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UTAH NAVAJO HEALTH SYSTEM, INCORPORATED

Clinic/Center, Federally Qualified Health Center (FQHC)·MONTEZUMA CREEK, UT·NPI: 1811991151Share

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 $55.1M 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

$55.1M

$55,122,591

Total Claims

317K

Beneficiaries

249K

1.3 claims/patient

Avg Cost/Claim

$174

Monthly Spending Trend

Yearly Spending

2018
$5.2M
+15%
2019
$6.0M
+7%
2020
$6.4M
+45%
2021
$9.3M
+19%
2022
$11.1M
+6%
2023
$11.8M
-54%
2024
$5.4M

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 35% of total spending.

99213Top 1%

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

$19.1M

49K claims · 34.6%

Your Cost: $392.44/claim|Median: $37.81
10.4× median
99214Top 1%

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

$4.6M

13K claims · 8.4%

Your Cost: $362.01/claim|Median: $53.41
6.8× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$4.4M

10K claims · 8.0%

Your Cost: $428.50/claim|Median: $10.51
40.8× median
97110Top 1%

Therapeutic exercises, each 15 min

$3.9M

7,979 claims · 7.1%

Your Cost: $493.77/claim|Median: $24.49
20.2× median
97140Top 1%

Manual therapy techniques, per 15 minutes

$2.5M

12K claims · 4.5%

Your Cost: $205.93/claim|Median: $16.79
12.3× median
99212Top 1%

Office/outpatient visit, low complexity

$2.2M

7,036 claims · 4.0%

Your Cost: $316.50/claim|Median: $25.06
12.6× median
90837Top 1%

Psychotherapy, 60 minutes

$1.7M

3,624 claims · 3.1%

Your Cost: $464.87/claim|Median: $85.66
5.4× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$1.6M

3,445 claims · 2.9%

Your Cost: $466.71/claim|Median: $47.08
9.9× median
92012Top 1%

Ophthalmological exam, intermediate, established patient

$1.0M

2,442 claims · 1.8%

Your Cost: $413.66/claim|Median: $38.23
10.8× median
D2150Top 1%

Amalgam, two surfaces, primary or permanent

$959K

4,505 claims · 1.7%

Your Cost: $212.77/claim|Median: $66.00
3.2× median
91300Top 1%

COVID-19 vaccine (Pfizer), first dose

$769K

1,554 claims · 1.4%

Your Cost: $494.62/claim|Median: $0.01
49462.2× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$766K

2,817 claims · 1.4%

Your Cost: $271.76/claim|Median: $7.18
37.9× median
D1351Top 5%

Sealant, per tooth

$752K

8,607 claims · 1.4%

Your Cost: $87.35/claim|Median: $26.10
3.3× median
99000Top 1%

$691K

3,101 claims · 1.3%

Your Cost: $222.74/claim|Median: $2.30
96.8× median
D0120Top 5%

Periodic oral evaluation, established patient

$635K

8,814 claims · 1.2%

Your Cost: $72.01/claim|Median: $24.34
3.0× median
D0140Top 1%

Limited oral evaluation, problem focused

$579K

2,754 claims · 1.1%

Your Cost: $210.30/claim|Median: $27.07
7.8× median
90471Top 1%

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

$564K

9,366 claims · 1.0%

Your Cost: $60.24/claim|Median: $9.80
6.1× median
90832Top 1%

Psychotherapy, 30 minutes

$528K

1,168 claims · 1.0%

Your Cost: $451.75/claim|Median: $41.28
10.9× median
97161Top 1%

Physical therapy evaluation, low complexity

$480K

825 claims · 0.9%

Your Cost: $581.63/claim|Median: $47.89
12.1× median
D2140Top 1%

Amalgam, one surface, primary or permanent

$476K

2,680 claims · 0.9%

Your Cost: $177.76/claim|Median: $52.77
3.4× median
D0274Top 1%

Bitewings, four radiographic images

$447K

6,345 claims · 0.8%

Your Cost: $70.46/claim|Median: $22.54
3.1× median
G0108Top 1%

Diabetes self-management training, individual

$396K

1,155 claims · 0.7%

Your Cost: $343.28/claim|Median: $35.89
9.6× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$332K

