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CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Clinic/Center, Federally Qualified Health Center (FQHC)·AUSTIN, TX·NPI: 1720350978Share

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 $31.5M 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

$31.5M

$31,526,969

Total Claims

426K

Beneficiaries

345K

1.2 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$204K
+238%
2019
$688K
+338%
2020
$3.0M
+108%
2021
$6.3M
+19%
2022
$7.5M
-6%
2023
$7.0M
-2%
2024
$6.9M

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 78% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$24.7M

119K claims · 78.3%

Your Cost: $208.04/claim|Median: $121.16
1.7× median
99213Normal range

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

$1.6M

52K claims · 5.1%

Your Cost: $31.00/claim|Median: $37.81
0.8× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.4M

13K claims · 4.4%

Your Cost: $103.37/claim|Median: $69.35
1.5× median
99381Top 5%

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

$690K

3,541 claims · 2.2%

Your Cost: $194.73/claim|Median: $73.46
2.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$673K

13K claims · 2.1%

Your Cost: $52.00/claim|Median: $75.18
0.7× median
99214Normal range

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

$617K

14K claims · 2.0%

Your Cost: $43.91/claim|Median: $53.41
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$408K

7,046 claims · 1.3%

Your Cost: $57.85/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$256K

3,729 claims · 0.8%

Your Cost: $68.67/claim|Median: $80.15
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$238K

11K claims · 0.8%

Your Cost: $22.24/claim|Median: $25.06
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$169K

1,903 claims · 0.5%

Your Cost: $88.85/claim|Median: $120.85
0.7× median
59430Normal range

$169K

4,189 claims · 0.5%

Your Cost: $40.26/claim|Median: $80.32
0.5× median
G0467Normal range

Federally qualified health center visit, mental health

$83K

2,487 claims · 0.3%

Your Cost: $33.37/claim|Median: $21.91
1.5× median
87428Normal range

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

$61K

2,753 claims · 0.2%

Your Cost: $22.03/claim|Median: $39.63
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$58K

1,506 claims · 0.2%

Your Cost: $38.58/claim|Median: $41.28
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$35K

415 claims · 0.1%

Your Cost: $85.23/claim|Median: $72.71
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$34K

7,329 claims · 0.1%

Your Cost: $4.68/claim|Median: $17.85
0.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$32K

473 claims · 0.1%

Your Cost: $66.72/claim|Median: $71.00
0.9× median
D3220Normal range

Therapeutic pulpotomy

$31K

581 claims · 0.1%

Your Cost: $53.87/claim|Median: $81.27
0.7× median
90715Normal range

Tdap vaccine

$25K

4,409 claims · 0.1%

Your Cost: $5.67/claim|Median: $10.32
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$23K

392 claims · 0.1%

Your Cost: $59.46/claim|Median: $108.91
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$21K

298 claims · 0.1%

Your Cost: $70.68/claim|Median: $74.09
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$20K

5,652 claims · 0.1%

Your Cost: $3.55/claim|Median: $9.10
0.4× median
90651Normal range

HPV vaccine, 9-valent

$19K

2,015 claims · 0.1%

Your Cost: $9.61/claim|Median: $8.93
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$14K

15K claims · 0.0%

Your Cost: $0.92/claim|Median: $2.00
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$13K

230 claims · 0.0%

Your Cost: $56.10/claim|Median: $63.65
0.9× median
D9420Normal range

$12K

525 claims · 0.0%

Your Cost: $23.60/claim|Median: $81.82
0.3× median
99203Normal range

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

$12K

207 claims · 0.0%

Your Cost: $57.93/claim|Median: $57.85
1.0× median
87426Normal range

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

$10K

469 claims · 0.0%

Your Cost: $21.85/claim|Median: $30.04
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$9K

142 claims · 0.0%

Your Cost: $63.30/claim|Median: $99.21
0.6× median
76815Normal range

Ultrasound, pregnant uterus, limited

$8K

441 claims · 0.0%

Your Cost: $17.06/claim|Median: $36.79
0.5× median
90461Normal range

Immunization admin, additional vaccine, counseling

$6K

2,153 claims · 0.0%

Your Cost: $2.92/claim|Median: $6.93
0.4× median
90471Normal range

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

$6K

28K claims · 0.0%

Your Cost: $0.22/claim|Median: $9.80
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$6K

11K claims · 0.0%

Your Cost: $0.53/claim|Median: $7.18
0.1× median
99204Normal range

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

$5K

108 claims · 0.0%

Your Cost: $47.24/claim|Median: $84.03
0.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$5K

307 claims · 0.0%

Your Cost: $15.86/claim|Median: $36.70
0.4× median
90480Normal range

$4K

428 claims · 0.0%

Your Cost: $9.63/claim|Median: $25.29
0.4× median
0071ANormal range

$4K

110 claims · 0.0%

Your Cost: $36.00/claim|Median: $38.71
0.9× median
81025Normal range

Urine pregnancy test

$4K

2,168 claims · 0.0%

Your Cost: $1.80/claim|Median: $4.81
0.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$4K

205 claims · 0.0%

Your Cost: $18.35/claim|Median: $33.85
0.5× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$3K

330 claims · 0.0%

Your Cost: $10.00/claim|Median: $33.72
0.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$3K

377 claims · 0.0%

Your Cost: $8.44/claim|Median: $10.51
0.8× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$3K

690 claims · 0.0%

Your Cost: $4.53/claim|Median: $12.70
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$3K

462 claims · 0.0%

Your Cost: $6.75/claim|Median: $11.48
0.6× median
90472Normal range

Immunization administration, each additional vaccine

$3K

27K claims · 0.0%

Your Cost: $0.11/claim|Median: $11.79
0.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$3K

329 claims · 0.0%

Your Cost: $8.49/claim|Median: $7.33
1.2× median
87804Normal range

Influenza virus detection, rapid test

$3K

464 claims · 0.0%

Your Cost: $5.56/claim|Median: $12.59
0.4× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$2K

29 claims · 0.0%

Your Cost: $78.09/claim|Median: $81.92
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$2K

61 claims · 0.0%

Your Cost: $30.74/claim|Median: $54.60
0.6× median
D1351Normal range

Sealant, per tooth

$2K

80 claims · 0.0%

Your Cost: $22.91/claim|Median: $26.10
0.9× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$2K

188 claims · 0.0%

Your Cost: $9.38/claim|Median: $25.93
0.4× median

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Consumer Directed Services in Texas Inc.

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Caregivers Home Health TX INC

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$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

Similar Providers

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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

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