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LOWELL COMMUNITY HEALTH CENTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·LOWELL, MA·NPI: 1952307530Share

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 $86.8M 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

$86.8M

$86,801,999

Total Claims

1.2M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$11.3M
+7%
2019
$12.1M
+32%
2020
$16.0M
-13%
2021
$13.9M
+23%
2022
$17.1M
-43%
2023
$9.8M
-31%
2024
$6.7M

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 66% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$57.1M

393K claims · 65.7%

Your Cost: $145.04/claim|Median: $121.16
1.2× median
G0470Top 10%

Chronic care management services, FQHC/RHC

$6.5M

40K claims · 7.5%

Your Cost: $162.80/claim|Median: $45.95
3.5× median
T1040Normal range

Medicaid certified CCBHC services

$3.0M

23K claims · 3.5%

Your Cost: $133.60/claim|Median: $130.29
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$1.8M

24K claims · 2.1%

Your Cost: $76.20/claim|Median: $63.65
1.2× median
99050Top 5%

$1.8M

38K claims · 2.0%

Your Cost: $46.31/claim|Median: $11.81
3.9× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$1.7M

12K claims · 1.9%

Your Cost: $138.87/claim|Median: $75.18
1.8× median
G0467Top 25%

Federally qualified health center visit, mental health

$1.5M

36K claims · 1.8%

Your Cost: $42.82/claim|Median: $21.91
2.0× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$1.4M

9,613 claims · 1.6%

Your Cost: $143.32/claim|Median: $69.35
2.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.3M

34K claims · 1.5%

Your Cost: $37.49/claim|Median: $17.85
2.1× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$954K

7,001 claims · 1.1%

Your Cost: $136.28/claim|Median: $74.82
1.8× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$826K

10K claims · 1.0%

Your Cost: $81.10/claim|Median: $47.08
1.7× median
90832Normal range

Psychotherapy, 30 minutes

$754K

19K claims · 0.9%

Your Cost: $39.51/claim|Median: $41.28
1.0× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$647K

4,356 claims · 0.7%

Your Cost: $148.50/claim|Median: $80.15
1.9× median
99213Normal range

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

$610K

74K claims · 0.7%

Your Cost: $8.25/claim|Median: $37.81
0.2× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$475K

9,686 claims · 0.5%

Your Cost: $49.03/claim|Median: $39.70
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$462K

45K claims · 0.5%

Your Cost: $10.21/claim|Median: $9.10
1.1× median
92340Top 25%

Fitting of spectacles, except for aphakia

$449K

16K claims · 0.5%

Your Cost: $27.86/claim|Median: $19.46
1.4× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$418K

2,503 claims · 0.5%

Your Cost: $166.86/claim|Median: $72.71
2.3× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$355K

12K claims · 0.4%

Your Cost: $29.61/claim|Median: $6.93
4.3× median
99381Top 5%

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

$338K

1,646 claims · 0.4%

Your Cost: $205.18/claim|Median: $73.46
2.8× median
90471Normal range

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

$328K

25K claims · 0.4%

Your Cost: $12.90/claim|Median: $9.80
1.3× median
S0302Normal range

$309K

39K claims · 0.4%

Your Cost: $7.96/claim|Median: $9.05
0.9× median
99214Normal range

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

$267K

30K claims · 0.3%

Your Cost: $8.95/claim|Median: $53.41
0.2× median
99173Top 5%

$184K

9,152 claims · 0.2%

Your Cost: $20.16/claim|Median: $2.16
9.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$172K

2,277 claims · 0.2%

Your Cost: $75.50/claim|Median: $65.64
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$153K

26K claims · 0.2%

Your Cost: $5.96/claim|Median: $7.18
0.8× median
92015Normal range

Determination of refractive state

$151K

13K claims · 0.2%

Your Cost: $11.95/claim|Median: $10.36
1.2× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$148K

2,952 claims · 0.2%

Your Cost: $50.05/claim|Median: $12.70
3.9× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$145K

4,091 claims · 0.2%

Your Cost: $35.54/claim|Median: $24.33
1.5× median
92551Top 25%

Screening audiometry, pure tone, air only

$140K

15K claims · 0.2%

Your Cost: $9.54/claim|Median: $6.61
1.4× median
99188Top 10%

$138K

5,402 claims · 0.2%

Your Cost: $25.59/claim|Median: $12.80
2.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$130K

11K claims · 0.1%

Your Cost: $12.22/claim|Median: $11.48
1.1× median
H2016Normal range

Comprehensive community support services, per 15 min

$127K

2,341 claims · 0.1%

Your Cost: $54.05/claim|Median: $321.53
0.2× median
90677Top 25%

$120K

1,436 claims · 0.1%

Your Cost: $83.37/claim|Median: $12.96
6.4× median
99607Normal range

$106K

2,643 claims · 0.1%

Your Cost: $39.96/claim|Median: $50.77
0.8× median
92341Top 25%

$105K

3,150 claims · 0.1%

Your Cost: $33.48/claim|Median: $22.77
1.5× median
90746Top 25%

Hepatitis B vaccine, adult

$102K

1,590 claims · 0.1%

Your Cost: $64.42/claim|Median: $48.85
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$98K

857 claims · 0.1%

Your Cost: $114.58/claim|Median: $99.21
1.2× median
90715Top 25%

Tdap vaccine

$87K

3,325 claims · 0.1%

Your Cost: $26.31/claim|Median: $10.32
2.5× median
99606Top 25%

$86K

2,095 claims · 0.1%

Your Cost: $41.03/claim|Median: $29.91
1.4× median
G2025Normal range

$85K

4,996 claims · 0.1%

Your Cost: $16.93/claim|Median: $15.63
1.1× median
G2023Top 5%

Specimen collection for COVID-19 testing

$79K

2,812 claims · 0.1%

Your Cost: $28.06/claim|Median: $17.15
1.6× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$78K

1,755 claims · 0.1%

Your Cost: $44.38/claim|Median: $33.85
1.3× median
90651Top 25%

HPV vaccine, 9-valent

$69K

2,080 claims · 0.1%

Your Cost: $33.39/claim|Median: $8.93
3.7× median
81025Top 25%

Urine pregnancy test

$68K

10K claims · 0.1%

Your Cost: $6.63/claim|Median: $4.81
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$64K

719 claims · 0.1%

Your Cost: $89.44/claim|Median: $108.91
0.8× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$55K

28 claims · 0.1%

Your Cost: $1,978.21/claim|Median: $1,482.45
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$53K

554 claims · 0.1%

Your Cost: $95.50/claim|Median: $85.66
1.1× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$50K

1,186 claims · 0.1%

Your Cost: $42.20/claim|Median: $25.93
1.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$44K

3,191 claims · 0.1%

Your Cost: $13.67/claim|Median: $12.93
1.1× median

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