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STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·ALVIN, TX·NPI: 1578730818Share

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 $64.7M 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

$64.7M

$64,664,309

Total Claims

409K

Beneficiaries

320K

1.3 claims/patient

Avg Cost/Claim

$158

Monthly Spending Trend

Yearly Spending

2018
$183K
+39%
2019
$254K
+652%
2020
$1.9M
+486%
2021
$11.2M
+35%
2022
$15.1M
+15%
2023
$17.3M
+9%
2024
$18.8M

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 77% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$49.8M

184K claims · 77.0%

Your Cost: $270.85/claim|Median: $121.16
2.2× median
D0999Top 10%

Unspecified diagnostic procedure, by report

$4.2M

15K claims · 6.5%

Your Cost: $290.71/claim|Median: $101.33
2.9× median
99213Top 25%

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

$3.8M

58K claims · 5.8%

Your Cost: $64.45/claim|Median: $37.81
1.7× median
99214Normal range

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

$2.6M

38K claims · 4.0%

Your Cost: $67.11/claim|Median: $53.41
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$1.1M

21K claims · 1.8%

Your Cost: $54.77/claim|Median: $41.28
1.3× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$438K

2,158 claims · 0.7%

Your Cost: $203.16/claim|Median: $72.71
2.8× median
90853Top 25%

Group psychotherapy

$403K

9,713 claims · 0.6%

Your Cost: $41.45/claim|Median: $25.02
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$317K

7,633 claims · 0.5%

Your Cost: $41.59/claim|Median: $63.65
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$225K

2,081 claims · 0.3%

Your Cost: $108.10/claim|Median: $74.09
1.5× median
90791Normal range

Psychiatric diagnostic evaluation

$203K

4,293 claims · 0.3%

Your Cost: $47.29/claim|Median: $99.21
0.5× median
99203Normal range

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

$200K

3,052 claims · 0.3%

Your Cost: $65.54/claim|Median: $57.85
1.1× median
99212Top 10%

Office/outpatient visit, low complexity

$181K

2,901 claims · 0.3%

Your Cost: $62.35/claim|Median: $25.06
2.5× median
99385Top 1%

Preventive visit, new patient, 18-39 yr

$164K

790 claims · 0.3%

Your Cost: $207.82/claim|Median: $76.22
2.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$152K

2,029 claims · 0.2%

Your Cost: $75.04/claim|Median: $108.91
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$144K

2,150 claims · 0.2%

Your Cost: $67.14/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$114K

2,068 claims · 0.2%

Your Cost: $55.24/claim|Median: $75.18
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$103K

1,813 claims · 0.2%

Your Cost: $56.90/claim|Median: $80.15
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$97K

1,645 claims · 0.2%

Your Cost: $59.18/claim|Median: $74.82
0.8× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$71K

367 claims · 0.1%

Your Cost: $194.59/claim|Median: $76.06
2.6× median
99204Normal range

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

$67K

852 claims · 0.1%

Your Cost: $78.21/claim|Median: $84.03
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$48K

1,492 claims · 0.1%

Your Cost: $32.24/claim|Median: $21.91
1.5× median
99381Top 10%

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

$39K

312 claims · 0.1%

Your Cost: $124.55/claim|Median: $73.46
1.7× median
G2025Normal range

$25K

1,691 claims · 0.0%

Your Cost: $14.50/claim|Median: $15.63
0.9× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$23K

265 claims · 0.0%

Your Cost: $86.32/claim|Median: $83.63
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$21K

432 claims · 0.0%

Your Cost: $49.25/claim|Median: $77.33
0.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$18K

241 claims · 0.0%

Your Cost: $73.35/claim|Median: $40.11
1.8× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$17K

193 claims · 0.0%

Your Cost: $90.41/claim|Median: $81.92
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$16K

277 claims · 0.0%

Your Cost: $57.44/claim|Median: $111.09
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$15K

372 claims · 0.0%

Your Cost: $41.57/claim|Median: $85.66
0.5× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$14K

1,102 claims · 0.0%

Your Cost: $12.38/claim|Median: $11.35
1.1× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$6K

82 claims · 0.0%

Your Cost: $77.24/claim|Median: $79.89
1.0× median
G0470Normal range

Chronic care management services, FQHC/RHC

$5K

162 claims · 0.0%

Your Cost: $33.84/claim|Median: $45.95
0.7× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$2K

73 claims · 0.0%

Your Cost: $32.88/claim|Median: $33.85
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$2K

73 claims · 0.0%

Your Cost: $22.74/claim|Median: $25.93
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$1K

2,112 claims · 0.0%

Your Cost: $0.48/claim|Median: $32.07
0.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$873

14 claims · 0.0%

Your Cost: $62.36/claim|Median: $76.61
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$673

778 claims · 0.0%

Your Cost: $0.87/claim|Median: $27.07
0.0× median
D0330Normal range

Panoramic radiographic image

$359

1,977 claims · 0.0%

Your Cost: $0.18/claim|Median: $37.36
0.0× median
D0120Normal range

Periodic oral evaluation, established patient

$166

2,494 claims · 0.0%

Your Cost: $0.07/claim|Median: $24.34
0.0× median
D0274Normal range

Bitewings, four radiographic images

$151

2,226 claims · 0.0%

Your Cost: $0.07/claim|Median: $22.54
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$113

397 claims · 0.0%

Your Cost: $0.29/claim|Median: $9.56
0.0× median
D1120Normal range

Prophylaxis, adult

$74

3,052 claims · 0.0%

Your Cost: $0.02/claim|Median: $33.86
0.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$73

794 claims · 0.0%

Your Cost: $0.09/claim|Median: $41.92
0.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$59

3,772 claims · 0.0%

Your Cost: $0.02/claim|Median: $14.36
0.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$58

2,434 claims · 0.0%

Your Cost: $0.02/claim|Median: $10.51
0.0× median
D1110Normal range

Prophylaxis, adult cleaning

$30

1,393 claims · 0.0%

Your Cost: $0.02/claim|Median: $43.38
0.0× median
81025Normal range

Urine pregnancy test

$22

141 claims · 0.0%

Your Cost: $0.15/claim|Median: $4.81
0.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$0

604 claims · 0.0%

Your Cost: $0.00/claim|Median: $26.24
D0601Normal range

$0

993 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
D1330Normal range

$0

2,701 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73

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