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NORWALK COMMUNITY HEALTH CENTER INC

Clinic/Center, Health Services·NORWALK, CT·NPI: 1841226347Share
Active Billing Period:2018-012024-10(82 months)

Total Paid

$29.3M

$29,272,109

Total Claims

499K

Beneficiaries

416K

1.2 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-7%
2019
$3.6M
+16%
2020
$4.1M
+18%
2021
$4.9M
-1%
2022
$4.8M
-2%
2023
$4.7M
-29%
2024
$3.4M

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 93% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$27.3M

180K claims · 93.1%

Your Cost: $151.44/claim|Median: $121.16
1.2× median
G0511Top 5%

RHC/FQHC visit, psychiatric collaborative care model

$889K

13K claims · 3.0%

Your Cost: $70.50/claim|Median: $11.35
6.2× median
99213Normal range

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

$624K

84K claims · 2.1%

Your Cost: $7.43/claim|Median: $37.81
0.2× median
G2025Top 25%

$130K

2,593 claims · 0.4%

Your Cost: $49.97/claim|Median: $15.63
3.2× median
90834Normal range

Psychotherapy, 45 minutes

$106K

8,692 claims · 0.4%

Your Cost: $12.16/claim|Median: $63.65
0.2× median
G0467Normal range

Federally qualified health center visit, mental health

$100K

7,760 claims · 0.3%

Your Cost: $12.91/claim|Median: $21.91
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$56K

30K claims · 0.2%

Your Cost: $1.85/claim|Median: $22.44
0.1× median
82962Top 10%

Blood glucose test by monitoring device

$51K

11K claims · 0.2%

Your Cost: $4.85/claim|Median: $1.40
3.5× median
90832Normal range

Psychotherapy, 30 minutes

$16K

1,602 claims · 0.1%

Your Cost: $9.94/claim|Median: $41.28
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$14K

3,020 claims · 0.0%

Your Cost: $4.79/claim|Median: $25.06
0.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$7K

1,393 claims · 0.0%

Your Cost: $5.15/claim|Median: $32.55
0.2× median
99214Normal range

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

$6K

3,329 claims · 0.0%

Your Cost: $1.79/claim|Median: $53.41
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$6K

3,793 claims · 0.0%

Your Cost: $1.50/claim|Median: $12.93
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1K

190 claims · 0.0%

Your Cost: $7.74/claim|Median: $108.91
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$1K

756 claims · 0.0%

Your Cost: $1.78/claim|Median: $99.21
0.0× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$819

42 claims · 0.0%

Your Cost: $19.50/claim|Median: $2.14
9.1× median
0134ANormal range

$754

32 claims · 0.0%

Your Cost: $23.56/claim|Median: $33.54
0.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$730

518 claims · 0.0%

Your Cost: $1.41/claim|Median: $76.06
0.0× median
0124ANormal range

$508

26 claims · 0.0%

Your Cost: $19.55/claim|Median: $34.32
0.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$313

629 claims · 0.0%

Your Cost: $0.50/claim|Median: $5.50
0.1× median

$251

19 claims · 0.0%

0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$160

309 claims · 0.0%

Your Cost: $0.52/claim|Median: $33.85
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$90

5,440 claims · 0.0%

Your Cost: $0.02/claim|Median: $75.18
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$84

5,051 claims · 0.0%

Your Cost: $0.02/claim|Median: $69.35
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$79

520 claims · 0.0%

Your Cost: $0.15/claim|Median: $74.09
0.0× median
87804Normal range

Influenza virus detection, rapid test

$31

916 claims · 0.0%

Your Cost: $0.03/claim|Median: $12.59
0.0× median
90853Normal range

Group psychotherapy

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02
90472Normal range

Immunization administration, each additional vaccine

$0

8,353 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
99394Normal range

Preventive medicine, established patient, age 12-17

$0

2,719 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.15
90707Normal range

MMR vaccine

$0

127 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.76
90685Normal range

$0

883 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.96
0072ANormal range

$0

302 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.57
98968Normal range

$0

114 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.39
G8510Normal range

$0

158 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
D0601Normal range

$0

52 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
99381Normal range

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

$0

294 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.46
94640Normal range

Pressurized or nonpressurized inhalation treatment

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.88
D2392Normal range

Resin-based composite, two surfaces, posterior

$0

194 claims · 0.0%

Your Cost: $0.00/claim|Median: $71.00
D0120Normal range

Periodic oral evaluation, established patient

$0

3,000 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.34
90651Normal range

HPV vaccine, 9-valent

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.93
99393Normal range

Preventive medicine, established patient, age 5-11

$0

3,445 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
90681Normal range

$0

49 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.74
0071ANormal range

$0

309 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.71
D2391Normal range

Resin-based composite, one surface, posterior

$0

825 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.60
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$0

228 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.92
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$0

9,732 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.67
0064ANormal range

$0

191 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.17
96110Normal range

Developmental screening, per standardized instrument

$0

9,108 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.10
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$0

523 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.70
91307Normal range

$0

632 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01