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HOLYOKE HEALTH CENTER INC.

Clinic/Center, Community Health·HOLYOKE, MA·NPI: 1740271022Share

Compared to Clinic/Center, Community Health Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.3M is at the 25th percentile among 8 Clinic/Center, Community Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$59.3M

$59,295,650

Total Claims

1.1M

Beneficiaries

849K

1.3 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$8.4M
+5%
2019
$8.8M
-19%
2020
$7.1M
+47%
2021
$10.5M
+21%
2022
$12.7M
-46%
2023
$6.8M
-28%
2024
$4.9M

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 44% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$26.1M

178K claims · 44.0%

Your Cost: $146.14/claim|Median: $121.16
1.2× median
D9450Top 25%

$5.6M

151K claims · 9.4%

Your Cost: $36.92/claim|Median: $21.95
1.7× median
G0467Top 25%

Federally qualified health center visit, mental health

$3.1M

51K claims · 5.3%

Your Cost: $62.06/claim|Median: $21.91
2.8× median
D8670Normal range

Periodic orthodontic treatment visit

$1.2M

5,088 claims · 2.0%

Your Cost: $228.47/claim|Median: $185.01
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1.2M

20K claims · 1.9%

Your Cost: $57.82/claim|Median: $57.39
1.0× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$1.1M

5,755 claims · 1.8%

Your Cost: $187.76/claim|Median: $120.85
1.6× median
D1110Normal range

Prophylaxis, adult cleaning

$1.0M

29K claims · 1.7%

Your Cost: $34.76/claim|Median: $43.38
0.8× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$899K

5,738 claims · 1.5%

Your Cost: $156.71/claim|Median: $74.82
2.1× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$884K

5,773 claims · 1.5%

Your Cost: $153.06/claim|Median: $75.18
2.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$802K

16K claims · 1.4%

Your Cost: $50.13/claim|Median: $54.60
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$789K

12K claims · 1.3%

Your Cost: $63.61/claim|Median: $71.00
0.9× median
D1120Top 5%

Prophylaxis, adult

$766K

15K claims · 1.3%

Your Cost: $50.68/claim|Median: $33.86
1.5× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$734K

5,583 claims · 1.2%

Your Cost: $131.40/claim|Median: $100.62
1.3× median
D2740Normal range

Crown, porcelain/ceramic substrate

$732K

1,479 claims · 1.2%

Your Cost: $494.69/claim|Median: $509.58
1.0× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$701K

4,418 claims · 1.2%

Your Cost: $158.70/claim|Median: $69.35
2.3× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$689K

4,491 claims · 1.2%

Your Cost: $153.42/claim|Median: $80.15
1.9× median
D0120Normal range

Periodic oral evaluation, established patient

$641K

33K claims · 1.1%

Your Cost: $19.63/claim|Median: $24.34
0.8× median
D1206Top 25%

Topical application of fluoride varnish

$530K

21K claims · 0.9%

Your Cost: $25.52/claim|Median: $18.12
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$491K

11K claims · 0.8%

Your Cost: $43.02/claim|Median: $46.33
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$465K

5,449 claims · 0.8%

Your Cost: $85.39/claim|Median: $109.42
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$464K

15K claims · 0.8%

Your Cost: $30.37/claim|Median: $27.07
1.1× median
D0274Normal range

Bitewings, four radiographic images

$405K

15K claims · 0.7%

Your Cost: $27.39/claim|Median: $22.54
1.2× median
D1351Top 25%

Sealant, per tooth

$389K

10K claims · 0.7%

Your Cost: $38.12/claim|Median: $26.10
1.5× median
D5212Normal range

$386K

1,255 claims · 0.7%

Your Cost: $307.20/claim|Median: $402.44
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$350K

11K claims · 0.6%

Your Cost: $31.62/claim|Median: $32.07
1.0× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$339K

2,293 claims · 0.6%

Your Cost: $148.03/claim|Median: $72.71
2.0× median
D9110Normal range

$335K

14K claims · 0.6%

Your Cost: $23.39/claim|Median: $38.08
0.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$328K

31K claims · 0.6%

Your Cost: $10.45/claim|Median: $10.51
1.0× median
D0330Normal range

Panoramic radiographic image

$319K

6,460 claims · 0.5%

Your Cost: $49.40/claim|Median: $37.36
1.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$279K

5,491 claims · 0.5%

Your Cost: $50.76/claim|Median: $66.63
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$278K

4,876 claims · 0.5%

Your Cost: $56.93/claim|Median: $84.26
0.7× median
D2335Normal range

$268K

2,759 claims · 0.5%

Your Cost: $97.07/claim|Median: $105.06
0.9× median
D5211Normal range

$266K

973 claims · 0.4%

Your Cost: $273.82/claim|Median: $350.00
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$257K

4,309 claims · 0.4%

Your Cost: $59.60/claim|Median: $73.58
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$255K

5,075 claims · 0.4%

Your Cost: $50.19/claim|Median: $65.64
0.8× median
87426Normal range

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

$249K

7,204 claims · 0.4%

Your Cost: $34.51/claim|Median: $30.04
1.1× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$248K

1,163 claims · 0.4%

Your Cost: $213.04/claim|Median: $476.00
0.4× median
D5110Normal range

$240K

569 claims · 0.4%

Your Cost: $421.28/claim|Median: $472.15
0.9× median
92340Top 25%

Fitting of spectacles, except for aphakia

$235K

8,342 claims · 0.4%

Your Cost: $28.11/claim|Median: $19.46
1.4× median
D2332Normal range

$230K

3,189 claims · 0.4%

Your Cost: $72.24/claim|Median: $87.21
0.8× median
D4341Normal range

Periodontal scaling, per quadrant

$199K

3,843 claims · 0.3%

Your Cost: $51.77/claim|Median: $70.00
0.7× median
G2023Normal range

Specimen collection for COVID-19 testing

$182K

8,012 claims · 0.3%

Your Cost: $22.77/claim|Median: $17.15
1.3× median
99173Top 10%

$179K

11K claims · 0.3%

Your Cost: $16.85/claim|Median: $2.16
7.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$177K

23K claims · 0.3%

Your Cost: $7.81/claim|Median: $7.33
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$171K

18K claims · 0.3%

Your Cost: $9.64/claim|Median: $9.10
1.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$159K

3,396 claims · 0.3%

Your Cost: $46.94/claim|Median: $47.08
1.0× median
D0272Top 10%

Bitewings, two radiographic images

$155K

5,637 claims · 0.3%

Your Cost: $27.42/claim|Median: $15.81
1.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$152K

17K claims · 0.3%

Your Cost: $8.74/claim|Median: $17.85
0.5× median
D2954Top 25%

$148K

1,280 claims · 0.2%

Your Cost: $115.57/claim|Median: $104.95
1.1× median
D4342Normal range

$145K

3,903 claims · 0.2%

Your Cost: $37.23/claim|Median: $42.00
0.9× median

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$143.5M

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