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SIOUXLAND COMMUNITY HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·SIOUX CITY, IA·NPI: 1558355305Share

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 $87.6M 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

$87.6M

$87,633,372

Total Claims

1.5M

Beneficiaries

1.3M

1.1 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$10.0M
+12%
2019
$11.2M
-2%
2020
$10.9M
+32%
2021
$14.3M
+1%
2022
$14.4M
-4%
2023
$13.9M
-7%
2024
$12.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 69% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$60.3M

284K claims · 68.8%

Your Cost: $212.71/claim|Median: $121.16
1.8× median
D9999Top 25%

Unspecified adjunctive procedure, by report

$12.4M

58K claims · 14.2%

Your Cost: $214.06/claim|Median: $37.60
5.7× median
99213Normal range

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

$4.9M

187K claims · 5.6%

Your Cost: $26.48/claim|Median: $37.81
0.7× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$4.6M

18K claims · 5.2%

Your Cost: $253.33/claim|Median: $101.33
2.5× median
S0280Normal range

Medical home program, comprehensive care management

$1.6M

39K claims · 1.8%

Your Cost: $40.58/claim|Median: $48.38
0.8× median
99214Normal range

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

$1.2M

64K claims · 1.4%

Your Cost: $19.40/claim|Median: $53.41
0.4× median
G0467Normal range

Federally qualified health center visit, mental health

$606K

20K claims · 0.7%

Your Cost: $30.13/claim|Median: $21.91
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$242K

5,375 claims · 0.3%

Your Cost: $45.04/claim|Median: $25.06
1.8× median
D1206Normal range

Topical application of fluoride varnish

$154K

44K claims · 0.2%

Your Cost: $3.48/claim|Median: $18.12
0.2× median
D0120Normal range

Periodic oral evaluation, established patient

$129K

31K claims · 0.1%

Your Cost: $4.16/claim|Median: $24.34
0.2× median
D1120Normal range

Prophylaxis, adult

$128K

24K claims · 0.1%

Your Cost: $5.30/claim|Median: $33.86
0.2× median
87428Normal range

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

$125K

13K claims · 0.1%

Your Cost: $9.75/claim|Median: $39.63
0.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$86K

8,819 claims · 0.1%

Your Cost: $9.74/claim|Median: $71.00
0.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$84K

25K claims · 0.1%

Your Cost: $3.33/claim|Median: $11.48
0.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$75K

3,378 claims · 0.1%

Your Cost: $22.26/claim|Median: $40.11
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$71K

14K claims · 0.1%

Your Cost: $5.01/claim|Median: $43.38
0.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$57K

9,265 claims · 0.1%

Your Cost: $6.12/claim|Median: $57.39
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$54K

7,211 claims · 0.1%

Your Cost: $7.51/claim|Median: $69.35
0.1× median
D1351Normal range

Sealant, per tooth

$51K

27K claims · 0.1%

Your Cost: $1.93/claim|Median: $26.10
0.1× median
99203Normal range

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

$32K

2,162 claims · 0.0%

Your Cost: $14.65/claim|Median: $57.85
0.3× median
36415Normal range

Collection of venous blood by venipuncture

$30K

50K claims · 0.0%

Your Cost: $0.60/claim|Median: $1.57
0.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$29K

9,135 claims · 0.0%

Your Cost: $3.13/claim|Median: $32.07
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$28K

6,469 claims · 0.0%

Your Cost: $4.39/claim|Median: $75.18
0.1× median
D0274Normal range

Bitewings, four radiographic images

$28K

10K claims · 0.0%

Your Cost: $2.64/claim|Median: $22.54
0.1× median
D0272Normal range

Bitewings, two radiographic images

$25K

12K claims · 0.0%

Your Cost: $2.10/claim|Median: $15.81
0.1× median
87430Normal range

$25K

6,457 claims · 0.0%

Your Cost: $3.86/claim|Median: $9.41
0.4× median
D0140Normal range

Limited oral evaluation, problem focused

$24K

11K claims · 0.0%

Your Cost: $2.27/claim|Median: $27.07
0.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$22K

3,834 claims · 0.0%

Your Cost: $5.87/claim|Median: $54.60
0.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$22K

436 claims · 0.0%

Your Cost: $51.45/claim|Median: $100.62
0.5× median
D0330Normal range

Panoramic radiographic image

$22K

8,509 claims · 0.0%

Your Cost: $2.57/claim|Median: $37.36
0.1× median
87426Normal range

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

$22K

3,754 claims · 0.0%

Your Cost: $5.78/claim|Median: $30.04
0.2× median
99204Normal range

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

$21K

249 claims · 0.0%

Your Cost: $86.19/claim|Median: $84.03
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$20K

1,914 claims · 0.0%

Your Cost: $10.51/claim|Median: $14.00
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$18K

2,471 claims · 0.0%

Your Cost: $7.47/claim|Median: $46.33
0.2× median
D1999Top 1%

$17K

73 claims · 0.0%

Your Cost: $226.47/claim|Median: $11.95
19.0× median
87804Normal range

Influenza virus detection, rapid test

$16K

6,538 claims · 0.0%

Your Cost: $2.44/claim|Median: $12.59
0.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$14K

2,846 claims · 0.0%

Your Cost: $5.04/claim|Median: $74.82
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$13K

2,224 claims · 0.0%

Your Cost: $5.81/claim|Median: $80.15
0.1× median
2010F

$11K

12K claims · 0.0%

D0220Normal range

Intraoral periapical radiographic image, first film

$11K

15K claims · 0.0%

Your Cost: $0.75/claim|Median: $10.51
0.1× median
80053Normal range

Comprehensive metabolic panel

$10K

15K claims · 0.0%

Your Cost: $0.65/claim|Median: $7.24
0.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$9K

18K claims · 0.0%

Your Cost: $0.51/claim|Median: $5.50
0.1× median
81003Normal range

Urinalysis, automated without microscopy

$9K

16K claims · 0.0%

Your Cost: $0.59/claim|Median: $1.48
0.4× median
80061Normal range

Lipid panel

$7K

12K claims · 0.0%

Your Cost: $0.58/claim|Median: $8.41
0.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$6K

4,356 claims · 0.0%

Your Cost: $1.49/claim|Median: $57.30
0.0× median
90471Normal range

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

$6K

8,927 claims · 0.0%

Your Cost: $0.71/claim|Median: $9.80
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$6K

4,652 claims · 0.0%

Your Cost: $1.33/claim|Median: $9.56
0.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$6K

683 claims · 0.0%

Your Cost: $8.64/claim|Median: $120.85
0.1× median
3078FNormal range

$6K

9,184 claims · 0.0%

Your Cost: $0.63/claim|Median: $0.08
7.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$5K

7,803 claims · 0.0%

Your Cost: $0.70/claim|Median: $9.87
0.1× median

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