0.4%

Your Cost: $36.15/claim|Median: $43.38
0.8× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$137K

6,856 claims · 0.4%

Your Cost: $19.98/claim|Median: $57.30
0.3× median
1034F

$135K

2,201 claims · 0.4%

H0031Top 10%

Mental health assessment by non-physician

$131K

581 claims · 0.3%

Your Cost: $224.77/claim|Median: $96.18
2.3× median
99204Normal range

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

$127K

1,226 claims · 0.3%

Your Cost: $103.98/claim|Median: $84.03
1.2× median
1159FTop 1%

$124K

7,378 claims · 0.3%

Your Cost: $16.85/claim|Median: $0.01
1684.6× median
90674Top 1%

$116K

1,859 claims · 0.3%

Your Cost: $62.48/claim|Median: $15.16
4.1× median
D0190Normal range

$114K

11K claims · 0.3%

Your Cost: $10.05/claim|Median: $12.78
0.8× median
99203Top 25%

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

$114K

1,295 claims · 0.3%

Your Cost: $87.80/claim|Median: $57.85
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$98K

2,887 claims · 0.3%

Your Cost: $33.78/claim|Median: $32.07
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$95K

5,487 claims · 0.2%

Your Cost: $17.34/claim|Median: $24.34
0.7× median
D4910Normal range

$80K

1,420 claims · 0.2%

Your Cost: $56.06/claim|Median: $75.56
0.7× median
D1120Normal range

Prophylaxis, adult

$78K

2,912 claims · 0.2%

Your Cost: $26.75/claim|Median: $33.86
0.8× median
1160FTop 1%

$77K

7,376 claims · 0.2%

Your Cost: $10.38/claim|Median: $0.01
1037.8× median
D0140Normal range

Limited oral evaluation, problem focused

$67K

2,129 claims · 0.2%

Your Cost: $31.52/claim|Median: $27.07
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$65K

1,257 claims · 0.2%

Your Cost: $51.37/claim|Median: $46.33
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$58K

957 claims · 0.2%

Your Cost: $60.48/claim|Median: $99.21
0.6× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$53K

3,435 claims · 0.1%

Your Cost: $15.41/claim|Median: $5.50
2.8× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$32K

3,813 claims · 0.1%

Your Cost: $8.38/claim|Median: $11.35
0.7× median
D0274Normal range

Bitewings, four radiographic images

$31K

1,677 claims · 0.1%

Your Cost: $18.46/claim|Median: $22.54
0.8× median
99215Top 5%

Office/outpatient visit, high complexity

$29K

120 claims · 0.1%

Your Cost: $240.76/claim|Median: $74.09
3.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$28K

2,808 claims · 0.1%

Your Cost: $9.97/claim|Median: $10.51
0.9× median
G8418Top 5%

$27K

700 claims · 0.1%

Your Cost: $38.22/claim|Median: $0.05
764.5× median
H0002Normal range

Behavioral health screening

$21K

2,017 claims · 0.1%

Your Cost: $10.36/claim|Median: $38.77
0.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$20K

1,702 claims · 0.1%

Your Cost: $12.04/claim|Median: $26.24
0.5× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$19K

78 claims · 0.0%

Your Cost: $244.89/claim|Median: $76.06
3.2× median
2000F

$18K

7,977 claims · 0.0%

97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$17K

29K claims · 0.0%

Your Cost: $0.58/claim|Median: $12.70
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$17K

18K claims · 0.0%

Your Cost: $0.94/claim|Median: $3.67
0.3× median
D4341Top 5%

Periodontal scaling, per quadrant

$16K

72 claims · 0.0%

Your Cost: $221.00/claim|Median: $70.00
3.2× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$16K

179 claims · 0.0%

Your Cost: $86.98/claim|Median: $66.00
1.3× median
99211Top 1%

Office/outpatient visit, minimal complexity

$13K

68 claims · 0.0%

Your Cost: $188.33/claim|Median: $12.93
14.6× median
2001FTop 10%

$13K

7,747 claims · 0.0%

Your Cost: $1.65/claim|Median: $0.02
82.6× median
H0025Top 25%

Behavioral health prevention education, per session

$11K

75 claims · 0.0%

Your Cost: $145.25/claim|Median: $36.25
4.0× median
D1351Normal range

Sealant, per tooth

$10K

466 claims · 0.0%

Your Cost: $22.46/claim|Median: $26.10
0.9× median
90471Normal range

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

$10K

1,972 claims · 0.0%

Your Cost: $4.95/claim|Median: $9.80
0.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$9K

294 claims · 0.0%

Your Cost: $29.27/claim|Median: $71.00
0.4× median

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