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RIVER HILLS COMMUNITY HEALTH CENTER INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·OTTUMWA, IA·NPI: 1912952367Share

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 $77.3M 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

$77.3M

$77,320,441

Total Claims

853K

Beneficiaries

709K

1.2 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$7.8M
+11%
2019
$8.6M
-3%
2020
$8.4M
+35%
2021
$11.3M
+20%
2022
$13.6M
+3%
2023
$14.0M
-2%
2024
$13.7M

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 68% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$52.4M

225K claims · 67.8%

Your Cost: $232.58/claim|Median: $121.16
1.9× median
D9999Top 10%

Unspecified adjunctive procedure, by report

$16.1M

69K claims · 20.9%

Your Cost: $233.59/claim|Median: $37.60
6.2× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$7.9M

31K claims · 10.2%

Your Cost: $255.09/claim|Median: $101.33
2.5× median
G0467Normal range

Federally qualified health center visit, mental health

$109K

6,553 claims · 0.1%

Your Cost: $16.71/claim|Median: $21.91
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$73K

26K claims · 0.1%

Your Cost: $2.80/claim|Median: $24.34
0.1× median
D1206Normal range

Topical application of fluoride varnish

$71K

32K claims · 0.1%

Your Cost: $2.22/claim|Median: $18.12
0.1× median
D1120Normal range

Prophylaxis, adult

$63K

16K claims · 0.1%

Your Cost: $3.84/claim|Median: $33.86
0.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$58K

10K claims · 0.1%

Your Cost: $5.62/claim|Median: $71.00
0.1× median
G0470Normal range

Chronic care management services, FQHC/RHC

$56K

3,406 claims · 0.1%

Your Cost: $16.51/claim|Median: $45.95
0.4× median
D1110Normal range

Prophylaxis, adult cleaning

$49K

18K claims · 0.1%

Your Cost: $2.69/claim|Median: $43.38
0.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$37K

7,006 claims · 0.0%

Your Cost: $5.23/claim|Median: $54.60
0.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$35K

12K claims · 0.0%

Your Cost: $2.86/claim|Median: $32.07
0.1× median
D1999Top 1%

$32K

147 claims · 0.0%

Your Cost: $218.50/claim|Median: $11.95
18.3× median
D0330Normal range

Panoramic radiographic image

$30K

12K claims · 0.0%

Your Cost: $2.49/claim|Median: $37.36
0.1× median
99214Normal range

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

$29K

47K claims · 0.0%

Your Cost: $0.62/claim|Median: $53.41
0.0× median
S0280Normal range

Medical home program, comprehensive care management

$25K

1,139 claims · 0.0%

Your Cost: $21.93/claim|Median: $48.38
0.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$25K

15K claims · 0.0%

Your Cost: $1.62/claim|Median: $57.39
0.0× median
D0140Normal range

Limited oral evaluation, problem focused

$23K

22K claims · 0.0%

Your Cost: $1.06/claim|Median: $27.07
0.0× median
D1351Normal range

Sealant, per tooth

$23K

11K claims · 0.0%

Your Cost: $2.05/claim|Median: $26.10
0.1× median
D0274Normal range

Bitewings, four radiographic images

$22K

14K claims · 0.0%

Your Cost: $1.57/claim|Median: $22.54
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$21K

28K claims · 0.0%

Your Cost: $0.74/claim|Median: $63.65
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$16K

21K claims · 0.0%

Your Cost: $0.75/claim|Median: $85.66
0.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$16K

4,167 claims · 0.0%

Your Cost: $3.76/claim|Median: $46.33
0.1× median
D0272Normal range

Bitewings, two radiographic images

$12K

5,471 claims · 0.0%

Your Cost: $2.22/claim|Median: $15.81
0.1× median
99213Normal range

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

$12K

63K claims · 0.0%

Your Cost: $0.19/claim|Median: $37.81
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$9K

7,830 claims · 0.0%

Your Cost: $1.13/claim|Median: $99.21
0.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$9K

21K claims · 0.0%

Your Cost: $0.42/claim|Median: $10.51
0.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$7K

1,083 claims · 0.0%

Your Cost: $6.62/claim|Median: $84.26
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$7K

15K claims · 0.0%

Your Cost: $0.44/claim|Median: $41.28
0.0× median
D0190Normal range

$5K

2,687 claims · 0.0%

Your Cost: $1.71/claim|Median: $12.78
0.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$4K

179 claims · 0.0%

Your Cost: $24.39/claim|Median: $120.85
0.2× median
G2025Normal range

$3K

711 claims · 0.0%

Your Cost: $4.47/claim|Median: $15.63
0.3× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$2K

466 claims · 0.0%

Your Cost: $5.02/claim|Median: $66.00
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

4,685 claims · 0.0%

Your Cost: $0.45/claim|Median: $108.91
0.0× median
D0603Normal range

$2K

2,943 claims · 0.0%

Your Cost: $0.53/claim|Median: $6.54
0.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$925

1,007 claims · 0.0%

Your Cost: $0.92/claim|Median: $14.36
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$780

4,624 claims · 0.0%

Your Cost: $0.17/claim|Median: $25.06
0.0× median
90853Normal range

Group psychotherapy

$585

222 claims · 0.0%

Your Cost: $2.64/claim|Median: $25.02
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$557

6,560 claims · 0.0%

Your Cost: $0.08/claim|Median: $75.18
0.0× median
81025Normal range

Urine pregnancy test

$532

4,049 claims · 0.0%

Your Cost: $0.13/claim|Median: $4.81
0.0× median
D1354Normal range

$473

171 claims · 0.0%

Your Cost: $2.76/claim|Median: $12.52
0.2× median
90677Normal range

$448

884 claims · 0.0%

Your Cost: $0.51/claim|Median: $12.96
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$433

5,559 claims · 0.0%

Your Cost: $0.08/claim|Median: $69.35
0.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$373

1,300 claims · 0.0%

Your Cost: $0.29/claim|Median: $7.33
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$366

548 claims · 0.0%

Your Cost: $0.67/claim|Median: $74.09
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$359

2,994 claims · 0.0%

Your Cost: $0.12/claim|Median: $80.15
0.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$308

757 claims · 0.0%

Your Cost: $0.41/claim|Median: $77.33
0.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$270

480 claims · 0.0%

Your Cost: $0.56/claim|Median: $41.92
0.0× median
99204Normal range

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

$265

400 claims · 0.0%

Your Cost: $0.66/claim|Median: $84.03
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$263

2,787 claims · 0.0%

Your Cost: $0.09/claim|Median: $72.71
0.0× median

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