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STAR COMMUNITY HEALTH, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·BETHLEHEM, PA·NPI: 1942832720Share

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 $45.6M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2020-02→2024-12(59 months)

Total Paid

$45.6M

$45,566,388

Total Claims

644K

Beneficiaries

603K

1.1 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2020
$8.5M
+85%
2021
$15.8M
-4%
2022
$15.1M
-73%
2023
$4.1M
-47%
2024
$2.1M

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 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$45.3M

230K claims · 99.4%

Your Cost: $196.92/claim|Median: $121.16
1.6× median
99499Normal range

Unlisted evaluation and management service

$175K

12K claims · 0.4%

Your Cost: $14.51/claim|Median: $30.88
0.5× median
99213Normal range

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

$49K

86K claims · 0.1%

Your Cost: $0.57/claim|Median: $37.81
0.0× median
99214Normal range

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

$22K

30K claims · 0.0%

Your Cost: $0.73/claim|Median: $53.41
0.0× median
90471Normal range

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

$8K

30K claims · 0.0%

Your Cost: $0.26/claim|Median: $9.80
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$4K

9,507 claims · 0.0%

Your Cost: $0.41/claim|Median: $74.82
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$3K

5,956 claims · 0.0%

Your Cost: $0.59/claim|Median: $80.15
0.0× median
3074FTop 25%

$3K

1,822 claims · 0.0%

Your Cost: $1.38/claim|Median: $0.11
12.6× median
92551Normal range

Screening audiometry, pure tone, air only

$2K

17K claims · 0.0%

Your Cost: $0.14/claim|Median: $6.61
0.0× median
3078FTop 25%

$2K

1,287 claims · 0.0%

Your Cost: $1.62/claim|Median: $0.08
20.2× median
3079FTop 25%

$2K

1,405 claims · 0.0%

Your Cost: $1.41/claim|Median: $0.12
11.7× median
90472Normal range

Immunization administration, each additional vaccine

$2K

14K claims · 0.0%

Your Cost: $0.14/claim|Median: $11.79
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

8,003 claims · 0.0%

Your Cost: $0.23/claim|Median: $69.35
0.0× median
3077FTop 25%

$1K

706 claims · 0.0%

Your Cost: $1.93/claim|Median: $0.12
16.1× median
3075FTop 25%

$880

594 claims · 0.0%

Your Cost: $1.48/claim|Median: $0.15
9.9× median
3080FTop 25%

$680

351 claims · 0.0%

Your Cost: $1.94/claim|Median: $0.16
12.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$501

11K claims · 0.0%

Your Cost: $0.05/claim|Median: $75.18
0.0× median
D0120Normal range

Periodic oral evaluation, established patient

$455

4,165 claims · 0.0%

Your Cost: $0.11/claim|Median: $24.34
0.0× median
D1206Normal range

Topical application of fluoride varnish

$372

3,471 claims · 0.0%

Your Cost: $0.11/claim|Median: $18.12
0.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$336

947 claims · 0.0%

Your Cost: $0.36/claim|Median: $54.60
0.0× median
90651Normal range

HPV vaccine, 9-valent

$323

3,392 claims · 0.0%

Your Cost: $0.10/claim|Median: $8.93
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$286

2,601 claims · 0.0%

Your Cost: $0.11/claim|Median: $72.71
0.0× median
90715Normal range

Tdap vaccine

$234

1,730 claims · 0.0%

Your Cost: $0.14/claim|Median: $10.32
0.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$216

1,042 claims · 0.0%

Your Cost: $0.21/claim|Median: $71.00
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$215

7,767 claims · 0.0%

Your Cost: $0.03/claim|Median: $3.67
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$214

1,330 claims · 0.0%

Your Cost: $0.16/claim|Median: $25.06
0.0× median
D1120Normal range

Prophylaxis, adult

$197

2,258 claims · 0.0%

Your Cost: $0.09/claim|Median: $33.86
0.0× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$163

38 claims · 0.0%

Your Cost: $4.29/claim|Median: $81.92
0.1× median
90698Normal range

$139

7,262 claims · 0.0%

Your Cost: $0.02/claim|Median: $6.32
0.0× median
3044FTop 25%

$130

56 claims · 0.0%

Your Cost: $2.32/claim|Median: $0.16
14.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$120

16K claims · 0.0%

Your Cost: $0.01/claim|Median: $7.18
0.0× median
99204Normal range

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

$115

396 claims · 0.0%

Your Cost: $0.29/claim|Median: $84.03
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$107

1,269 claims · 0.0%

Your Cost: $0.08/claim|Median: $76.06
0.0× median
D1110Normal range

Prophylaxis, adult cleaning

$98

2,618 claims · 0.0%

Your Cost: $0.04/claim|Median: $43.38
0.0× median
2022FTop 25%

$90

27 claims · 0.0%

Your Cost: $3.33/claim|Median: $0.07
47.6× median
D0274Normal range

Bitewings, four radiographic images

$89

1,800 claims · 0.0%

Your Cost: $0.05/claim|Median: $22.54
0.0× median
87210Normal range

$76

1,351 claims · 0.0%

Your Cost: $0.06/claim|Median: $3.65
0.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$71

1,664 claims · 0.0%

Your Cost: $0.04/claim|Median: $32.07
0.0× median
4010FTop 10%

$60

27 claims · 0.0%

Your Cost: $2.22/claim|Median: $0.01
222.2× median
99203Normal range

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

$54

349 claims · 0.0%

Your Cost: $0.16/claim|Median: $57.85
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$52

2,481 claims · 0.0%

Your Cost: $0.02/claim|Median: $9.56
0.0× median
3046FTop 25%

$40

13 claims · 0.0%

Your Cost: $3.08/claim|Median: $0.58
5.3× median
83655Normal range

$40

3,276 claims · 0.0%

Your Cost: $0.01/claim|Median: $10.49
0.0× median
81025Normal range

Urine pregnancy test

$38

1,782 claims · 0.0%

Your Cost: $0.02/claim|Median: $4.81
0.0× median
99173Normal range

$26

21K claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$22

3,605 claims · 0.0%

Your Cost: $0.01/claim|Median: $17.85
0.0× median
D0272Normal range

Bitewings, two radiographic images

$22

933 claims · 0.0%

Your Cost: $0.02/claim|Median: $15.81
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$21

1,650 claims · 0.0%

Your Cost: $0.01/claim|Median: $12.63
0.0× median
96161Normal range

$21

4,552 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.49
0.0× median
99188Normal range

$16

3,004 claims · 0.0%

Your Cost: $0.01/claim|Median: $12.80
0.0× median

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