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

BERKS COMMUNITY HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·READING, PA·NPI: 1649525569Share

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 $37.5M 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

$37.5M

$37,544,094

Total Claims

400K

Beneficiaries

362K

1.1 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+80%
2019
$1.9M
+103%
2020
$3.9M
+116%
2021
$8.5M
-10%
2022
$7.6M
+1%
2023
$7.7M
-13%
2024
$6.8M

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 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$37.0M

159K claims · 98.6%

Your Cost: $233.28/claim|Median: $121.16
1.9× median
G9012Normal range

Other specified case management service, per 15 minutes

$230K

1,342 claims · 0.6%

Your Cost: $171.36/claim|Median: $137.85
1.2× median
G0467Normal range

Federally qualified health center visit, mental health

$64K

9,985 claims · 0.2%

Your Cost: $6.37/claim|Median: $21.91
0.3× median
3074FTop 5%

$41K

4,427 claims · 0.1%

Your Cost: $9.18/claim|Median: $0.11
83.5× median
3078FTop 5%

$38K

4,572 claims · 0.1%

Your Cost: $8.36/claim|Median: $0.08
104.5× median
99213Normal range

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

$28K

47K claims · 0.1%

Your Cost: $0.58/claim|Median: $37.81
0.0× median
3079FTop 5%

$24K

2,921 claims · 0.1%

Your Cost: $8.08/claim|Median: $0.12
67.3× median
3077FTop 5%

$21K

3,049 claims · 0.1%

Your Cost: $6.91/claim|Median: $0.12
57.6× median
3075FTop 5%

$17K

2,162 claims · 0.0%

Your Cost: $7.87/claim|Median: $0.15
52.5× median
3044FTop 5%

$13K

1,539 claims · 0.0%

Your Cost: $8.13/claim|Median: $0.16
50.8× median
3080FTop 5%

$12K

1,598 claims · 0.0%

Your Cost: $7.57/claim|Median: $0.16
47.3× median
3046FTop 5%

$5K

584 claims · 0.0%

Your Cost: $8.81/claim|Median: $0.58
15.2× median
3051FTop 10%

$5K

534 claims · 0.0%

Your Cost: $9.15/claim|Median: $0.33
27.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$5K

146 claims · 0.0%

Your Cost: $32.59/claim|Median: $38.23
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$4K

162 claims · 0.0%

Your Cost: $24.88/claim|Median: $47.08
0.5× median
3052FTop 10%

$3K

415 claims · 0.0%

Your Cost: $8.34/claim|Median: $0.18
46.3× median
0502FNormal range

$3K

766 claims · 0.0%

Your Cost: $3.51/claim|Median: $44.10
0.1× median
99214Normal range

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

$2K

13K claims · 0.0%

Your Cost: $0.18/claim|Median: $53.41
0.0× median
90734Normal range

$1K

317 claims · 0.0%

Your Cost: $4.64/claim|Median: $6.40
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$1K

16K claims · 0.0%

Your Cost: $0.08/claim|Median: $25.06
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1K

9,445 claims · 0.0%

Your Cost: $0.11/claim|Median: $17.85
0.0× median
90688Normal range

$966

171 claims · 0.0%

Your Cost: $5.65/claim|Median: $9.00
0.6× median
90670Normal range

$881

707 claims · 0.0%

Your Cost: $1.25/claim|Median: $5.94
0.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$812

2,049 claims · 0.0%

Your Cost: $0.40/claim|Median: $74.82
0.0× median
99499Normal range

Unlisted evaluation and management service

$567

27 claims · 0.0%

Your Cost: $21.00/claim|Median: $30.88
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$560

2,288 claims · 0.0%

Your Cost: $0.24/claim|Median: $75.18
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$520

1,604 claims · 0.0%

Your Cost: $0.32/claim|Median: $80.15
0.0× median
90715Normal range

Tdap vaccine

$481

1,537 claims · 0.0%

Your Cost: $0.31/claim|Median: $10.32
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$370

5,410 claims · 0.0%

Your Cost: $0.07/claim|Median: $7.18
0.0× median
92015Normal range

Determination of refractive state

$291

130 claims · 0.0%

Your Cost: $2.24/claim|Median: $10.36
0.2× median
90710Normal range

MMRV vaccine

$280

54 claims · 0.0%

Your Cost: $5.19/claim|Median: $7.00
0.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$279

835 claims · 0.0%

Your Cost: $0.33/claim|Median: $22.44
0.0× median
82962Normal range

Blood glucose test by monitoring device

$272

6,366 claims · 0.0%

Your Cost: $0.04/claim|Median: $1.40
0.0× median
83655Normal range

$271

1,767 claims · 0.0%

Your Cost: $0.15/claim|Median: $10.49
0.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$262

8,140 claims · 0.0%

Your Cost: $0.03/claim|Median: $20.83
0.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$258

708 claims · 0.0%

Your Cost: $0.37/claim|Median: $12.70
0.0× median
90471Normal range

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

$171

4,011 claims · 0.0%

Your Cost: $0.04/claim|Median: $9.80
0.0× median
90633Normal range

$110

759 claims · 0.0%

Your Cost: $0.14/claim|Median: $3.56
0.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$84

3,320 claims · 0.0%

Your Cost: $0.03/claim|Median: $6.93
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$78

2,080 claims · 0.0%

Your Cost: $0.04/claim|Median: $74.09
0.0× median
D1110Normal range

Prophylaxis, adult cleaning

$72

95 claims · 0.0%

Your Cost: $0.76/claim|Median: $43.38
0.0× median
99384Normal range

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

$60

319 claims · 0.0%

Your Cost: $0.19/claim|Median: $83.63
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$54

892 claims · 0.0%

Your Cost: $0.06/claim|Median: $11.79
0.0× median
90647Normal range

$53

752 claims · 0.0%

Your Cost: $0.07/claim|Median: $4.31
0.0× median
91321Normal range

$40

15 claims · 0.0%

Your Cost: $2.67/claim|Median: $16.72
0.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$40

472 claims · 0.0%

Your Cost: $0.08/claim|Median: $76.06
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$37

5,263 claims · 0.0%

Your Cost: $0.01/claim|Median: $12.63
0.0× median
97035Normal range

Ultrasound therapy

$31

5,528 claims · 0.0%

Your Cost: $0.01/claim|Median: $7.31
0.0× median
99177Normal range

$30

2,049 claims · 0.0%

Your Cost: $0.01/claim|Median: $3.74
0.0× median
99173Normal range

$28

5,274 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.16
0.0× median