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UPHAM'S CORNER HEALTH COMMITTEE, INC.

Clinic/Center, Community Health·DORCHESTER, MA·NPI: 1780780486Share

Compared to Clinic/Center, Community Health Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.8M is at the 25th percentile among 8 Clinic/Center, Community Health providers.

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

Total Paid

$24.8M

$24,761,020

Total Claims

449K

Beneficiaries

376K

1.2 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+0%
2019
$3.6M
-12%
2020
$3.2M
+33%
2021
$4.2M
+39%
2022
$5.9M
-51%
2023
$2.9M
-52%
2024
$1.4M

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 56% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$13.8M

98K claims · 55.9%

Your Cost: $140.92/claim|Median: $121.16
1.2× median
D9450Top 25%

$1.2M

35K claims · 4.8%

Your Cost: $34.19/claim|Median: $21.95
1.6× median
T1040Normal range

Medicaid certified CCBHC services

$830K

6,027 claims · 3.4%

Your Cost: $137.66/claim|Median: $130.29
1.1× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$708K

5,454 claims · 2.9%

Your Cost: $129.80/claim|Median: $45.95
2.8× median
99050Top 10%

$584K

15K claims · 2.4%

Your Cost: $38.28/claim|Median: $11.81
3.2× median
90834Normal range

Psychotherapy, 45 minutes

$557K

8,081 claims · 2.2%

Your Cost: $68.91/claim|Median: $63.65
1.1× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$555K

3,717 claims · 2.2%

Your Cost: $149.37/claim|Median: $74.82
2.0× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$504K

3,232 claims · 2.0%

Your Cost: $155.83/claim|Median: $75.18
2.1× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$492K

3,285 claims · 2.0%

Your Cost: $149.67/claim|Median: $80.15
1.9× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$470K

3,381 claims · 1.9%

Your Cost: $138.89/claim|Median: $72.71
1.9× median
G0467Top 25%

Federally qualified health center visit, mental health

$418K

11K claims · 1.7%

Your Cost: $37.85/claim|Median: $21.91
1.7× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$411K

2,626 claims · 1.7%

Your Cost: $156.62/claim|Median: $69.35
2.3× median
D1110Normal range

Prophylaxis, adult cleaning

$264K

9,770 claims · 1.1%

Your Cost: $27.06/claim|Median: $43.38
0.6× median
G2023Top 5%

Specimen collection for COVID-19 testing

$263K

6,539 claims · 1.1%

Your Cost: $40.27/claim|Median: $17.15
2.3× median
92340Top 25%

Fitting of spectacles, except for aphakia

$216K

7,984 claims · 0.9%

Your Cost: $27.01/claim|Median: $19.46
1.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$163K

3,477 claims · 0.7%

Your Cost: $46.97/claim|Median: $47.08
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$154K

4,598 claims · 0.6%

Your Cost: $33.51/claim|Median: $46.33
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$139K

4,696 claims · 0.6%

Your Cost: $29.68/claim|Median: $54.60
0.5× median
D0120Normal range

Periodic oral evaluation, established patient

$133K

9,552 claims · 0.5%

Your Cost: $13.94/claim|Median: $24.34
0.6× median
D0274Normal range

Bitewings, four radiographic images

$120K

5,451 claims · 0.5%

Your Cost: $21.95/claim|Median: $22.54
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$116K

11K claims · 0.5%

Your Cost: $10.41/claim|Median: $10.51
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$115K

2,848 claims · 0.5%

Your Cost: $40.28/claim|Median: $41.28
1.0× median
D1120Top 5%

Prophylaxis, adult

$115K

2,256 claims · 0.5%

Your Cost: $50.83/claim|Median: $33.86
1.5× median
90471Normal range

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

$103K

14K claims · 0.4%

Your Cost: $7.35/claim|Median: $9.80
0.8× median
D9110Normal range

$97K

3,968 claims · 0.4%

Your Cost: $24.39/claim|Median: $38.08
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$97K

4,072 claims · 0.4%

Your Cost: $23.73/claim|Median: $32.07
0.7× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$93K

2,514 claims · 0.4%

Your Cost: $36.82/claim|Median: $12.70
2.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$90K

2,014 claims · 0.4%

Your Cost: $44.91/claim|Median: $71.00
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$85K

3,114 claims · 0.3%

Your Cost: $27.31/claim|Median: $27.07
1.0× median
92015Normal range

Determination of refractive state

$84K

7,661 claims · 0.3%

Your Cost: $10.95/claim|Median: $10.36
1.1× median
99213Normal range

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

$77K

7,335 claims · 0.3%

Your Cost: $10.51/claim|Median: $37.81
0.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$76K

4,994 claims · 0.3%

Your Cost: $15.27/claim|Median: $17.85
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$71K

8,229 claims · 0.3%

Your Cost: $8.59/claim|Median: $7.33
1.2× median
D1206Top 25%

Topical application of fluoride varnish

$68K

2,660 claims · 0.3%

Your Cost: $25.48/claim|Median: $18.12
1.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$64K

9,877 claims · 0.3%

Your Cost: $6.50/claim|Median: $5.50
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$64K

8,686 claims · 0.3%

Your Cost: $7.38/claim|Median: $7.18
1.0× median
D0180Normal range

$63K

3,514 claims · 0.3%

Your Cost: $17.98/claim|Median: $35.21
0.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$58K

1,257 claims · 0.2%

Your Cost: $46.52/claim|Median: $57.39
0.8× median
90677Top 25%

$57K

488 claims · 0.2%

Your Cost: $116.63/claim|Median: $12.96
9.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$57K

1,833 claims · 0.2%

Your Cost: $30.83/claim|Median: $24.33
1.3× median
99441Normal range

Telephone E/M by physician, 5-10 min

$54K

2,469 claims · 0.2%

Your Cost: $21.80/claim|Median: $13.30
1.6× median
90715Normal range

Tdap vaccine

$49K

2,795 claims · 0.2%

Your Cost: $17.56/claim|Median: $10.32
1.7× median
90651Normal range

HPV vaccine, 9-valent

$45K

2,571 claims · 0.2%

Your Cost: $17.43/claim|Median: $8.93
2.0× median
99173Top 10%

$44K

2,484 claims · 0.2%

Your Cost: $17.91/claim|Median: $2.16
8.3× median
90472Normal range

Immunization administration, each additional vaccine

$44K

4,797 claims · 0.2%

Your Cost: $9.21/claim|Median: $11.79
0.8× median
99214Normal range

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

$43K

7,371 claims · 0.2%

Your Cost: $5.85/claim|Median: $53.41
0.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$41K

1,438 claims · 0.2%

Your Cost: $28.51/claim|Median: $22.44
1.3× median
92250Normal range

Fundus photography with interpretation and report

$40K

2,936 claims · 0.2%

Your Cost: $13.59/claim|Median: $27.95
0.5× median
V2020Top 5%

Frames, purchases

$40K

439 claims · 0.2%

Your Cost: $90.60/claim|Median: $19.33
4.7× median
G2025Normal range

$38K

2,430 claims · 0.2%

Your Cost: $15.69/claim|Median: $15.63
1.0× median

Other Top Providers in Massachusetts

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Tempus Unlimited, Inc.

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$5.57B

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$1.35B

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Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

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San Bernardino, CA

$260.2M

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$179.3M

Trilogy, Inc.

Chicago, IL

$143.5M

Lynn Community Health, Inc.

Lynn, MA

$138.3M

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