Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

FAMILY HEALTH CENTER INC

Clinic/Center, Federally Qualified Health Center (FQHC)·KALAMAZOO, MI·NPI: 1811065576Share

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 $35.6M 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

$35.6M

$35,641,269

Total Claims

1.2M

Beneficiaries

932K

1.3 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$4.8M
-1%
2019
$4.7M
-10%
2020
$4.3M
+30%
2021
$5.6M
+7%
2022
$5.9M
-5%
2023
$5.7M
-17%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 70% of total spending.

G0467Top 10%

Federally qualified health center visit, mental health

$25.1M

336K claims · 70.4%

Your Cost: $74.77/claim|Median: $21.91
3.4× median
G0470Normal range

Chronic care management services, FQHC/RHC

$5.5M

76K claims · 15.4%

Your Cost: $72.63/claim|Median: $45.95
1.6× median
G0466Top 25%

$1.5M

17K claims · 4.3%

Your Cost: $87.92/claim|Median: $63.31
1.4× median
99214Normal range

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

$577K

98K claims · 1.6%

Your Cost: $5.86/claim|Median: $53.41
0.1× median
G0469Normal range

$551K

7,381 claims · 1.5%

Your Cost: $74.72/claim|Median: $70.42
1.1× median
99213Normal range

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

$551K

138K claims · 1.5%

Your Cost: $4.01/claim|Median: $37.81
0.1× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$271K

3,582 claims · 0.8%

Your Cost: $75.75/claim|Median: $41.92
1.8× median
90834Normal range

Psychotherapy, 45 minutes

$140K

24K claims · 0.4%

Your Cost: $5.78/claim|Median: $63.65
0.1× median
90651Top 25%

HPV vaccine, 9-valent

$131K

3,994 claims · 0.4%

Your Cost: $32.85/claim|Median: $8.93
3.7× median
90837Normal range

Psychotherapy, 60 minutes

$121K

13K claims · 0.3%

Your Cost: $9.61/claim|Median: $85.66
0.1× median
H0031Normal range

Mental health assessment by non-physician

$90K

10K claims · 0.3%

Your Cost: $8.92/claim|Median: $96.18
0.1× median
97110Normal range

Therapeutic exercises, each 15 min

$79K

37K claims · 0.2%

Your Cost: $2.16/claim|Median: $24.49
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$66K

6,526 claims · 0.2%

Your Cost: $10.07/claim|Median: $75.18
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$53K

6,758 claims · 0.2%

Your Cost: $7.91/claim|Median: $74.82
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$47K

6,688 claims · 0.1%

Your Cost: $7.09/claim|Median: $69.35
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$46K

5,021 claims · 0.1%

Your Cost: $9.24/claim|Median: $99.21
0.1× median
59426Normal range

Antepartum care only, high risk, additional visits

$44K

66 claims · 0.1%

Your Cost: $659.58/claim|Median: $122.30
5.4× median
90832Normal range

Psychotherapy, 30 minutes

$42K

8,603 claims · 0.1%

Your Cost: $4.88/claim|Median: $41.28
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$40K

15K claims · 0.1%

Your Cost: $2.72/claim|Median: $25.06
0.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$39K

18K claims · 0.1%

Your Cost: $2.14/claim|Median: $74.63
0.0× median
97140Normal range

Manual therapy techniques, per 15 minutes

$36K

21K claims · 0.1%

Your Cost: $1.76/claim|Median: $16.79
0.1× median
97530Normal range

Therapeutic activities, each 15 min

$34K

8,363 claims · 0.1%

Your Cost: $4.07/claim|Median: $33.11
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$29K

4,286 claims · 0.1%

Your Cost: $6.84/claim|Median: $72.71
0.1× median
90471Normal range

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

$29K

27K claims · 0.1%

Your Cost: $1.06/claim|Median: $9.80
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$29K

3,093 claims · 0.1%

Your Cost: $9.23/claim|Median: $76.06
0.1× median
90472Normal range

Immunization administration, each additional vaccine

$28K

12K claims · 0.1%

Your Cost: $2.22/claim|Median: $11.79
0.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$25K

4,119 claims · 0.1%

Your Cost: $6.14/claim|Median: $80.15
0.1× median
90480Normal range

$24K

945 claims · 0.1%

Your Cost: $25.71/claim|Median: $25.29
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$18K

4,983 claims · 0.1%

Your Cost: $3.65/claim|Median: $17.85
0.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$18K

1,476 claims · 0.1%

Your Cost: $12.11/claim|Median: $108.91
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$17K

13K claims · 0.0%

Your Cost: $1.32/claim|Median: $9.56
0.1× median
97161Normal range

Physical therapy evaluation, low complexity

$16K

3,410 claims · 0.0%

Your Cost: $4.83/claim|Median: $47.89
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$15K

14K claims · 0.0%

Your Cost: $1.10/claim|Median: $7.18
0.2× median
99203Normal range

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

$15K

3,649 claims · 0.0%

Your Cost: $4.15/claim|Median: $57.85
0.1× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$15K

177 claims · 0.0%

Your Cost: $84.50/claim|Median: $57.39
1.5× median
80305Normal range

$15K

11K claims · 0.0%

Your Cost: $1.28/claim|Median: $7.44
0.2× median
99204Normal range

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

$13K

2,071 claims · 0.0%

Your Cost: $6.47/claim|Median: $84.03
0.1× median
D1120Normal range

Prophylaxis, adult

$13K

347 claims · 0.0%

Your Cost: $36.60/claim|Median: $33.86
1.1× median
D1206Normal range

Topical application of fluoride varnish

$12K

512 claims · 0.0%

Your Cost: $23.53/claim|Median: $18.12
1.3× median
D0191Normal range

$12K

794 claims · 0.0%

Your Cost: $15.11/claim|Median: $11.16
1.4× median
91320Normal range

$12K

687 claims · 0.0%

Your Cost: $17.39/claim|Median: $72.65
0.2× median
99381Normal range

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

$11K

1,655 claims · 0.0%

Your Cost: $6.56/claim|Median: $73.46
0.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$11K

1,484 claims · 0.0%

Your Cost: $7.08/claim|Median: $76.22
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$9K

1,427 claims · 0.0%

Your Cost: $6.61/claim|Median: $74.09
0.1× median
90677Normal range

$9K

892 claims · 0.0%

Your Cost: $10.51/claim|Median: $12.96
0.8× median
99000Top 10%

$8K

706 claims · 0.0%

Your Cost: $11.98/claim|Median: $2.30
5.2× median
90715Normal range

Tdap vaccine

$8K

4,023 claims · 0.0%

Your Cost: $2.07/claim|Median: $10.32
0.2× median
59425Top 1%

Antepartum care only, 4-6 visits

$8K

13 claims · 0.0%

Your Cost: $591.30/claim|Median: $63.63
9.3× median
81025Normal range

Urine pregnancy test

$7K

8,427 claims · 0.0%

Your Cost: $0.87/claim|Median: $4.81
0.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$7K

7,047 claims · 0.0%

Your Cost: $1.02/claim|Median: $5.50
0.2× median

Other Top Providers in Michigan

View all →

Guardiantrac. LLC

Community/Behavioral Health

$2.68B

Centria Healthcare LLC

Home Health

$590.6M

Integra Partners LLC

Orthotic Fitter

$422.3M

Community Mental Health Authority of Clinton Eaton Ingham Counties

Clinic/Center Mental Health (Including Community

$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providersAll providers in Michigan →How we detect fraud →