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OPTIMUS HEALTH CARE INC

Clinic/Center, Federally Qualified Health Center (FQHC)·BRIDGEPORT, CT·NPI: 1669445946Share

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 $100.3M 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

$100.3M

$100,268,359

Total Claims

1.9M

Beneficiaries

1.5M

1.2 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$15.7M
-3%
2019
$15.3M
-6%
2020
$14.4M
+14%
2021
$16.4M
-13%
2022
$14.2M
+8%
2023
$15.3M
-42%
2024
$8.9M

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 98% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$97.8M

721K claims · 97.6%

Your Cost: $135.65/claim|Median: $121.16
1.1× median
G0511Top 25%

RHC/FQHC visit, psychiatric collaborative care model

$1.5M

75K claims · 1.5%

Your Cost: $20.13/claim|Median: $11.35
1.8× median
G0467Normal range

Federally qualified health center visit, mental health

$395K

29K claims · 0.4%

Your Cost: $13.63/claim|Median: $21.91
0.6× median
G2025Top 10%

$274K

4,196 claims · 0.3%

Your Cost: $65.24/claim|Median: $15.63
4.2× median
99213Normal range

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

$119K

343K claims · 0.1%

Your Cost: $0.35/claim|Median: $37.81
0.0× median
82947Top 25%

Blood glucose level test

$43K

11K claims · 0.0%

Your Cost: $3.99/claim|Median: $2.38
1.7× median
99231Normal range

Subsequent hospital care, per day, low complexity

$30K

1,524 claims · 0.0%

Your Cost: $19.90/claim|Median: $16.77
1.2× median
99214Normal range

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

$19K

34K claims · 0.0%

Your Cost: $0.55/claim|Median: $53.41
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$12K

30K claims · 0.0%

Your Cost: $0.41/claim|Median: $12.93
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$12K

40K claims · 0.0%

Your Cost: $0.31/claim|Median: $25.06
0.0× median
99223Normal range

Initial hospital care, per day, high complexity

$11K

155 claims · 0.0%

Your Cost: $72.54/claim|Median: $67.32
1.1× median
G0470Normal range

Chronic care management services, FQHC/RHC

$6K

2,784 claims · 0.0%

Your Cost: $2.00/claim|Median: $45.95
0.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$5K

158 claims · 0.0%

Your Cost: $30.23/claim|Median: $37.22
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$5K

138 claims · 0.0%

Your Cost: $33.25/claim|Median: $62.48
0.5× median
98940Normal range

$5K

8,195 claims · 0.0%

Your Cost: $0.55/claim|Median: $14.55
0.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

47K claims · 0.0%

Your Cost: $0.06/claim|Median: $22.44
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$3K

5,512 claims · 0.0%

Your Cost: $0.49/claim|Median: $5.50
0.1× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$2K

4,422 claims · 0.0%

Your Cost: $0.43/claim|Median: $20.83
0.0× median
97810Normal range

$2K

6,179 claims · 0.0%

Your Cost: $0.26/claim|Median: $23.92
0.0× median
99490Normal range

Chronic care management services, 20 minutes per month

$1K

135 claims · 0.0%

Your Cost: $10.04/claim|Median: $6.31
1.6× median
1159FNormal range

$603

23K claims · 0.0%

Your Cost: $0.03/claim|Median: $0.01
2.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$475

3,793 claims · 0.0%

Your Cost: $0.13/claim|Median: $9.56
0.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$355

802 claims · 0.0%

Your Cost: $0.44/claim|Median: $24.33
0.0× median
Q2039Normal range

$348

987 claims · 0.0%

Your Cost: $0.35/claim|Median: $2.89
0.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$289

1,130 claims · 0.0%

Your Cost: $0.26/claim|Median: $13.30
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$240

35K claims · 0.0%

Your Cost: $0.01/claim|Median: $3.67
0.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$231

475 claims · 0.0%

Your Cost: $0.49/claim|Median: $59.72
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$216

35K claims · 0.0%

Your Cost: $0.01/claim|Median: $6.61
0.0× median
76815Normal range

Ultrasound, pregnant uterus, limited

$212

13 claims · 0.0%

Your Cost: $16.34/claim|Median: $36.79
0.4× median
1160FNormal range

$173

3,872 claims · 0.0%

Your Cost: $0.04/claim|Median: $0.01
4.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$173

9,274 claims · 0.0%

Your Cost: $0.02/claim|Median: $16.79
0.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$171

267 claims · 0.0%

Your Cost: $0.64/claim|Median: $32.55
0.0× median
G0468Normal range

$168

405 claims · 0.0%

Your Cost: $0.41/claim|Median: $43.74
0.0× median
99406Normal range

$165

669 claims · 0.0%

Your Cost: $0.25/claim|Median: $6.53
0.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$163

1,263 claims · 0.0%

Your Cost: $0.13/claim|Median: $12.70
0.0× median
G0008Normal range

$157

1,737 claims · 0.0%

Your Cost: $0.09/claim|Median: $2.54
0.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$154

687 claims · 0.0%

Your Cost: $0.22/claim|Median: $9.70
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$121

4,326 claims · 0.0%

Your Cost: $0.03/claim|Median: $76.06
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$114

1,408 claims · 0.0%

Your Cost: $0.08/claim|Median: $33.85
0.0× median
99203Normal range

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

$109

1,716 claims · 0.0%

Your Cost: $0.06/claim|Median: $57.85
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$62

17K claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$53

1,608 claims · 0.0%

Your Cost: $0.03/claim|Median: $25.93
0.0× median
59430Normal range

$42

817 claims · 0.0%

Your Cost: $0.05/claim|Median: $80.32
0.0× median
0064ANormal range

$40

404 claims · 0.0%

Your Cost: $0.10/claim|Median: $34.17
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$37

4,384 claims · 0.0%

Your Cost: $0.01/claim|Median: $72.71
0.0× median
99204Normal range

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

$31

61 claims · 0.0%

Your Cost: $0.50/claim|Median: $84.03
0.0× median
99173Normal range

$5

34K claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
0.0× median
90698Normal range

$0

9,709 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.32
3008FNormal range

$0

3,706 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
99384Normal range

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

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $83.63

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