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NORTHEAST COMMUNITY CLINIC

Clinic/Center, Federally Qualified Health Center (FQHC)·WILMINGTON, CA·NPI: 1700097540Share

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 $52.0M 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

$52.0M

$51,970,911

Total Claims

1.1M

Beneficiaries

838K

1.3 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+77%
2019
$4.9M
+72%
2020
$8.4M
+16%
2021
$9.7M
-19%
2022
$7.8M
+18%
2023
$9.2M
+1%
2024
$9.3M

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 93% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$48.4M

232K claims · 93.2%

Your Cost: $208.58/claim|Median: $121.16
1.7× median
00003Normal range

Anesthesia services

$3.1M

11K claims · 6.0%

Your Cost: $272.09/claim|Median: $223.77
1.2× median
99213Normal range

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

$145K

159K claims · 0.3%

Your Cost: $0.92/claim|Median: $37.81
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$56K

48K claims · 0.1%

Your Cost: $1.17/claim|Median: $25.06
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$23K

4,055 claims · 0.0%

Your Cost: $5.67/claim|Median: $63.65
0.1× median
D1120Normal range

Prophylaxis, adult

$19K

1,654 claims · 0.0%

Your Cost: $11.67/claim|Median: $33.86
0.3× median
D1206Normal range

Topical application of fluoride varnish

$18K

4,186 claims · 0.0%

Your Cost: $4.27/claim|Median: $18.12
0.2× median
D0120Normal range

Periodic oral evaluation, established patient

$14K

1,726 claims · 0.0%

Your Cost: $8.37/claim|Median: $24.34
0.3× median
J3490Top 10%

Unclassified drugs

$13K

127 claims · 0.0%

Your Cost: $102.07/claim|Median: $5.70
17.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$12K

3,195 claims · 0.0%

Your Cost: $3.84/claim|Median: $12.93
0.3× median
99214Normal range

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

$11K

28K claims · 0.0%

Your Cost: $0.39/claim|Median: $53.41
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$10K

1,235 claims · 0.0%

Your Cost: $8.30/claim|Median: $99.21
0.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$7K

1,518 claims · 0.0%

Your Cost: $4.30/claim|Median: $32.07
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$6K

11K claims · 0.0%

Your Cost: $0.58/claim|Median: $75.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$6K

9,442 claims · 0.0%

Your Cost: $0.65/claim|Median: $74.82
0.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$6K

2,908 claims · 0.0%

Your Cost: $2.07/claim|Median: $10.51
0.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$5K

1,904 claims · 0.0%

Your Cost: $2.74/claim|Median: $7.33
0.4× median
90670Normal range

$5K

4,723 claims · 0.0%

Your Cost: $1.10/claim|Median: $5.94
0.2× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$5K

104 claims · 0.0%

Your Cost: $49.47/claim|Median: $25.93
1.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$5K

21K claims · 0.0%

Your Cost: $0.24/claim|Median: $12.63
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$5K

1,953 claims · 0.0%

Your Cost: $2.54/claim|Median: $41.28
0.1× median
90734Normal range

$5K

1,058 claims · 0.0%

Your Cost: $4.64/claim|Median: $6.40
0.7× median
D0274Normal range

Bitewings, four radiographic images

$5K

1,045 claims · 0.0%

Your Cost: $4.31/claim|Median: $22.54
0.2× median
D9430Normal range

$4K

1,725 claims · 0.0%

Your Cost: $2.42/claim|Median: $31.69
0.1× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$4K

59 claims · 0.0%

Your Cost: $64.73/claim|Median: $33.85
1.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$4K

6,904 claims · 0.0%

Your Cost: $0.52/claim|Median: $80.15
0.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$3K

366 claims · 0.0%

Your Cost: $8.39/claim|Median: $57.30
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$3K

4,013 claims · 0.0%

Your Cost: $0.74/claim|Median: $72.71
0.0× median
90710Normal range

MMRV vaccine

$3K

650 claims · 0.0%

Your Cost: $4.40/claim|Median: $7.00
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$3K

821 claims · 0.0%

Your Cost: $3.45/claim|Median: $46.33
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

15K claims · 0.0%

Your Cost: $0.17/claim|Median: $7.18
0.0× median
99000Normal range

$2K

69K claims · 0.0%

Your Cost: $0.03/claim|Median: $2.30
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$2K

50K claims · 0.0%

Your Cost: $0.04/claim|Median: $1.57
0.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$2K

437 claims · 0.0%

Your Cost: $3.80/claim|Median: $71.00
0.1× median
81025Normal range

Urine pregnancy test

$2K

10K claims · 0.0%

Your Cost: $0.15/claim|Median: $4.81
0.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$2K

329 claims · 0.0%

Your Cost: $4.58/claim|Median: $59.72
0.1× median
99203Normal range

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

$1K

547 claims · 0.0%

Your Cost: $2.70/claim|Median: $57.85
0.0× median
90651Normal range

HPV vaccine, 9-valent

$1K

2,661 claims · 0.0%

Your Cost: $0.55/claim|Median: $8.93
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1K

6,475 claims · 0.0%

Your Cost: $0.21/claim|Median: $69.35
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$1K

3,591 claims · 0.0%

Your Cost: $0.37/claim|Median: $76.06
0.0× median
59425Normal range

Antepartum care only, 4-6 visits

$1K

7,196 claims · 0.0%

Your Cost: $0.17/claim|Median: $63.63
0.0× median
90621Normal range

$1K

360 claims · 0.0%

Your Cost: $3.17/claim|Median: $7.66
0.4× median
90716Normal range

$1K

414 claims · 0.0%

Your Cost: $2.57/claim|Median: $6.18
0.4× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$883

1,724 claims · 0.0%

Your Cost: $0.51/claim|Median: $30.04
0.0× median
G0447Normal range

$815

2,343 claims · 0.0%

Your Cost: $0.35/claim|Median: $5.19
0.1× median
90723Normal range

DTaP-HepB-IPV vaccine

$726

4,027 claims · 0.0%

Your Cost: $0.18/claim|Median: $5.78
0.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$698

2,982 claims · 0.0%

Your Cost: $0.23/claim|Median: $24.33
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$682

202 claims · 0.0%

Your Cost: $3.38/claim|Median: $40.11
0.1× median
96150Normal range

Health behavior assessment, initial

$660

1,048 claims · 0.0%

Your Cost: $0.63/claim|Median: $17.83
0.0× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$660

13 claims · 0.0%

Your Cost: $50.76/claim|Median: $33.72
1.5× median