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MULNOMAH COUNTY

Clinic/Center, Federally Qualified Health Center (FQHC)·PORTLAND, OR·NPI: 1649339581Share

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 $64.9M 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

$64.9M

$64,899,358

Total Claims

2.1M

Beneficiaries

1.8M

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$11.1M
+3%
2019
$11.5M
-30%
2020
$8.1M
+8%
2021
$8.7M
-3%
2022
$8.5M
+1%
2023
$8.6M
-3%
2024
$8.4M

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 22% of total spending.

99213Top 25%

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

$14.1M

214K claims · 21.8%

Your Cost: $65.88/claim|Median: $37.81
1.7× median
99214Top 25%

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

$13.1M

152K claims · 20.2%

Your Cost: $86.31/claim|Median: $53.41
1.6× median
D0140Top 5%

Limited oral evaluation, problem focused

$2.9M

49K claims · 4.4%

Your Cost: $57.94/claim|Median: $27.07
2.1× median
D0120Top 25%

Periodic oral evaluation, established patient

$2.7M

67K claims · 4.1%

Your Cost: $39.54/claim|Median: $24.34
1.6× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$2.4M

17K claims · 3.7%

Your Cost: $140.40/claim|Median: $57.39
2.4× median
D1206Normal range

Topical application of fluoride varnish

$2.4M

118K claims · 3.6%

Your Cost: $19.98/claim|Median: $18.12
1.1× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$2.1M

32K claims · 3.2%

Your Cost: $64.79/claim|Median: $32.07
2.0× median
D1120Top 10%

Prophylaxis, adult

$1.8M

40K claims · 2.8%

Your Cost: $45.56/claim|Median: $33.86
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1.5M

169K claims · 2.2%

Your Cost: $8.60/claim|Median: $7.33
1.2× median
D1110Top 25%

Prophylaxis, adult cleaning

$1.4M

23K claims · 2.2%

Your Cost: $62.40/claim|Median: $43.38
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.3M

18K claims · 2.0%

Your Cost: $70.58/claim|Median: $71.00
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$1.2M

81K claims · 1.8%

Your Cost: $14.61/claim|Median: $10.51
1.4× median
D1351Normal range

Sealant, per tooth

$1.1M

44K claims · 1.7%

Your Cost: $25.45/claim|Median: $26.10
1.0× median
99212Top 10%

Office/outpatient visit, low complexity

$1.1M

20K claims · 1.7%

Your Cost: $56.31/claim|Median: $25.06
2.2× median
D4341Normal range

Periodontal scaling, per quadrant

$983K

9,758 claims · 1.5%

Your Cost: $100.69/claim|Median: $70.00
1.4× median
D0274Normal range

Bitewings, four radiographic images

$868K

42K claims · 1.3%

Your Cost: $20.83/claim|Median: $22.54
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$770K

18K claims · 1.2%

Your Cost: $43.42/claim|Median: $46.33
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$768K

13K claims · 1.2%

Your Cost: $56.92/claim|Median: $54.60
1.0× median
D4342Normal range

$760K

10K claims · 1.2%

Your Cost: $75.23/claim|Median: $42.00
1.8× median
D4355Normal range

$730K

9,246 claims · 1.1%

Your Cost: $78.94/claim|Median: $64.42
1.2× median
90471Normal range

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

$721K

90K claims · 1.1%

Your Cost: $8.02/claim|Median: $9.80
0.8× median
98968Top 25%

$679K

12K claims · 1.0%

Your Cost: $55.97/claim|Median: $28.39
2.0× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$663K

6,254 claims · 1.0%

Your Cost: $106.00/claim|Median: $80.15
1.3× median
99402Top 25%

$631K

11K claims · 1.0%

Your Cost: $56.68/claim|Median: $31.79
1.8× median
99215Top 25%

Office/outpatient visit, high complexity

$567K

4,683 claims · 0.9%

Your Cost: $121.18/claim|Median: $74.09
1.6× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$562K

5,580 claims · 0.9%

Your Cost: $100.72/claim|Median: $74.82
1.3× median
D4910Normal range

$497K

9,926 claims · 0.8%

Your Cost: $50.07/claim|Median: $75.56
0.7× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$453K

4,548 claims · 0.7%

Your Cost: $99.64/claim|Median: $75.18
1.3× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$403K

5,435 claims · 0.6%

Your Cost: $74.16/claim|Median: $66.00
1.1× median
90688Top 25%

$348K

21K claims · 0.5%

Your Cost: $16.95/claim|Median: $9.00
1.9× median
99203Top 10%

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

$294K

2,750 claims · 0.5%

Your Cost: $106.84/claim|Median: $57.85
1.8× median
99204Top 25%

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

$226K

1,773 claims · 0.3%

Your Cost: $127.28/claim|Median: $84.03
1.5× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$225K

2,565 claims · 0.3%

Your Cost: $87.72/claim|Median: $69.35
1.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$203K

2,939 claims · 0.3%

Your Cost: $69.13/claim|Median: $74.63
0.9× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$193K

9,445 claims · 0.3%

Your Cost: $20.39/claim|Median: $7.18
2.8× median
D1320Normal range

$167K

11K claims · 0.3%

Your Cost: $15.51/claim|Median: $14.84
1.0× median
H2010Top 10%

Comprehensive medication services, per 15 min

$157K

370 claims · 0.2%

Your Cost: $425.22/claim|Median: $62.69
6.8× median
99211Top 10%

Office/outpatient visit, minimal complexity

$150K

3,414 claims · 0.2%

Your Cost: $43.82/claim|Median: $12.93
3.4× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$146K

2,782 claims · 0.2%

Your Cost: $52.48/claim|Median: $33.85
1.6× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$135K

2,649 claims · 0.2%

Your Cost: $51.10/claim|Median: $25.93
2.0× median
90716Top 5%

$122K

2,221 claims · 0.2%

Your Cost: $54.89/claim|Median: $6.18
8.9× median
D0270Normal range

$104K

13K claims · 0.2%

Your Cost: $8.23/claim|Median: $5.46
1.5× median
90832Top 10%

Psychotherapy, 30 minutes

$104K

1,117 claims · 0.2%

Your Cost: $92.99/claim|Median: $41.28
2.3× median
99403Top 25%

$103K

1,205 claims · 0.2%

Your Cost: $85.74/claim|Median: $47.11
1.8× median
97810Normal range

$101K

5,387 claims · 0.2%

Your Cost: $18.72/claim|Median: $23.92
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$96K

20K claims · 0.1%

Your Cost: $4.74/claim|Median: $3.67
1.3× median
90715Top 25%

Tdap vaccine

$95K

3,911 claims · 0.1%

Your Cost: $24.23/claim|Median: $10.32
2.3× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$93K

2,520 claims · 0.1%

Your Cost: $37.02/claim|Median: $13.30
2.8× median
D0191Normal range

$91K

10K claims · 0.1%

Your Cost: $9.03/claim|Median: $11.16
0.8× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$91K

2,492 claims · 0.1%

Your Cost: $36.44/claim|Median: $57.30
0.6× median