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UNITY CARE NORTHWEST

Clinic/Center, Federally Qualified Health Center (FQHC)·BELLINGHAM, WA·NPI: 1760430532Share

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 $33.6M 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

$33.6M

$33,647,690

Total Claims

589K

Beneficiaries

521K

1.1 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$4.9M
+9%
2019
$5.3M
-33%
2020
$3.6M
+29%
2021
$4.6M
+2%
2022
$4.7M
+26%
2023
$5.9M
-22%
2024
$4.6M

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 59% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$20.0M

96K claims · 59.4%

Your Cost: $209.03/claim|Median: $121.16
1.7× median
99213Normal range

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

$2.5M

71K claims · 7.6%

Your Cost: $35.68/claim|Median: $37.81
0.9× median
90834Top 25%

Psychotherapy, 45 minutes

$1.7M

17K claims · 4.9%

Your Cost: $96.16/claim|Median: $63.65
1.5× median
99214Normal range

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

$1.6M

32K claims · 4.8%

Your Cost: $49.61/claim|Median: $53.41
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$1.3M

13K claims · 3.9%

Your Cost: $98.61/claim|Median: $85.66
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$836K

33K claims · 2.5%

Your Cost: $25.70/claim|Median: $24.34
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$734K

11K claims · 2.2%

Your Cost: $66.03/claim|Median: $71.00
0.9× median
D1206Normal range

Topical application of fluoride varnish

$724K

45K claims · 2.2%

Your Cost: $15.98/claim|Median: $18.12
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$508K

9,372 claims · 1.5%

Your Cost: $54.16/claim|Median: $54.60
1.0× median
90832Top 25%

Psychotherapy, 30 minutes

$481K

7,866 claims · 1.4%

Your Cost: $61.18/claim|Median: $41.28
1.5× median
D1120Normal range

Prophylaxis, adult

$399K

17K claims · 1.2%

Your Cost: $23.07/claim|Median: $33.86
0.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$298K

13K claims · 0.9%

Your Cost: $23.13/claim|Median: $26.24
0.9× median
D1351Normal range

Sealant, per tooth

$290K

15K claims · 0.9%

Your Cost: $19.10/claim|Median: $26.10
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$283K

6,728 claims · 0.8%

Your Cost: $41.99/claim|Median: $43.38
1.0× median
D0274Normal range

Bitewings, four radiographic images

$188K

18K claims · 0.6%

Your Cost: $10.42/claim|Median: $22.54
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$180K

4,832 claims · 0.5%

Your Cost: $37.34/claim|Median: $32.07
1.2× median
D0330Normal range

Panoramic radiographic image

$155K

3,953 claims · 0.5%

Your Cost: $39.24/claim|Median: $37.36
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$150K

16K claims · 0.4%

Your Cost: $9.22/claim|Median: $21.91
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$134K

1,793 claims · 0.4%

Your Cost: $74.89/claim|Median: $74.63
1.0× median
D0190Normal range

$110K

11K claims · 0.3%

Your Cost: $10.25/claim|Median: $12.78
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$110K

13K claims · 0.3%

Your Cost: $8.75/claim|Median: $10.51
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$94K

1,064 claims · 0.3%

Your Cost: $88.06/claim|Median: $74.09
1.2× median
D0272Normal range

Bitewings, two radiographic images

$84K

9,057 claims · 0.3%

Your Cost: $9.32/claim|Median: $15.81
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$81K

2,741 claims · 0.2%

Your Cost: $29.59/claim|Median: $25.06
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$65K

5,114 claims · 0.2%

Your Cost: $12.63/claim|Median: $7.18
1.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$59K

25K claims · 0.2%

Your Cost: $2.31/claim|Median: $7.33
0.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$58K

481 claims · 0.2%

Your Cost: $119.92/claim|Median: $108.91
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$55K

672 claims · 0.2%

Your Cost: $81.90/claim|Median: $84.26
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$49K

1,252 claims · 0.1%

Your Cost: $39.03/claim|Median: $36.70
1.1× median
D1999Normal range

$49K

3,789 claims · 0.1%

Your Cost: $12.85/claim|Median: $11.95
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$46K

1,251 claims · 0.1%

Your Cost: $36.85/claim|Median: $33.72
1.1× median
90471Normal range

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

$46K

5,464 claims · 0.1%

Your Cost: $8.34/claim|Median: $9.80
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$33K

1,547 claims · 0.1%

Your Cost: $21.16/claim|Median: $27.07
0.8× median
99203Normal range

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

$25K

391 claims · 0.1%

Your Cost: $63.78/claim|Median: $57.85
1.1× median
G2025Normal range

$19K

1,254 claims · 0.1%

Your Cost: $15.20/claim|Median: $15.63
1.0× median
G2023Normal range

Specimen collection for COVID-19 testing

$18K

832 claims · 0.1%

Your Cost: $21.15/claim|Median: $17.15
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$18K

264 claims · 0.1%

Your Cost: $66.57/claim|Median: $77.33
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$13K

231 claims · 0.0%

Your Cost: $56.85/claim|Median: $74.82
0.8× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$13K

323 claims · 0.0%

Your Cost: $39.75/claim|Median: $36.49
1.1× median
90791Top 5%

Psychiatric diagnostic evaluation

$12K

54 claims · 0.0%

Your Cost: $213.45/claim|Median: $99.21
2.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$11K

239 claims · 0.0%

Your Cost: $46.31/claim|Median: $57.39
0.8× median
90853Normal range

Group psychotherapy

$10K

1,335 claims · 0.0%

Your Cost: $7.68/claim|Median: $25.02
0.3× median
90677Top 5%

$10K

46 claims · 0.0%

Your Cost: $215.87/claim|Median: $12.96
16.7× median
H0001Normal range

Alcohol and/or drug assessment

$9K

59 claims · 0.0%

Your Cost: $149.10/claim|Median: $94.22
1.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$8K

213 claims · 0.0%

Your Cost: $37.65/claim|Median: $40.11
0.9× median
90682Normal range

$8K

171 claims · 0.0%

Your Cost: $44.03/claim|Median: $34.72
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$7K

1,490 claims · 0.0%

Your Cost: $4.74/claim|Median: $3.67
1.3× median
99204Top 25%

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

$6K

52 claims · 0.0%

Your Cost: $122.94/claim|Median: $84.03
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$6K

97 claims · 0.0%

Your Cost: $64.61/claim|Median: $75.18
0.9× median
G0470Normal range

Chronic care management services, FQHC/RHC

$6K

360 claims · 0.0%

Your Cost: $16.93/claim|Median: $45.95
0.4× median

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