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TRIAD ADULT AND PEDIATRIC MEDICINE, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·GREENSBORO, NC·NPI: 1598762940Share

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 $29.1M 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

$29.1M

$29,108,480

Total Claims

1.1M

Beneficiaries

817K

1.4 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-2%
2019
$3.9M
-17%
2020
$3.3M
+22%
2021
$4.0M
+3%
2022
$4.1M
+14%
2023
$4.7M
+8%
2024
$5.1M

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 10%

Clinic visit/encounter, all-inclusive

$20.0M

74K claims · 68.8%

Your Cost: $271.11/claim|Median: $121.16
2.2× median
99199Normal range

Unlisted special service, procedure, or report

$3.8M

640K claims · 13.0%

Your Cost: $5.90/claim|Median: $5.39
1.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.1M

12K claims · 3.8%

Your Cost: $88.37/claim|Median: $69.35
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$904K

11K claims · 3.1%

Your Cost: $85.26/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$882K

9,976 claims · 3.0%

Your Cost: $88.46/claim|Median: $75.18
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$663K

7,572 claims · 2.3%

Your Cost: $87.56/claim|Median: $80.15
1.1× median
90472Top 25%

Immunization administration, each additional vaccine

$500K

22K claims · 1.7%

Your Cost: $22.40/claim|Median: $11.79
1.9× median
90471Normal range

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

$481K

38K claims · 1.7%

Your Cost: $12.67/claim|Median: $9.80
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$130K

3,867 claims · 0.4%

Your Cost: $33.69/claim|Median: $57.30
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$96K

12K claims · 0.3%

Your Cost: $8.05/claim|Median: $9.10
0.9× median
99381Normal range

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

$79K

995 claims · 0.3%

Your Cost: $79.76/claim|Median: $73.46
1.1× median
D1206Normal range

Topical application of fluoride varnish

$58K

3,906 claims · 0.2%

Your Cost: $14.83/claim|Median: $18.12
0.8× median
90474Top 25%

$54K

4,000 claims · 0.2%

Your Cost: $13.41/claim|Median: $8.42
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$50K

3,634 claims · 0.2%

Your Cost: $13.70/claim|Median: $11.48
1.2× median
92587Normal range

$45K

5,188 claims · 0.2%

Your Cost: $8.68/claim|Median: $19.24
0.5× median
90649Normal range

$34K

4,616 claims · 0.1%

Your Cost: $7.40/claim|Median: $6.42
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$26K

23K claims · 0.1%

Your Cost: $1.16/claim|Median: $6.61
0.2× median
96160Normal range

Patient-focused health risk assessment

$19K

7,254 claims · 0.1%

Your Cost: $2.58/claim|Median: $2.10
1.2× median
83655Normal range

$15K

1,435 claims · 0.1%

Your Cost: $10.29/claim|Median: $10.49
1.0× median
99173Normal range

$14K

23K claims · 0.0%

Your Cost: $0.61/claim|Median: $2.16
0.3× median
99383Normal range

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

$14K

154 claims · 0.0%

Your Cost: $91.70/claim|Median: $81.92
1.1× median
99213Normal range

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

$13K

672 claims · 0.0%

Your Cost: $19.89/claim|Median: $37.81
0.5× median
85018Normal range

$13K

7,382 claims · 0.0%

Your Cost: $1.70/claim|Median: $1.71
1.0× median
90620Normal range

$11K

1,511 claims · 0.0%

Your Cost: $7.13/claim|Median: $6.49
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$11K

5,874 claims · 0.0%

Your Cost: $1.79/claim|Median: $3.67
0.5× median
0071ATop 25%

$10K

211 claims · 0.0%

Your Cost: $45.28/claim|Median: $38.71
1.2× median
0072ATop 10%

$9K

169 claims · 0.0%

Your Cost: $56.15/claim|Median: $39.57
1.4× median
87804Normal range

Influenza virus detection, rapid test

$8K

603 claims · 0.0%

Your Cost: $13.87/claim|Median: $12.59
1.1× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$8K

186 claims · 0.0%

Your Cost: $42.57/claim|Median: $36.70
1.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$7K

187 claims · 0.0%

Your Cost: $35.40/claim|Median: $33.72
1.0× median
81003Normal range

Urinalysis, automated without microscopy

$6K

4,375 claims · 0.0%

Your Cost: $1.40/claim|Median: $1.48
0.9× median
99384Normal range

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

$6K

60 claims · 0.0%

Your Cost: $101.02/claim|Median: $83.63
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$5K

1,825 claims · 0.0%

Your Cost: $2.63/claim|Median: $1.57
1.7× median
96161Normal range

$5K

2,259 claims · 0.0%

Your Cost: $1.99/claim|Median: $2.49
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

13K claims · 0.0%

Your Cost: $0.31/claim|Median: $7.18
0.0× median
90715Normal range

Tdap vaccine

$3K

1,396 claims · 0.0%

Your Cost: $1.93/claim|Median: $10.32
0.2× median
90480Top 25%

$2K

66 claims · 0.0%

Your Cost: $36.56/claim|Median: $25.29
1.4× median
99214Normal range

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

$2K

85 claims · 0.0%

Your Cost: $28.28/claim|Median: $53.41
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$1K

81 claims · 0.0%

Your Cost: $16.43/claim|Median: $25.06
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1K

20 claims · 0.0%

Your Cost: $56.38/claim|Median: $72.71
0.8× median
99382Normal range

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

$1K

12 claims · 0.0%

Your Cost: $87.34/claim|Median: $79.89
1.1× median
90734Normal range

$952

2,530 claims · 0.0%

Your Cost: $0.38/claim|Median: $6.40
0.1× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$918

468 claims · 0.0%

Your Cost: $1.96/claim|Median: $0.79
2.5× median
99177Normal range

$843

2,657 claims · 0.0%

Your Cost: $0.32/claim|Median: $3.74
0.1× median
90656Normal range

$824

1,983 claims · 0.0%

Your Cost: $0.42/claim|Median: $8.67
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$805

253 claims · 0.0%

Your Cost: $3.18/claim|Median: $5.50
0.6× median
81025Normal range

Urine pregnancy test

$584

100 claims · 0.0%

Your Cost: $5.84/claim|Median: $4.81
1.2× median
90633Normal range

$428

3,722 claims · 0.0%

Your Cost: $0.12/claim|Median: $3.56
0.0× median
96380Normal range

$343

29 claims · 0.0%

Your Cost: $11.82/claim|Median: $16.33
0.7× median
90716Normal range

$321

839 claims · 0.0%

Your Cost: $0.38/claim|Median: $6.18
0.1× median

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