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FAMILY HEALTH CENTER OF WORCESTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·WORCESTER, MA·NPI: 1841200664Share

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 $70.2M 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

$70.2M

$70,185,859

Total Claims

1.1M

Beneficiaries

893K

1.2 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$10.0M
+13%
2019
$11.3M
-23%
2020
$8.7M
+39%
2021
$12.1M
+29%
2022
$15.6M
-51%
2023
$7.6M
-37%
2024
$4.8M

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 60% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$42.4M

279K claims · 60.4%

Your Cost: $152.15/claim|Median: $121.16
1.3× median
T1040Normal range

Medicaid certified CCBHC services

$3.0M

22K claims · 4.3%

Your Cost: $137.87/claim|Median: $130.29
1.1× median
D9450Normal range

$2.5M

105K claims · 3.6%

Your Cost: $24.05/claim|Median: $21.95
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$1.5M

19K claims · 2.1%

Your Cost: $78.53/claim|Median: $63.65
1.2× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$1.4M

9,153 claims · 2.0%

Your Cost: $151.06/claim|Median: $69.35
2.2× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$1.2M

7,919 claims · 1.7%

Your Cost: $153.70/claim|Median: $75.18
2.0× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$1.1M

7,462 claims · 1.6%

Your Cost: $152.34/claim|Median: $74.82
2.0× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$1.1M

8,052 claims · 1.6%

Your Cost: $136.11/claim|Median: $45.95
3.0× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$938K

6,281 claims · 1.3%

Your Cost: $149.27/claim|Median: $80.15
1.9× median
G0467Top 25%

Federally qualified health center visit, mental health

$848K

20K claims · 1.2%

Your Cost: $41.60/claim|Median: $21.91
1.9× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$702K

4,312 claims · 1.0%

Your Cost: $162.82/claim|Median: $72.71
2.2× median
D1110Normal range

Prophylaxis, adult cleaning

$701K

25K claims · 1.0%

Your Cost: $27.62/claim|Median: $43.38
0.6× median
G2023Top 25%

Specimen collection for COVID-19 testing

$436K

18K claims · 0.6%

Your Cost: $23.69/claim|Median: $17.15
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$386K

11K claims · 0.6%

Your Cost: $36.17/claim|Median: $46.33
0.8× median
D1120Top 10%

Prophylaxis, adult

$377K

7,627 claims · 0.5%

Your Cost: $49.41/claim|Median: $33.86
1.5× median
G0511Top 25%

RHC/FQHC visit, psychiatric collaborative care model

$374K

21K claims · 0.5%

Your Cost: $17.52/claim|Median: $11.35
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$366K

33K claims · 0.5%

Your Cost: $11.05/claim|Median: $17.85
0.6× median
90739Top 25%

$342K

2,717 claims · 0.5%

Your Cost: $126.05/claim|Median: $74.43
1.7× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$339K

6,690 claims · 0.5%

Your Cost: $50.61/claim|Median: $39.70
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$322K

7,952 claims · 0.5%

Your Cost: $40.47/claim|Median: $41.28
1.0× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$321K

150 claims · 0.5%

Your Cost: $2,138.77/claim|Median: $1,482.45
1.4× median
90750Normal range

$318K

2,244 claims · 0.5%

Your Cost: $141.86/claim|Median: $96.16
1.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$306K

6,889 claims · 0.4%

Your Cost: $44.44/claim|Median: $57.39
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$304K

7,711 claims · 0.4%

Your Cost: $39.48/claim|Median: $54.60
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$292K

6,514 claims · 0.4%

Your Cost: $44.86/claim|Median: $71.00
0.6× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$289K

3,447 claims · 0.4%

Your Cost: $83.88/claim|Median: $65.64
1.3× median
99381Top 5%

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

$280K

1,529 claims · 0.4%

Your Cost: $182.87/claim|Median: $73.46
2.5× median
D9110Normal range

$270K

12K claims · 0.4%

Your Cost: $22.72/claim|Median: $38.08
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$269K

28K claims · 0.4%

Your Cost: $9.63/claim|Median: $9.10
1.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$262K

7,914 claims · 0.4%

Your Cost: $33.13/claim|Median: $30.04
1.1× median
D0274Normal range

Bitewings, four radiographic images

$261K

9,674 claims · 0.4%

Your Cost: $26.97/claim|Median: $22.54
1.2× median
99173Top 10%

$258K

15K claims · 0.4%

Your Cost: $17.51/claim|Median: $2.16
8.1× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$245K

701 claims · 0.3%

Your Cost: $349.64/claim|Median: $786.43
0.4× median
90651Top 25%

HPV vaccine, 9-valent

$242K

5,730 claims · 0.3%

Your Cost: $42.32/claim|Median: $8.93
4.7× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$227K

2,986 claims · 0.3%

Your Cost: $75.99/claim|Median: $109.42
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$193K

13K claims · 0.3%

Your Cost: $15.25/claim|Median: $24.34
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$185K

7,343 claims · 0.3%

Your Cost: $25.16/claim|Median: $32.07
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$181K

7,697 claims · 0.3%

Your Cost: $23.47/claim|Median: $27.07
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$173K

1,510 claims · 0.2%

Your Cost: $114.70/claim|Median: $99.21
1.2× median
99188Top 10%

$160K

6,207 claims · 0.2%

Your Cost: $25.84/claim|Median: $12.80
2.0× median
G2025Normal range

$160K

8,048 claims · 0.2%

Your Cost: $19.82/claim|Median: $15.63
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$158K

6,295 claims · 0.2%

Your Cost: $25.17/claim|Median: $18.12
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$143K

22K claims · 0.2%

Your Cost: $6.49/claim|Median: $7.18
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$137K

2,873 claims · 0.2%

Your Cost: $47.86/claim|Median: $39.33
1.2× median
D0180Normal range

$137K

7,611 claims · 0.2%

Your Cost: $18.03/claim|Median: $35.21
0.5× median
99213Normal range

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

$131K

11K claims · 0.2%

Your Cost: $11.70/claim|Median: $37.81
0.3× median
D1351Top 25%

Sealant, per tooth

$122K

3,148 claims · 0.2%

Your Cost: $38.91/claim|Median: $26.10
1.5× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$120K

2,611 claims · 0.2%

Your Cost: $46.12/claim|Median: $33.85
1.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$119K

2,425 claims · 0.2%

Your Cost: $48.89/claim|Median: $47.08
1.0× median
90471Normal range

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

$114K

24K claims · 0.2%

Your Cost: $4.67/claim|Median: $9.80
0.5× median

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$5.57B

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$1.35B

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$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

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