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MUSKINGUM VALLEY HEALTH CENTERS

Clinic/Center, Federally Qualified Health Center (FQHC)·ZANESVILLE, OH·NPI: 1841472982Share

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 $28.6M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$28.6M

$28,593,617

Total Claims

2.1M

Beneficiaries

1.2M

1.7 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+13%
2019
$4.6M
+2%
2020
$4.7M
-3%
2021
$4.6M
-16%
2022
$3.9M
+7%
2023
$4.2M
-39%
2024
$2.5M

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 55% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$15.7M

228K claims · 54.8%

Your Cost: $68.61/claim|Median: $121.16
0.6× median
99213Normal range

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

$4.2M

203K claims · 14.8%

Your Cost: $20.77/claim|Median: $37.81
0.5× median
99214Normal range

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

$1.3M

46K claims · 4.6%

Your Cost: $28.71/claim|Median: $53.41
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$927K

46K claims · 3.2%

Your Cost: $20.11/claim|Median: $41.28
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$596K

41K claims · 2.1%

Your Cost: $14.47/claim|Median: $17.85
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$456K

13K claims · 1.6%

Your Cost: $33.95/claim|Median: $75.18
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$374K

28K claims · 1.3%

Your Cost: $13.47/claim|Median: $25.06
0.5× median
G0467Normal range

Federally qualified health center visit, mental health

$343K

16K claims · 1.2%

Your Cost: $21.46/claim|Median: $21.91
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$330K

11K claims · 1.2%

Your Cost: $30.80/claim|Median: $74.82
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$324K

11K claims · 1.1%

Your Cost: $28.69/claim|Median: $69.35
0.4× median
J1050Top 10%

Injection, medroxyprogesterone acetate, one milligram

$252K

2,989 claims · 0.9%

Your Cost: $84.15/claim|Median: $41.92
2.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$236K

6,618 claims · 0.8%

Your Cost: $35.59/claim|Median: $80.15
0.4× median
D0120Normal range

Periodic oral evaluation, established patient

$213K

21K claims · 0.7%

Your Cost: $10.02/claim|Median: $24.34
0.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$203K

6,752 claims · 0.7%

Your Cost: $30.12/claim|Median: $72.71
0.4× median
90670Top 10%

$199K

5,827 claims · 0.7%

Your Cost: $34.19/claim|Median: $5.94
5.8× median
D1110Normal range

Prophylaxis, adult cleaning

$193K

11K claims · 0.7%

Your Cost: $17.01/claim|Median: $43.38
0.4× median
D1120Normal range

Prophylaxis, adult

$191K

16K claims · 0.7%

Your Cost: $11.89/claim|Median: $33.86
0.4× median
Q3014Normal range

Telehealth originating site facility fee

$185K

21K claims · 0.6%

Your Cost: $8.92/claim|Median: $15.37
0.6× median
D1206Normal range

Topical application of fluoride varnish

$166K

20K claims · 0.6%

Your Cost: $8.50/claim|Median: $18.12
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$155K

4,053 claims · 0.5%

Your Cost: $38.22/claim|Median: $85.66
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$149K

5,805 claims · 0.5%

Your Cost: $25.70/claim|Median: $63.65
0.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$131K

10K claims · 0.5%

Your Cost: $13.15/claim|Median: $32.07
0.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$118K

4,200 claims · 0.4%

Your Cost: $28.08/claim|Median: $57.39
0.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$118K

4,389 claims · 0.4%

Your Cost: $26.82/claim|Median: $54.60
0.5× median
D0330Normal range

Panoramic radiographic image

$116K

5,470 claims · 0.4%

Your Cost: $21.13/claim|Median: $37.36
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$94K

25K claims · 0.3%

Your Cost: $3.68/claim|Median: $9.10
0.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$92K

2,893 claims · 0.3%

Your Cost: $31.72/claim|Median: $76.06
0.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$83K

3,370 claims · 0.3%

Your Cost: $24.51/claim|Median: $71.00
0.3× median
92551Normal range

Screening audiometry, pure tone, air only

$81K

23K claims · 0.3%

Your Cost: $3.51/claim|Median: $6.61
0.5× median
D0274Normal range

Bitewings, four radiographic images

$69K

8,693 claims · 0.2%

Your Cost: $7.90/claim|Median: $22.54
0.4× median
D0140Normal range

Limited oral evaluation, problem focused

$67K

7,307 claims · 0.2%

Your Cost: $9.19/claim|Median: $27.07
0.3× median
36415Normal range

Collection of venous blood by venipuncture

$47K

33K claims · 0.2%

Your Cost: $1.42/claim|Median: $1.57
0.9× median
80305Normal range

$46K

8,270 claims · 0.2%

Your Cost: $5.52/claim|Median: $7.44
0.7× median
G2025Normal range

$46K

2,919 claims · 0.2%

Your Cost: $15.64/claim|Median: $15.63
1.0× median
99188Normal range

$43K

3,684 claims · 0.2%

Your Cost: $11.73/claim|Median: $12.80
0.9× median
90698Normal range

$43K

3,463 claims · 0.1%

Your Cost: $12.29/claim|Median: $6.32
1.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$43K

3,676 claims · 0.1%

Your Cost: $11.56/claim|Median: $9.56
1.2× median
90633Top 25%

$41K

2,892 claims · 0.1%

Your Cost: $14.17/claim|Median: $3.56
4.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$40K

6,132 claims · 0.1%

Your Cost: $6.58/claim|Median: $11.48
0.6× median
90651Top 25%

HPV vaccine, 9-valent

$40K

1,581 claims · 0.1%

Your Cost: $25.16/claim|Median: $8.93
2.8× median
99174Normal range

$36K

6,700 claims · 0.1%

Your Cost: $5.30/claim|Median: $5.27
1.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$31K

8,100 claims · 0.1%

Your Cost: $3.89/claim|Median: $5.50
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$31K

11K claims · 0.1%

Your Cost: $2.83/claim|Median: $7.18
0.4× median
J1040Top 25%

$28K

2,753 claims · 0.1%

Your Cost: $10.25/claim|Median: $6.87
1.5× median
D0272Normal range

Bitewings, two radiographic images

$27K

5,434 claims · 0.1%

Your Cost: $4.97/claim|Median: $15.81
0.3× median
H1002Normal range

$27K

4,462 claims · 0.1%

Your Cost: $6.03/claim|Median: $23.28
0.3× median
81025Normal range

Urine pregnancy test

$23K

5,009 claims · 0.1%

Your Cost: $4.63/claim|Median: $4.81
1.0× median
87426Normal range

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

$23K

1,284 claims · 0.1%

Your Cost: $17.63/claim|Median: $30.04
0.6× median
99177Normal range

$19K

4,311 claims · 0.1%

Your Cost: $4.34/claim|Median: $3.74
1.2× median
99203Normal range

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

$19K

889 claims · 0.1%

Your Cost: $21.05/claim|Median: $57.85
0.4× median