Compared to Clinic/Center, Community Health Peers
Total spending distribution among 8 providers in this specialty
This provider's total spending of $21.8M is at the 25th percentile among 8 Clinic/Center, Community Health providers.
Total Paid
$21.8M
$21,779,263
Total Claims
43K
Beneficiaries
30K
1.5 claims/patient
Avg Cost/Claim
$506
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 46 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 31% of total spending.
$6.8M
15K claims
$440.82
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$6.8M
15K claims · 31.2%
$3.4M
5,569 claims
$609.90
$96.24
Comprehensive community support services, per 15 min
$3.4M
5,569 claims · 15.6%
$2.9M
3,965 claims
$742.79
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$2.9M
3,965 claims · 13.5%
Psychotherapy, 60 minutes
$2.3M
4,107 claims · 10.7%
Psychotherapy, 45 minutes
$1.2M
1,873 claims · 5.6%
$1.0M
2,911 claims
$359.15
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$1.0M
2,911 claims · 4.8%
$865K
1,274 claims · 4.0%
Psychotherapy, 30 minutes
$371K
563 claims · 1.7%
Therapeutic exercises, each 15 min
$342K
753 claims · 1.6%
$329K
680 claims
$483.93
$85.02
Mental health services, not otherwise specified
$329K
680 claims · 1.5%
$282K
359 claims
$785.90
$100.62
Respiratory virus detection, 3-5 targets, nucleic acid
$282K
359 claims · 1.3%
$267K
600 claims
$444.21
$22.44
Telephone E/M by physician, 11-20 minutes
$267K
600 claims · 1.2%
Case management, each 15 min
$231K
399 claims · 1.1%
$188K
322 claims · 0.9%
$177K
389 claims
$456.24
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$177K
389 claims · 0.8%
$170K
423 claims
$401.69
$25.06
Office/outpatient visit, low complexity
$170K
423 claims · 0.8%
Telephone E/M by physician, 5-10 min
$148K
382 claims · 0.7%
$114K
477 claims
$239.61
$300.13
Community transition, waiver; per service
$114K
477 claims · 0.5%
$97K
158 claims
$611.09
$249.51
Crisis intervention mental health services, per hour
$97K
158 claims · 0.4%
$67K
92 claims
$725.48
$33.72
COVID-19 vaccine admin, Pfizer, 1st dose
$67K
92 claims · 0.3%
$58K
78 claims
$746.43
$36.70
COVID-19 vaccine admin, Pfizer, 2nd dose
$58K
78 claims · 0.3%
$52K
66 claims
$795.06
$91.47
Proprietary lab analysis, genomic sequencing
$52K
66 claims · 0.2%
$49K
383 claims
$128.43
$106.70
Screening to determine appropriateness of consideration for program
$49K
383 claims · 0.2%
$40K
58 claims
$682.97
$59.72
Ophthalmological exam, comprehensive, new patient
$40K
58 claims · 0.2%
$35K
47 claims
$738.57
$25.93
COVID-19 vaccine admin, Moderna, 1st dose
$35K
47 claims · 0.2%
$28K
84 claims
$332.69
$47.08
Ophthalmological exam, comprehensive, established patient
$28K
84 claims · 0.1%
$25K
45 claims
$555.91
$96.18
Mental health assessment by non-physician
$25K
45 claims · 0.1%
$22K
29 claims
$752.28
$33.85
COVID-19 vaccine admin, Moderna, 2nd dose
$22K
29 claims · 0.1%
Comprehensive metabolic panel
$21K
106 claims · 0.1%
$13K
20 claims
$639.00
$77.33
Family psychotherapy with patient, 50 min
$13K
20 claims · 0.1%
Determination of refractive state
$12K
300 claims · 0.1%
Speech/hearing/language treatment
$10K
120 claims · 0.0%
$9K
14 claims
$628.66
$108.91
Psychiatric diagnostic evaluation with medical services
$9K
14 claims · 0.0%
Telephone E/M by physician, 21-30 min
$7K
15 claims · 0.0%
$7K
20 claims · 0.0%
$7K
113 claims
$58.24
$16.79
Manual therapy techniques, per 15 minutes
$7K
113 claims · 0.0%
$7K
577 claims
$11.27
$1.57
Collection of venous blood by venipuncture
$7K
577 claims · 0.0%
Therapeutic activities, each 15 min
$3K
22 claims · 0.0%
Influenza virus detection, rapid test
$2K
18 claims · 0.0%
$0
62 claims
$0.00
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$0
62 claims · 0.0%
$0
38 claims
$0.00
$4.71
Complete blood count (CBC) with differential, automated
$0
38 claims · 0.0%
Hemoglobin A1c (glycated hemoglobin)
$0
31 claims · 0.0%
$0
20 claims · 0.0%
$0
14 claims
$0.00
$74.82
Preventive medicine, established patient, age 5-11
$0
14 claims · 0.0%
Health behavior intervention, individual
$0
18 claims · 0.0%
$0
28 claims
$0.00
$84.03
Office/outpatient visit, new patient, mod-high complexity
$0
28 claims · 0.0%
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