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CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Clinic/Center, Federally Qualified Health Center (FQHC)·AUSTIN, TX·NPI: 1861420382Share

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 $23.3M 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

$23.3M

$23,315,668

Total Claims

326K

Beneficiaries

267K

1.2 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$150K
+198%
2019
$446K
+339%
2020
$2.0M
+114%
2021
$4.2M
+23%
2022
$5.2M
+4%
2023
$5.4M
+11%
2024
$6.0M

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 78% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$18.2M

89K claims · 77.9%

Your Cost: $202.97/claim|Median: $121.16
1.7× median
99213Normal range

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

$1.3M

41K claims · 5.7%

Your Cost: $32.36/claim|Median: $37.81
0.9× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$970K

9,710 claims · 4.2%

Your Cost: $99.91/claim|Median: $69.35
1.4× median
99214Normal range

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

$776K

17K claims · 3.3%

Your Cost: $46.97/claim|Median: $53.41
0.9× median
99381Top 5%

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

$475K

2,543 claims · 2.0%

Your Cost: $186.79/claim|Median: $73.46
2.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$381K

7,611 claims · 1.6%

Your Cost: $50.01/claim|Median: $75.18
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$193K

3,309 claims · 0.8%

Your Cost: $58.20/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$152K

2,182 claims · 0.7%

Your Cost: $69.85/claim|Median: $80.15
0.9× median
87428Normal range

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

$118K

6,130 claims · 0.5%

Your Cost: $19.31/claim|Median: $39.63
0.5× median
59430Normal range

$117K

2,862 claims · 0.5%

Your Cost: $40.85/claim|Median: $80.32
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$115K

2,615 claims · 0.5%

Your Cost: $43.81/claim|Median: $41.28
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$78K

3,207 claims · 0.3%

Your Cost: $24.18/claim|Median: $25.06
1.0× median
G0467Top 25%

Federally qualified health center visit, mental health

$72K

2,087 claims · 0.3%

Your Cost: $34.52/claim|Median: $21.91
1.6× median
90651Top 25%

HPV vaccine, 9-valent

$44K

1,656 claims · 0.2%

Your Cost: $26.59/claim|Median: $8.93
3.0× median
99203Normal range

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

$30K

778 claims · 0.1%

Your Cost: $39.03/claim|Median: $57.85
0.7× median
D0999Normal range

Unspecified diagnostic procedure, by report

$26K

334 claims · 0.1%

Your Cost: $78.35/claim|Median: $101.33
0.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$22K

1,209 claims · 0.1%

Your Cost: $18.55/claim|Median: $36.70
0.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$21K

1,048 claims · 0.1%

Your Cost: $20.03/claim|Median: $33.85
0.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$19K

3,569 claims · 0.1%

Your Cost: $5.31/claim|Median: $17.85
0.3× median
90715Normal range

Tdap vaccine

$18K

2,712 claims · 0.1%

Your Cost: $6.61/claim|Median: $10.32
0.6× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$17K

162 claims · 0.1%

Your Cost: $104.02/claim|Median: $72.71
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$13K

4,253 claims · 0.1%

Your Cost: $3.15/claim|Median: $9.10
0.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$13K

1,119 claims · 0.1%

Your Cost: $11.88/claim|Median: $33.72
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$13K

2,232 claims · 0.1%

Your Cost: $5.90/claim|Median: $11.48
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$10K

141 claims · 0.0%

Your Cost: $72.96/claim|Median: $74.09
1.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$10K

10K claims · 0.0%

Your Cost: $0.96/claim|Median: $2.00
0.5× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$10K

831 claims · 0.0%

Your Cost: $11.72/claim|Median: $25.93
0.5× median
90480Normal range

$9K

861 claims · 0.0%

Your Cost: $10.60/claim|Median: $25.29
0.4× median
81025Normal range

Urine pregnancy test

$8K

4,343 claims · 0.0%

Your Cost: $1.91/claim|Median: $4.81
0.4× median
87426Normal range

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

$7K

507 claims · 0.0%

Your Cost: $14.41/claim|Median: $30.04
0.5× median
90471Normal range

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

$7K

21K claims · 0.0%

Your Cost: $0.35/claim|Median: $9.80
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$7K

136 claims · 0.0%

Your Cost: $52.65/claim|Median: $63.65
0.8× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$5K

1,548 claims · 0.0%

Your Cost: $3.52/claim|Median: $12.70
0.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$5K

231 claims · 0.0%

Your Cost: $21.98/claim|Median: $58.16
0.4× median
0071ANormal range

$5K

172 claims · 0.0%

Your Cost: $29.07/claim|Median: $38.71
0.8× median
87804Normal range

Influenza virus detection, rapid test

$5K

830 claims · 0.0%

Your Cost: $5.47/claim|Median: $12.59
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

7,545 claims · 0.0%

Your Cost: $0.47/claim|Median: $7.18
0.1× median
99204Normal range

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

$4K

73 claims · 0.0%

Your Cost: $48.42/claim|Median: $84.03
0.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$4K

1,031 claims · 0.0%

Your Cost: $3.42/claim|Median: $6.93
0.5× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$3K

997 claims · 0.0%

Your Cost: $3.27/claim|Median: $24.33
0.1× median
76815Normal range

Ultrasound, pregnant uterus, limited

$3K

175 claims · 0.0%

Your Cost: $17.76/claim|Median: $36.79
0.5× median
0124ANormal range

$3K

143 claims · 0.0%

Your Cost: $18.24/claim|Median: $34.32
0.5× median
90677Normal range

$2K

1,660 claims · 0.0%

Your Cost: $1.49/claim|Median: $12.96
0.1× median
90472Normal range

Immunization administration, each additional vaccine

$2K

19K claims · 0.0%

Your Cost: $0.12/claim|Median: $11.79
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

53 claims · 0.0%

Your Cost: $41.38/claim|Median: $108.91
0.4× median
0051ANormal range

$2K

61 claims · 0.0%

Your Cost: $30.98/claim|Median: $36.92
0.8× median
83518Normal range

$2K

908 claims · 0.0%

Your Cost: $2.03/claim|Median: $7.21
0.3× median
91320Normal range

$2K

255 claims · 0.0%

Your Cost: $5.94/claim|Median: $72.65
0.1× median
90656Normal range

$1K

843 claims · 0.0%

Your Cost: $1.68/claim|Median: $8.67
0.2× median
90688Normal range

$1K

804 claims · 0.0%

Your Cost: $1.66/claim|Median: $9.00
0.2× median