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

⚖️ Compare🖨️ Print Report

REFUAH HEALTH CENTER INC

Clinic/Center, Federally Qualified Health Center (FQHC)·SPRING VALLEY, NY·NPI: 1669470019Share

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 $115.7M 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

$115.7M

$115,731,314

Total Claims

3.5M

Beneficiaries

2.4M

1.5 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$27.2M
-2%
2019
$26.7M
-29%
2020
$18.8M
-42%
2021
$10.9M
-14%
2022
$9.5M
+21%
2023
$11.5M
-2%
2024
$11.2M

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 30% of total spending.

99213Normal range

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

$34.9M

886K claims · 30.2%

Your Cost: $39.44/claim|Median: $37.81
1.0× median
D0999Normal range

Unspecified diagnostic procedure, by report

$15.6M

237K claims · 13.5%

Your Cost: $66.02/claim|Median: $101.33
0.7× median
59400Top 1%

Routine obstetric care, vaginal delivery, including postpartum

$15.2M

3,625 claims · 13.2%

Your Cost: $4,206.03/claim|Median: $1,482.45
2.8× median
99212Top 25%

Office/outpatient visit, low complexity

$3.3M

79K claims · 2.9%

Your Cost: $42.06/claim|Median: $25.06
1.7× median
59426Normal range

Antepartum care only, high risk, additional visits

$2.8M

82K claims · 2.5%

Your Cost: $34.40/claim|Median: $122.30
0.3× median
99203Top 25%

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

$2.3M

26K claims · 2.0%

Your Cost: $88.73/claim|Median: $57.85
1.5× median
59425Normal range

Antepartum care only, 4-6 visits

$2.2M

87K claims · 1.9%

Your Cost: $24.89/claim|Median: $63.63
0.4× median
90834Top 25%

Psychotherapy, 45 minutes

$2.1M

22K claims · 1.8%

Your Cost: $93.52/claim|Median: $63.65
1.5× median
D0120Normal range

Periodic oral evaluation, established patient

$1.7M

170K claims · 1.5%

Your Cost: $10.25/claim|Median: $24.34
0.4× median
99214Normal range

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

$1.6M

25K claims · 1.4%

Your Cost: $62.35/claim|Median: $53.41
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.5M

36K claims · 1.3%

Your Cost: $40.50/claim|Median: $39.70
1.0× median
V2020Normal range

Frames, purchases

$1.3M

91K claims · 1.2%

Your Cost: $14.59/claim|Median: $19.33
0.8× median
97530Top 25%

Therapeutic activities, each 15 min

$1.2M

20K claims · 1.1%

Your Cost: $62.94/claim|Median: $33.11
1.9× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$1.2M

22K claims · 1.1%

Your Cost: $56.84/claim|Median: $38.23
1.5× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$1.2M

10K claims · 1.0%

Your Cost: $112.93/claim|Median: $58.55
1.9× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$1.2M

12K claims · 1.0%

Your Cost: $96.09/claim|Median: $47.65
2.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

54K claims · 1.0%

Your Cost: $20.38/claim|Median: $75.18
0.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1.1M

29K claims · 0.9%

Your Cost: $36.66/claim|Median: $72.71
0.5× median
V2103Normal range

Lens, sphere-cylinder, single vision, plus or minus 4.00

$1.0M

52K claims · 0.9%

Your Cost: $19.99/claim|Median: $18.82
1.1× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$1.0M

52K claims · 0.9%

Your Cost: $20.14/claim|Median: $20.68
1.0× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$1.0M

7,325 claims · 0.9%

Your Cost: $141.07/claim|Median: $74.78
1.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$984K

49K claims · 0.9%

Your Cost: $20.23/claim|Median: $17.85
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$859K

34K claims · 0.7%

Your Cost: $25.30/claim|Median: $74.82
0.3× median
99058Top 1%

$756K

8,868 claims · 0.7%

Your Cost: $85.24/claim|Median: $15.38
5.5× median
92002Top 25%

Intermediate eye exam, new patient

$754K

14K claims · 0.7%

Your Cost: $54.92/claim|Median: $41.61
1.3× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$748K

13K claims · 0.6%

Your Cost: $57.60/claim|Median: $40.11
1.4× median
D8670Normal range

Periodic orthodontic treatment visit

$718K

3,796 claims · 0.6%

Your Cost: $189.05/claim|Median: $185.01
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$663K

12K claims · 0.6%

Your Cost: $54.74/claim|Median: $47.08
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$609K

27K claims · 0.5%

Your Cost: $22.35/claim|Median: $69.35
0.3× median
92507Top 25%

Speech/hearing/language treatment

$607K

7,533 claims · 0.5%

Your Cost: $80.55/claim|Median: $49.45
1.6× median
D0140Normal range

Limited oral evaluation, problem focused

$553K

27K claims · 0.5%

Your Cost: $20.22/claim|Median: $27.07
0.7× median
76819Top 25%

Fetal biophysical profile with non-stress test

$540K

6,242 claims · 0.5%

Your Cost: $86.49/claim|Median: $49.45
1.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$500K

8,931 claims · 0.4%

Your Cost: $55.96/claim|Median: $24.49
2.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$488K

17K claims · 0.4%

Your Cost: $29.15/claim|Median: $80.15
0.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$485K

38K claims · 0.4%

Your Cost: $12.80/claim|Median: $71.00
0.2× median
99204Top 10%

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

$466K

2,995 claims · 0.4%

Your Cost: $155.66/claim|Median: $84.03
1.9× median
99441Normal range

Telephone E/M by physician, 5-10 min

$437K

23K claims · 0.4%

Your Cost: $18.63/claim|Median: $13.30
1.4× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$413K

4,254 claims · 0.4%

Your Cost: $97.14/claim|Median: $59.25
1.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$403K

7,208 claims · 0.3%

Your Cost: $55.89/claim|Median: $59.72
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$378K

79K claims · 0.3%

Your Cost: $4.77/claim|Median: $10.51
0.5× median
V2107Normal range

$329K

16K claims · 0.3%

Your Cost: $20.04/claim|Median: $17.55
1.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$322K

15K claims · 0.3%

Your Cost: $20.88/claim|Median: $12.93
1.6× median
92065Top 5%

$314K

4,528 claims · 0.3%

Your Cost: $69.41/claim|Median: $30.29
2.3× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$311K

3,752 claims · 0.3%

Your Cost: $82.97/claim|Median: $36.79
2.3× median
V2200Normal range

$289K

11K claims · 0.2%

Your Cost: $25.27/claim|Median: $28.94
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$278K

113K claims · 0.2%

Your Cost: $2.46/claim|Median: $28.46
0.1× median
10060Normal range

Incision and drainage of abscess, simple

$276K

2,368 claims · 0.2%

Your Cost: $116.45/claim|Median: $75.72
1.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$271K

6,052 claims · 0.2%

Your Cost: $44.82/claim|Median: $76.06
0.6× median
11721Top 5%

$246K

5,724 claims · 0.2%

Your Cost: $42.97/claim|Median: $8.56
5.0× median
V2203Normal range

$243K

9,886 claims · 0.2%

Your Cost: $24.55/claim|Median: $29.84
0.8× median

Other Top Providers in New York

View all →

Public Partnerships LLC

Supports Brokerage

$7.18B

Freedom Care LLC

Home Health

$3.03B

American Business Institute Corp

Home Health

$1.68B

Premier Home Health Care Services INC

Home Health

$1.48B

Assistcarehome Healthcare Services

Home Health

$1.44B

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providersAll providers in New York →How we detect fraud →