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PUEBLO COMMUNITY HEALTH CENTER INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·PUEBLO, CO·NPI: 1770529950Share

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 $55.3M 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

$55.3M

$55,280,894

Total Claims

522K

Beneficiaries

459K

1.1 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2018
$8.5M
-8%
2019
$7.8M
-2%
2020
$7.7M
-5%
2021
$7.3M
+1%
2022
$7.4M
+24%
2023
$9.1M
-17%
2024
$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 55% of total spending.

99213Top 1%

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

$30.4M

150K claims · 55.0%

Your Cost: $203.07/claim|Median: $37.81
5.4× median
99214Top 5%

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

$15.5M

84K claims · 28.0%

Your Cost: $184.92/claim|Median: $53.41
3.5× median
99212Top 5%

Office/outpatient visit, low complexity

$2.1M

11K claims · 3.8%

Your Cost: $188.47/claim|Median: $25.06
7.5× median
90834Top 10%

Psychotherapy, 45 minutes

$1.9M

14K claims · 3.4%

Your Cost: $130.55/claim|Median: $63.65
2.1× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$1.4M

5,870 claims · 2.5%

Your Cost: $235.73/claim|Median: $69.35
3.4× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$793K

3,364 claims · 1.4%

Your Cost: $235.85/claim|Median: $75.18
3.1× median
90832Top 5%

Psychotherapy, 30 minutes

$611K

4,363 claims · 1.1%

Your Cost: $140.12/claim|Median: $41.28
3.4× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$488K

2,251 claims · 0.9%

Your Cost: $216.87/claim|Median: $101.33
2.1× median
99215Top 5%

Office/outpatient visit, high complexity

$417K

2,275 claims · 0.8%

Your Cost: $183.44/claim|Median: $74.09
2.5× median
G0467Normal range

Federally qualified health center visit, mental health

$229K

12K claims · 0.4%

Your Cost: $19.15/claim|Median: $21.91
0.9× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$199K

803 claims · 0.4%

Your Cost: $247.78/claim|Median: $74.82
3.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$189K

1,369 claims · 0.3%

Your Cost: $137.83/claim|Median: $99.21
1.4× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$187K

1,495 claims · 0.3%

Your Cost: $124.90/claim|Median: $47.65
2.6× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$128K

2,241 claims · 0.2%

Your Cost: $57.26/claim|Median: $9.79
5.8× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$121K

657 claims · 0.2%

Your Cost: $184.44/claim|Median: $40.11
4.6× median
99203Top 5%

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

$84K

463 claims · 0.2%

Your Cost: $180.85/claim|Median: $57.85
3.1× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$53K

215 claims · 0.1%

Your Cost: $247.46/claim|Median: $72.71
3.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$52K

881 claims · 0.1%

Your Cost: $59.40/claim|Median: $36.79
1.6× median
99381Top 5%

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

$48K

222 claims · 0.1%

Your Cost: $218.14/claim|Median: $73.46
3.0× median
90471Normal range

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

$47K

35K claims · 0.1%

Your Cost: $1.36/claim|Median: $9.80
0.1× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$38K

162 claims · 0.1%

Your Cost: $236.83/claim|Median: $80.15
3.0× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$23K

99 claims · 0.0%

Your Cost: $234.26/claim|Median: $76.06
3.1× median
G2025Normal range

$22K

1,367 claims · 0.0%

Your Cost: $15.84/claim|Median: $15.63
1.0× median
D1110Top 1%

Prophylaxis, adult cleaning

$21K

238 claims · 0.0%

Your Cost: $90.00/claim|Median: $43.38
2.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$21K

8,519 claims · 0.0%

Your Cost: $2.51/claim|Median: $9.56
0.3× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$20K

493 claims · 0.0%

Your Cost: $39.98/claim|Median: $14.00
2.9× median
99204Top 5%

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

$18K

80 claims · 0.0%

Your Cost: $225.92/claim|Median: $84.03
2.7× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$17K

423 claims · 0.0%

Your Cost: $40.55/claim|Median: $36.70
1.1× median
G8510Normal range

$15K

57K claims · 0.0%

Your Cost: $0.26/claim|Median: $1.96
0.1× median
0124ANormal range

$13K

407 claims · 0.0%

Your Cost: $32.93/claim|Median: $34.32
1.0× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$13K

431 claims · 0.0%

Your Cost: $29.97/claim|Median: $10.51
2.9× median
99383Top 1%

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

$13K

44 claims · 0.0%

Your Cost: $284.50/claim|Median: $81.92
3.5× median
90837Top 5%

Psychotherapy, 60 minutes

$10K

64 claims · 0.0%

Your Cost: $157.20/claim|Median: $85.66
1.8× median
99307Top 1%

$9K

146 claims · 0.0%

Your Cost: $60.81/claim|Median: $6.57
9.3× median
99382Top 1%

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

$9K

37 claims · 0.0%

Your Cost: $234.61/claim|Median: $79.89
2.9× median
D0120Top 10%

Periodic oral evaluation, established patient

$8K

160 claims · 0.0%

Your Cost: $50.00/claim|Median: $24.34
2.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$7K

202 claims · 0.0%

Your Cost: $37.02/claim|Median: $33.72
1.1× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$7K

83 claims · 0.0%

Your Cost: $85.00/claim|Median: $32.07
2.7× median
D4910Top 5%

$7K

52 claims · 0.0%

Your Cost: $134.62/claim|Median: $75.56
1.8× median
76830Top 10%

Ultrasound, transvaginal

$6K

57 claims · 0.0%

Your Cost: $107.81/claim|Median: $57.47
1.9× median
D2391Top 1%

Resin-based composite, one surface, posterior

$6K

36 claims · 0.0%

Your Cost: $160.00/claim|Median: $54.60
2.9× median
99211Top 10%

Office/outpatient visit, minimal complexity

$6K

138 claims · 0.0%

Your Cost: $40.17/claim|Median: $12.93
3.1× median
0071ANormal range

$5K

229 claims · 0.0%

Your Cost: $23.65/claim|Median: $38.71
0.6× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$5K

56 claims · 0.0%

Your Cost: $96.35/claim|Median: $36.13
2.7× median
0072ANormal range

$5K

199 claims · 0.0%

Your Cost: $24.40/claim|Median: $39.57
0.6× median
59430Top 1%

$5K

15 claims · 0.0%

Your Cost: $307.75/claim|Median: $80.32
3.8× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$4K

242 claims · 0.0%

Your Cost: $17.70/claim|Median: $36.49
0.5× median
D1120Top 1%

Prophylaxis, adult

$4K

64 claims · 0.0%

Your Cost: $65.00/claim|Median: $33.86
1.9× median
99310Top 25%

$4K

69 claims · 0.0%

Your Cost: $60.18/claim|Median: $21.82
2.8× median
99407Normal range

$4K

7,482 claims · 0.0%

Your Cost: $0.51/claim|Median: $13.29
0.0× median

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