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HEALTHNET, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·INDIANAPOLIS, IN·NPI: 1780634964Share

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 $73.9M 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

$73.9M

$73,860,391

Total Claims

2.3M

Beneficiaries

1.8M

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$7.1M
+49%
2019
$10.6M
-21%
2020
$8.4M
+58%
2021
$13.3M
-10%
2022
$11.9M
+0%
2023
$12.0M
-11%
2024
$10.7M

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 29% of total spending.

99213Normal range

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

$21.4M

432K claims · 29.0%

Your Cost: $49.56/claim|Median: $37.81
1.3× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$10.5M

582K claims · 14.2%

Your Cost: $18.01/claim|Median: $121.16
0.1× median
99214Normal range

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

$4.1M

57K claims · 5.6%

Your Cost: $72.02/claim|Median: $53.41
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3.8M

47K claims · 5.2%

Your Cost: $81.49/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3.4M

45K claims · 4.6%

Your Cost: $74.81/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$3.3M

43K claims · 4.5%

Your Cost: $78.23/claim|Median: $74.82
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$3.2M

86K claims · 4.4%

Your Cost: $37.55/claim|Median: $41.28
0.9× median
59426Normal range

Antepartum care only, high risk, additional visits

$3.1M

43K claims · 4.2%

Your Cost: $73.30/claim|Median: $122.30
0.6× median
59425Normal range

Antepartum care only, 4-6 visits

$2.1M

30K claims · 2.8%

Your Cost: $69.22/claim|Median: $63.63
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.9M

25K claims · 2.6%

Your Cost: $78.19/claim|Median: $80.15
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$1.7M

54K claims · 2.2%

Your Cost: $30.64/claim|Median: $25.06
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$994K

13K claims · 1.3%

Your Cost: $77.33/claim|Median: $99.21
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$751K

46K claims · 1.0%

Your Cost: $16.19/claim|Median: $24.34
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$723K

22K claims · 1.0%

Your Cost: $33.06/claim|Median: $43.38
0.8× median
59409Normal range

Vaginal delivery only

$696K

1,442 claims · 0.9%

Your Cost: $482.61/claim|Median: $619.91
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$683K

10K claims · 0.9%

Your Cost: $67.92/claim|Median: $72.71
0.9× median
D1120Normal range

Prophylaxis, adult

$629K

25K claims · 0.9%

Your Cost: $25.19/claim|Median: $33.86
0.7× median
D1206Normal range

Topical application of fluoride varnish

$613K

38K claims · 0.8%

Your Cost: $16.26/claim|Median: $18.12
0.9× median
D0330Normal range

Panoramic radiographic image

$575K

16K claims · 0.8%

Your Cost: $35.41/claim|Median: $37.36
0.9× median
D1351Normal range

Sealant, per tooth

$570K

30K claims · 0.8%

Your Cost: $19.01/claim|Median: $26.10
0.7× median
D9999Normal range

Unspecified adjunctive procedure, by report

$544K

82K claims · 0.7%

Your Cost: $6.67/claim|Median: $37.60
0.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$517K

11K claims · 0.7%

Your Cost: $44.99/claim|Median: $71.00
0.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$432K

5,048 claims · 0.6%

Your Cost: $85.57/claim|Median: $59.72
1.4× median
98941Top 25%

Chiropractic manipulative treatment, 3-4 spinal regions

$431K

16K claims · 0.6%

Your Cost: $27.07/claim|Median: $20.83
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$427K

12K claims · 0.6%

Your Cost: $34.68/claim|Median: $54.60
0.6× median
G0467Normal range

Federally qualified health center visit, mental health

$401K

22K claims · 0.5%

Your Cost: $17.98/claim|Median: $21.91
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$368K

8,002 claims · 0.5%

Your Cost: $46.00/claim|Median: $37.22
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$360K

15K claims · 0.5%

Your Cost: $23.34/claim|Median: $32.07
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$337K

7,086 claims · 0.5%

Your Cost: $47.58/claim|Median: $57.39
0.8× median
59025Normal range

Fetal non-stress test

$336K

16K claims · 0.5%

Your Cost: $21.31/claim|Median: $26.45
0.8× median
D0274Normal range

Bitewings, four radiographic images

$289K

17K claims · 0.4%

Your Cost: $17.50/claim|Median: $22.54
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$289K

4,606 claims · 0.4%

Your Cost: $62.76/claim|Median: $62.48
1.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$265K

6,755 claims · 0.4%

Your Cost: $39.24/claim|Median: $41.92
0.9× median
59430Normal range

$251K

2,890 claims · 0.3%

Your Cost: $86.92/claim|Median: $80.32
1.1× median
99235Normal range

$244K

2,784 claims · 0.3%

Your Cost: $87.52/claim|Median: $110.13
0.8× median
D0272Normal range

Bitewings, two radiographic images

$171K

11K claims · 0.2%

Your Cost: $14.98/claim|Median: $15.81
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$167K

15K claims · 0.2%

Your Cost: $10.94/claim|Median: $46.33
0.2× median
99203Normal range

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

$157K

2,934 claims · 0.2%

Your Cost: $53.64/claim|Median: $57.85
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$153K

63K claims · 0.2%

Your Cost: $2.41/claim|Median: $7.18
0.3× median
87210Normal range

$144K

37K claims · 0.2%

Your Cost: $3.88/claim|Median: $3.65
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$138K

5,758 claims · 0.2%

Your Cost: $24.01/claim|Median: $27.07
0.9× median
81025Normal range

Urine pregnancy test

$135K

24K claims · 0.2%

Your Cost: $5.73/claim|Median: $4.81
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$126K

2,455 claims · 0.2%

Your Cost: $51.52/claim|Median: $84.26
0.6× median
99283Normal range

Emergency dept visit, moderate complexity

$113K

2,322 claims · 0.2%

Your Cost: $48.72/claim|Median: $42.48
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$108K

807 claims · 0.1%

Your Cost: $133.47/claim|Median: $111.09
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$107K

17K claims · 0.1%

Your Cost: $6.29/claim|Median: $5.50
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$95K

1,372 claims · 0.1%

Your Cost: $69.41/claim|Median: $74.78
0.9× median
90471Normal range

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

$95K

9,674 claims · 0.1%

Your Cost: $9.81/claim|Median: $9.80
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$92K

1,691 claims · 0.1%

Your Cost: $54.64/claim|Median: $70.00
0.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$87K

1,558 claims · 0.1%

Your Cost: $56.03/claim|Median: $47.08
1.2× median

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Bowen Health INC

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$509.3M

Centerstone of Indiana, Inc.

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$318.9M

A.w. Holdings LLC

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$260.2M

Meridian Services

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$245.2M

The Health and Hospital Corporation of Marion County

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$231.5M

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