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

⚖️ Compare🖨️ Print Report

FAMILY HEALTH CENTERS, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·LOUISVILLE, KY·NPI: 1518963230Share

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 $21.1M 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

$21.1M

$21,104,732

Total Claims

1.4M

Beneficiaries

1.3M

1.1 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-2%
2019
$3.1M
+11%
2020
$3.4M
-7%
2021
$3.2M
-12%
2022
$2.8M
-1%
2023
$2.8M
-6%
2024
$2.6M

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 37% of total spending.

99213Normal range

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

$7.7M

202K claims · 36.6%

Your Cost: $38.30/claim|Median: $37.81
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$2.1M

69K claims · 10.1%

Your Cost: $30.68/claim|Median: $25.06
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

15K claims · 5.3%

Your Cost: $72.48/claim|Median: $75.18
1.0× median
99173Top 1%

$1.1M

20K claims · 5.0%

Your Cost: $52.50/claim|Median: $2.16
24.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$818K

13K claims · 3.9%

Your Cost: $62.43/claim|Median: $69.35
0.9× median
90471Normal range

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

$763K

53K claims · 3.6%

Your Cost: $14.27/claim|Median: $9.80
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$652K

9,014 claims · 3.1%

Your Cost: $72.30/claim|Median: $74.82
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$576K

31K claims · 2.7%

Your Cost: $18.38/claim|Median: $11.79
1.6× median
D0330Normal range

Panoramic radiographic image

$405K

12K claims · 1.9%

Your Cost: $34.42/claim|Median: $37.36
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$337K

11K claims · 1.6%

Your Cost: $31.91/claim|Median: $32.07
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$323K

4,037 claims · 1.5%

Your Cost: $79.93/claim|Median: $99.21
0.8× median
99203Normal range

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

$284K

4,841 claims · 1.3%

Your Cost: $58.56/claim|Median: $57.85
1.0× median
99214Normal range

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

$267K

5,350 claims · 1.3%

Your Cost: $49.94/claim|Median: $53.41
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$234K

2,855 claims · 1.1%

Your Cost: $81.88/claim|Median: $80.15
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$223K

5,566 claims · 1.1%

Your Cost: $40.07/claim|Median: $43.38
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$217K

3,949 claims · 1.0%

Your Cost: $54.90/claim|Median: $71.00
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$200K

3,931 claims · 0.9%

Your Cost: $50.89/claim|Median: $63.65
0.8× median
92552Normal range

Pure tone audiometry, air only, each ear

$198K

18K claims · 0.9%

Your Cost: $10.95/claim|Median: $12.63
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$196K

3,986 claims · 0.9%

Your Cost: $49.16/claim|Median: $57.39
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$182K

5,239 claims · 0.9%

Your Cost: $34.66/claim|Median: $27.07
1.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$176K

24K claims · 0.8%

Your Cost: $7.22/claim|Median: $5.50
1.3× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$173K

2,083 claims · 0.8%

Your Cost: $83.09/claim|Median: $109.42
0.8× median
D0274Normal range

Bitewings, four radiographic images

$172K

8,725 claims · 0.8%

Your Cost: $19.72/claim|Median: $22.54
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$170K

22K claims · 0.8%

Your Cost: $7.58/claim|Median: $21.91
0.3× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$166K

3,060 claims · 0.8%

Your Cost: $54.37/claim|Median: $41.92
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$165K

99K claims · 0.8%

Your Cost: $1.67/claim|Median: $1.57
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$139K

3,432 claims · 0.7%

Your Cost: $40.53/claim|Median: $41.28
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$107K

1,426 claims · 0.5%

Your Cost: $74.89/claim|Median: $85.66
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$106K

1,536 claims · 0.5%

Your Cost: $68.78/claim|Median: $72.71
0.9× median
90473Top 25%

Immunization admin, intranasal, first

$106K

7,534 claims · 0.5%

Your Cost: $14.01/claim|Median: $9.17
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$78K

13K claims · 0.4%

Your Cost: $6.12/claim|Median: $4.71
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$75K

13K claims · 0.4%

Your Cost: $5.76/claim|Median: $10.51
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$72K

885 claims · 0.3%

Your Cost: $80.94/claim|Median: $76.06
1.1× median
81025Top 25%

Urine pregnancy test

$66K

9,998 claims · 0.3%

Your Cost: $6.60/claim|Median: $4.81
1.4× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$66K

4,401 claims · 0.3%

Your Cost: $14.97/claim|Median: $11.48
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$65K

1,470 claims · 0.3%

Your Cost: $44.39/claim|Median: $54.60
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$64K

13K claims · 0.3%

Your Cost: $4.94/claim|Median: $7.18
0.7× median
90688Normal range

$56K

7,291 claims · 0.3%

Your Cost: $7.64/claim|Median: $9.00
0.8× median
D1206Normal range

Topical application of fluoride varnish

$54K

8,582 claims · 0.3%

Your Cost: $6.33/claim|Median: $18.12
0.3× median
86580Normal range

Tuberculosis (TB) skin test

$51K

8,788 claims · 0.2%

Your Cost: $5.78/claim|Median: $4.46
1.3× median
99204Normal range

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

$46K

606 claims · 0.2%

Your Cost: $76.42/claim|Median: $84.03
0.9× median
82962Normal range

Blood glucose test by monitoring device

$40K

18K claims · 0.2%

Your Cost: $2.19/claim|Median: $1.40
1.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$40K

1,085 claims · 0.2%

Your Cost: $36.90/claim|Median: $12.93
2.9× median
87428Normal range

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

$40K

1,214 claims · 0.2%

Your Cost: $32.72/claim|Median: $39.63
0.8× median
D1120Top 25%

Prophylaxis, adult

$38K

850 claims · 0.2%

Your Cost: $45.27/claim|Median: $33.86
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$36K

11K claims · 0.2%

Your Cost: $3.35/claim|Median: $7.33
0.5× median
90480Normal range

$33K

1,045 claims · 0.2%

Your Cost: $31.59/claim|Median: $25.29
1.2× median
99381Normal range

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

$32K

438 claims · 0.2%

Your Cost: $73.25/claim|Median: $73.46
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$32K

1,453 claims · 0.2%

Your Cost: $21.99/claim|Median: $24.34
0.9× median
87210Top 25%

$31K

6,598 claims · 0.1%

Your Cost: $4.72/claim|Median: $3.65
1.3× median

Other Top Providers in Kentucky

View all →

University of Kentucky

General Acute Care Hospital

$716.4M

Norton Hospitals INC

General Acute Care Hospital

$419.6M

Seven Counties Services Inc.

Clinic/Center Developmental Disabilities

$375.8M

Cumberland River Behavioral Health INC

Community/Behavioral Health

$349.2M

Addiction Recovery Care LLC

Community Based Residential Treatment Facility, Me

$309.0M

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providersAll providers in Kentucky →How we detect fraud →