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HEALTH PARTNERS OF WESTERN OHIO

Clinic/Center, Federally Qualified Health Center (FQHC)·LIMA, OH·NPI: 1811932288Share

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 $21.6M 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

$21.6M

$21,635,379

Total Claims

1.0M

Beneficiaries

557K

1.9 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+4%
2019
$3.2M
-12%
2020
$2.8M
+9%
2021
$3.0M
-1%
2022
$3.0M
+26%
2023
$3.7M
-22%
2024
$2.9M

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 51% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$10.9M

136K claims · 50.5%

Your Cost: $80.55/claim|Median: $121.16
0.7× median
99213Normal range

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

$1.6M

86K claims · 7.4%

Your Cost: $18.83/claim|Median: $37.81
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$1.2M

65K claims · 5.7%

Your Cost: $18.83/claim|Median: $41.28
0.5× median
D1354Normal range

$1.0M

72K claims · 4.8%

Your Cost: $14.37/claim|Median: $12.52
1.1× median
D1351Normal range

Sealant, per tooth

$912K

55K claims · 4.2%

Your Cost: $16.68/claim|Median: $26.10
0.6× median
D1206Normal range

Topical application of fluoride varnish

$616K

56K claims · 2.8%

Your Cost: $10.92/claim|Median: $18.12
0.6× median
D1120Normal range

Prophylaxis, adult

$575K

38K claims · 2.7%

Your Cost: $15.24/claim|Median: $33.86
0.5× median
D0120Normal range

Periodic oral evaluation, established patient

$447K

34K claims · 2.1%

Your Cost: $13.16/claim|Median: $24.34
0.5× median
99214Normal range

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

$438K

13K claims · 2.0%

Your Cost: $32.71/claim|Median: $53.41
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$403K

18K claims · 1.9%

Your Cost: $22.41/claim|Median: $43.38
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$390K

18K claims · 1.8%

Your Cost: $21.88/claim|Median: $32.07
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$343K

8,001 claims · 1.6%

Your Cost: $42.90/claim|Median: $57.39
0.7× median
D0330Normal range

Panoramic radiographic image

$259K

12K claims · 1.2%

Your Cost: $22.43/claim|Median: $37.36
0.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$234K

17K claims · 1.1%

Your Cost: $13.91/claim|Median: $17.85
0.8× median
G0467Normal range

Federally qualified health center visit, mental health

$220K

6,476 claims · 1.0%

Your Cost: $33.92/claim|Median: $21.91
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$197K

6,826 claims · 0.9%

Your Cost: $28.87/claim|Median: $75.18
0.4× median
D0140Normal range

Limited oral evaluation, problem focused

$164K

12K claims · 0.8%

Your Cost: $13.53/claim|Median: $27.07
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$141K

5,020 claims · 0.7%

Your Cost: $28.01/claim|Median: $74.82
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$121K

5,186 claims · 0.6%

Your Cost: $23.37/claim|Median: $69.35
0.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$116K

5,642 claims · 0.5%

Your Cost: $20.65/claim|Median: $46.33
0.4× median
D0274Normal range

Bitewings, four radiographic images

$114K

11K claims · 0.5%

Your Cost: $10.42/claim|Median: $22.54
0.5× median
92015Normal range

Determination of refractive state

$105K

9,809 claims · 0.5%

Your Cost: $10.74/claim|Median: $10.36
1.0× median
92587Normal range

$99K

9,950 claims · 0.5%

Your Cost: $9.97/claim|Median: $19.24
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$99K

3,430 claims · 0.5%

Your Cost: $28.74/claim|Median: $80.15
0.4× median
99382Normal range

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

$75K

2,222 claims · 0.3%

Your Cost: $33.84/claim|Median: $79.89
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$67K

14K claims · 0.3%

Your Cost: $4.75/claim|Median: $5.50
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$66K

1,693 claims · 0.3%

Your Cost: $39.02/claim|Median: $71.00
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$59K

1,982 claims · 0.3%

Your Cost: $29.79/claim|Median: $76.06
0.4× median
80305Normal range

$48K

11K claims · 0.2%

Your Cost: $4.56/claim|Median: $7.44
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$46K

3,954 claims · 0.2%

Your Cost: $11.74/claim|Median: $25.06
0.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$45K

24K claims · 0.2%

Your Cost: $1.84/claim|Median: $7.33
0.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$40K

15K claims · 0.2%

Your Cost: $2.62/claim|Median: $10.51
0.2× median
99406Normal range

$36K

11K claims · 0.2%

Your Cost: $3.15/claim|Median: $6.53
0.5× median
D0272Normal range

Bitewings, two radiographic images

$35K

5,475 claims · 0.2%

Your Cost: $6.36/claim|Median: $15.81
0.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$31K

1,145 claims · 0.1%

Your Cost: $27.14/claim|Median: $72.71
0.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$29K

706 claims · 0.1%

Your Cost: $41.05/claim|Median: $54.60
0.8× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$28K

1,500 claims · 0.1%

Your Cost: $18.85/claim|Median: $66.00
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$21K

7,127 claims · 0.1%

Your Cost: $2.96/claim|Median: $7.18
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$21K

3,749 claims · 0.1%

Your Cost: $5.62/claim|Median: $11.48
0.5× median
G0470Normal range

Chronic care management services, FQHC/RHC

$18K

1,037 claims · 0.1%

Your Cost: $17.05/claim|Median: $45.95
0.4× median
90471Normal range

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

$17K

2,359 claims · 0.1%

Your Cost: $7.38/claim|Median: $9.80
0.8× median
82962Normal range

Blood glucose test by monitoring device

$15K

13K claims · 0.1%

Your Cost: $1.13/claim|Median: $1.40
0.8× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$11K

326 claims · 0.0%

Your Cost: $32.97/claim|Median: $33.85
1.0× median
99188Normal range

$11K

582 claims · 0.0%

Your Cost: $18.35/claim|Median: $12.80
1.4× median
99203Normal range

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

$10K

347 claims · 0.0%

Your Cost: $27.45/claim|Median: $57.85
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$9K

2,275 claims · 0.0%

Your Cost: $4.01/claim|Median: $9.56
0.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$8K

3,160 claims · 0.0%

Your Cost: $2.55/claim|Median: $3.67
0.7× median
92551Normal range

Screening audiometry, pure tone, air only

$7K

2,540 claims · 0.0%

Your Cost: $2.93/claim|Median: $6.61
0.4× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$7K

387 claims · 0.0%

Your Cost: $17.76/claim|Median: $25.93
0.7× median
D2160Normal range

Amalgam filling, three surfaces

$6K

383 claims · 0.0%

Your Cost: $16.29/claim|Median: $78.55
0.2× median

Other Top Providers in Ohio

View all →

The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

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

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