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GRACE HEALTH, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·BATTLE CREEK, MI·NPI: 1518945278Share

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 $49.2M 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

$49.2M

$49,163,489

Total Claims

2.2M

Beneficiaries

1.9M

1.1 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$7.4M
+7%
2019
$8.0M
-30%
2020
$5.6M
+26%
2021
$7.0M
-10%
2022
$6.3M
+16%
2023
$7.3M
+4%
2024
$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 41% of total spending.

G0467Top 10%

Federally qualified health center visit, mental health

$20.2M

279K claims · 41.1%

Your Cost: $72.44/claim|Median: $21.91
3.3× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$3.5M

47K claims · 7.1%

Your Cost: $73.87/claim|Median: $45.95
1.6× median
G0468Top 25%

$2.4M

34K claims · 4.9%

Your Cost: $69.62/claim|Median: $43.74
1.6× median
D0140Top 5%

Limited oral evaluation, problem focused

$2.3M

26K claims · 4.7%

Your Cost: $88.80/claim|Median: $27.07
3.3× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$1.7M

18K claims · 3.5%

Your Cost: $97.12/claim|Median: $57.39
1.7× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$1.6M

12K claims · 3.3%

Your Cost: $134.47/claim|Median: $71.00
1.9× median
G0466Top 25%

$1.3M

17K claims · 2.7%

Your Cost: $80.68/claim|Median: $63.31
1.3× median
D1110Top 5%

Prophylaxis, adult cleaning

$1.3M

15K claims · 2.6%

Your Cost: $87.01/claim|Median: $43.38
2.0× median
D2391Top 5%

Resin-based composite, one surface, posterior

$1.2M

12K claims · 2.5%

Your Cost: $103.96/claim|Median: $54.60
1.9× median
59426Top 10%

Antepartum care only, high risk, additional visits

$1.1M

1,170 claims · 2.2%

Your Cost: $931.76/claim|Median: $122.30
7.6× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$1.1M

13K claims · 2.1%

Your Cost: $81.41/claim|Median: $32.07
2.5× median
D0120Top 10%

Periodic oral evaluation, established patient

$958K

17K claims · 1.9%

Your Cost: $55.21/claim|Median: $24.34
2.3× median
D1351Normal range

Sealant, per tooth

$860K

34K claims · 1.7%

Your Cost: $25.62/claim|Median: $26.10
1.0× median
D1120Normal range

Prophylaxis, adult

$720K

18K claims · 1.5%

Your Cost: $39.90/claim|Median: $33.86
1.2× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$687K

4,371 claims · 1.4%

Your Cost: $157.20/claim|Median: $84.26
1.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$641K

12K claims · 1.3%

Your Cost: $52.85/claim|Median: $46.33
1.1× median
99213Normal range

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

$531K

150K claims · 1.1%

Your Cost: $3.53/claim|Median: $37.81
0.1× median
D1206Top 25%

Topical application of fluoride varnish

$527K

21K claims · 1.1%

Your Cost: $25.25/claim|Median: $18.12
1.4× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$488K

3,305 claims · 1.0%

Your Cost: $147.71/claim|Median: $109.42
1.3× median
G0469Normal range

$416K

5,462 claims · 0.8%

Your Cost: $76.13/claim|Median: $70.42
1.1× median
99214Normal range

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

$412K

82K claims · 0.8%

Your Cost: $5.05/claim|Median: $53.41
0.1× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$313K

2,733 claims · 0.6%

Your Cost: $114.63/claim|Median: $73.58
1.6× median
D0999Normal range

Unspecified diagnostic procedure, by report

$302K

2,326 claims · 0.6%

Your Cost: $129.80/claim|Median: $101.33
1.3× median
D2335Top 25%

$294K

1,956 claims · 0.6%

Your Cost: $150.51/claim|Median: $105.06
1.4× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$258K

322 claims · 0.5%

Your Cost: $801.00/claim|Median: $786.43
1.0× median
D2332Top 25%

$254K

2,016 claims · 0.5%

Your Cost: $125.87/claim|Median: $87.21
1.4× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$252K

5,028 claims · 0.5%

Your Cost: $50.20/claim|Median: $41.92
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$221K

17K claims · 0.5%

Your Cost: $12.98/claim|Median: $10.51
1.2× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$217K

2,297 claims · 0.4%

Your Cost: $94.36/claim|Median: $66.63
1.4× median
D0274Normal range

Bitewings, four radiographic images

$200K

7,622 claims · 0.4%

Your Cost: $26.18/claim|Median: $22.54
1.2× median
D5110Top 25%

$190K

251 claims · 0.4%

Your Cost: $755.67/claim|Median: $472.15
1.6× median
D2394Top 25%

$170K

992 claims · 0.3%

Your Cost: $171.05/claim|Median: $102.14
1.7× median
D0191Top 25%

$168K

9,593 claims · 0.3%

Your Cost: $17.54/claim|Median: $11.16
1.6× median
D4355Top 5%

$146K

1,088 claims · 0.3%

Your Cost: $134.35/claim|Median: $64.42
2.1× median
D0330Normal range

Panoramic radiographic image

$121K

3,183 claims · 0.2%

Your Cost: $38.08/claim|Median: $37.36
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$103K

16K claims · 0.2%

Your Cost: $6.50/claim|Median: $74.63
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$101K

12K claims · 0.2%

Your Cost: $8.58/claim|Median: $75.18
0.1× median
D4910Top 5%

$98K

958 claims · 0.2%

Your Cost: $102.51/claim|Median: $75.56
1.4× median
D0272Normal range

Bitewings, two radiographic images

$97K

4,767 claims · 0.2%

Your Cost: $20.32/claim|Median: $15.81
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$80K

11K claims · 0.2%

Your Cost: $7.06/claim|Median: $69.35
0.1× median
D0270Top 25%

$78K

7,760 claims · 0.2%

Your Cost: $10.02/claim|Median: $5.46
1.8× median
99402Top 25%

$77K

1,047 claims · 0.2%

Your Cost: $73.15/claim|Median: $31.79
2.3× median
90651Normal range

HPV vaccine, 9-valent

$75K

4,044 claims · 0.2%

Your Cost: $18.44/claim|Median: $8.93
2.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$53K

7,927 claims · 0.1%

Your Cost: $6.68/claim|Median: $74.82
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$47K

11K claims · 0.1%

Your Cost: $4.15/claim|Median: $63.65
0.1× median
90471Normal range

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

$45K

42K claims · 0.1%

Your Cost: $1.07/claim|Median: $9.80
0.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$43K

1,501 claims · 0.1%

Your Cost: $28.92/claim|Median: $57.30
0.5× median
D5120Normal range

$43K

79 claims · 0.1%

Your Cost: $545.36/claim|Median: $468.71
1.2× median
D1354Normal range

$43K

2,891 claims · 0.1%

Your Cost: $14.80/claim|Median: $12.52
1.2× median
D2940Top 5%

$41K

472 claims · 0.1%

Your Cost: $86.60/claim|Median: $34.80
2.5× median