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

SOUTH-WEST COMMUNITY HEALTH CENTER, INC

Clinic/Center, Mental Health (Including Community Mental Health Center)·BRIDGEPORT, CT·NPI: 1699703686Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $95.3M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$95.3M

$95,289,842

Total Claims

2.1M

Beneficiaries

1.7M

1.3 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$12.5M
+4%
2019
$12.9M
+9%
2020
$14.1M
-1%
2021
$14.0M
-7%
2022
$13.0M
+12%
2023
$14.6M
-3%
2024
$14.2M

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

$93.0M

672K claims · 97.6%

Your Cost: $138.37/claim|Median: $121.16
1.1× median
G0511Top 10%

RHC/FQHC visit, psychiatric collaborative care model

$1.2M

37K claims · 1.2%

Your Cost: $31.67/claim|Median: $11.35
2.8× median
G2025Top 25%

$320K

7,105 claims · 0.3%

Your Cost: $45.10/claim|Median: $15.63
2.9× median
G0467Normal range

Federally qualified health center visit, mental health

$219K

18K claims · 0.2%

Your Cost: $12.31/claim|Median: $21.91
0.6× median
99213Normal range

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

$139K

148K claims · 0.1%

Your Cost: $0.94/claim|Median: $37.81
0.0× median
99214Normal range

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

$134K

93K claims · 0.1%

Your Cost: $1.44/claim|Median: $53.41
0.0× median
82962Top 25%

Blood glucose test by monitoring device

$64K

24K claims · 0.1%

Your Cost: $2.64/claim|Median: $1.40
1.9× median
99212Normal range

Office/outpatient visit, low complexity

$47K

46K claims · 0.0%

Your Cost: $1.01/claim|Median: $25.06
0.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$45K

51K claims · 0.0%

Your Cost: $0.89/claim|Median: $22.44
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$44K

60K claims · 0.0%

Your Cost: $0.73/claim|Median: $63.65
0.0× median
G0470Normal range

Chronic care management services, FQHC/RHC

$42K

2,337 claims · 0.0%

Your Cost: $18.07/claim|Median: $45.95
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$18K

40K claims · 0.0%

Your Cost: $0.46/claim|Median: $41.28
0.0× median
G0071Top 5%

$7K

148 claims · 0.0%

Your Cost: $48.25/claim|Median: $7.20
6.7× median
90853Normal range

Group psychotherapy

$5K

18K claims · 0.0%

Your Cost: $0.29/claim|Median: $25.02
0.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$3K

4,476 claims · 0.0%

Your Cost: $0.73/claim|Median: $32.55
0.0× median
98967Normal range

$2K

1,345 claims · 0.0%

Your Cost: $1.57/claim|Median: $18.97
0.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$1K

4,000 claims · 0.0%

Your Cost: $0.32/claim|Median: $12.93
0.0× median
98968Normal range

$942

2,118 claims · 0.0%

Your Cost: $0.44/claim|Median: $28.39
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$941

19K claims · 0.0%

Your Cost: $0.05/claim|Median: $2.00
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$769

10K claims · 0.0%

Your Cost: $0.07/claim|Median: $5.50
0.0× median
G0466Normal range

$717

59 claims · 0.0%

Your Cost: $12.15/claim|Median: $63.31
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$680

5,463 claims · 0.0%

Your Cost: $0.12/claim|Median: $99.21
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$664

1,926 claims · 0.0%

Your Cost: $0.34/claim|Median: $74.09
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$588

1,132 claims · 0.0%

Your Cost: $0.52/claim|Median: $108.91
0.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$396

4,347 claims · 0.0%

Your Cost: $0.09/claim|Median: $24.33
0.0× median
85018Normal range

$345

35K claims · 0.0%

Your Cost: $0.01/claim|Median: $1.71
0.0× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$288

315 claims · 0.0%

Your Cost: $0.92/claim|Median: $27.38
0.0× median
G0439Normal range

Annual wellness visit, subsequent visit

$175

532 claims · 0.0%

Your Cost: $0.33/claim|Median: $5.42
0.1× median
11721Normal range

$129

292 claims · 0.0%

Your Cost: $0.44/claim|Median: $8.56
0.1× median
Q0091Normal range

$127

715 claims · 0.0%

Your Cost: $0.18/claim|Median: $11.15
0.0× median
99203Normal range

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

$125

1,726 claims · 0.0%

Your Cost: $0.07/claim|Median: $57.85
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$93

3,555 claims · 0.0%

Your Cost: $0.03/claim|Median: $85.66
0.0× median
81025Normal range

Urine pregnancy test

$50

9,506 claims · 0.0%

Your Cost: $0.01/claim|Median: $4.81
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$50

1,719 claims · 0.0%

Your Cost: $0.03/claim|Median: $76.06
0.0× median
99397Normal range

$35

18 claims · 0.0%

Your Cost: $1.96/claim|Median: $22.92
0.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$13

305 claims · 0.0%

Your Cost: $0.04/claim|Median: $25.93
0.0× median
90471Normal range

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

$10

16K claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
0.0× median
90734Normal range

$0

273 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.40

$0

86 claims · 0.0%

99381Normal range

Preventive visit, new patient, infant (<1 yr)

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.46
G0468Normal range

$0

37 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.74
99173Normal range

$0

14K claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
1160FNormal range

$0

93K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
3078FNormal range

$0

61K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
87590Normal range

$0

2,499 claims · 0.0%

Your Cost: $0.00/claim|Median: $16.62
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $79.89
83655Normal range

$0

8,275 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.49
4004FNormal range

$0

141 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
99395Normal range

Preventive medicine, established patient, age 18-39

$0

731 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.71
80101Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.03