1,849 claims · 0.6%

Your Cost: $179.70/claim|Median: $57.39
3.1× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$305K

591 claims · 0.6%

Your Cost: $516.60/claim|Median: $69.35
7.4× median
0004ATop 1%

$305K

794 claims · 0.6%

Your Cost: $383.62/claim|Median: $35.62
10.8× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$240K

485 claims · 0.4%

Your Cost: $494.89/claim|Median: $75.18
6.6× median
D1206Normal range

Topical application of fluoride varnish

$230K

10K claims · 0.4%

Your Cost: $22.75/claim|Median: $18.12
1.3× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$230K

2,523 claims · 0.4%

Your Cost: $91.03/claim|Median: $9.56
9.5× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$216K

2,011 claims · 0.4%

Your Cost: $107.52/claim|Median: $20.83
5.2× median
G0467Normal range

Federally qualified health center visit, mental health

$203K

16K claims · 0.4%

Your Cost: $13.06/claim|Median: $21.91
0.6× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$201K

387 claims · 0.4%

Your Cost: $518.93/claim|Median: $74.82
6.9× median
D0272Top 1%

Bitewings, two radiographic images

$185K

2,170 claims · 0.3%

Your Cost: $85.14/claim|Median: $15.81
5.4× median
97530Top 1%

Therapeutic activities, each 15 min

$181K

393 claims · 0.3%

Your Cost: $461.37/claim|Median: $33.11
13.9× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$176K

1,357 claims · 0.3%

Your Cost: $129.42/claim|Median: $32.07
4.0× median
D1110Normal range

Prophylaxis, adult cleaning

$175K

3,897 claims · 0.3%

Your Cost: $45.03/claim|Median: $43.38
1.0× median
D0330Top 5%

Panoramic radiographic image

$161K

2,008 claims · 0.3%

Your Cost: $80.06/claim|Median: $37.36
2.1× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$153K

482 claims · 0.3%

Your Cost: $317.01/claim|Median: $22.44
14.1× median
D2331Top 5%

Resin-based composite filling, two surfaces, anterior

$146K

841 claims · 0.3%

Your Cost: $174.01/claim|Median: $73.58
2.4× median
36415Top 5%

Collection of venous blood by venipuncture

$145K

5,521 claims · 0.3%

Your Cost: $26.34/claim|Median: $1.57
16.8× median
D2160Top 1%

Amalgam filling, three surfaces

$133K

603 claims · 0.2%

Your Cost: $221.20/claim|Median: $78.55
2.8× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$123K

307 claims · 0.2%

Your Cost: $401.59/claim|Median: $80.15
5.0× median
90688Top 1%

$123K

318 claims · 0.2%

Your Cost: $385.68/claim|Median: $9.00
42.9× median
99283Top 5%

Emergency dept visit, moderate complexity

$119K

508 claims · 0.2%

Your Cost: $234.51/claim|Median: $42.48
5.5× median
90834Top 1%

Psychotherapy, 45 minutes

$115K

322 claims · 0.2%

Your Cost: $356.12/claim|Median: $63.65
5.6× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$110K

5,792 claims · 0.2%

Your Cost: $18.99/claim|Median: $4.71
4.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$99K

15K claims · 0.2%

Your Cost: $6.71/claim|Median: $7.33
0.9× median
87811Top 1%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$98K

1,730 claims · 0.2%

Your Cost: $56.65/claim|Median: $30.53
1.9× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$88K

459 claims · 0.2%

Your Cost: $191.67/claim|Median: $13.30
14.4× median
D1120Normal range

Prophylaxis, adult

$86K

4,473 claims · 0.2%

Your Cost: $19.17/claim|Median: $33.86
0.6× median
D2330Top 5%

Resin-based composite filling, one surface, anterior

$62K

441 claims · 0.1%

Your Cost: $139.82/claim|Median: $66.63
2.1× median

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Valley Behavioral Health Incorporated

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$293.4M

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$221.1M

Abs Utah P.c.

Community/Behavioral Health

$197.2M

Wasatch Behavioral Health Special Service District

Community/Behavioral Health

$178.2M

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