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HEALTHFIRST FAMILY CARE CENTER INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·FALL RIVER, MA·NPI: 1962435933Share

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 $18.7M 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

$18.7M

$18,650,307

Total Claims

400K

Beneficiaries

316K

1.3 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-6%
2019
$2.5M
+1%
2020
$2.5M
+11%
2021
$2.8M
+42%
2022
$3.9M
-36%
2023
$2.5M
-27%
2024
$1.8M

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 58% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$10.8M

78K claims · 58.1%

Your Cost: $139.21/claim|Median: $121.16
1.1× median
D9450Normal range

$1.7M

64K claims · 9.2%

Your Cost: $26.94/claim|Median: $21.95
1.2× median
T1040Normal range

Medicaid certified CCBHC services

$733K

5,319 claims · 3.9%

Your Cost: $137.75/claim|Median: $130.29
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$359K

11K claims · 1.9%

Your Cost: $32.22/claim|Median: $21.91
1.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$287K

2,312 claims · 1.5%

Your Cost: $124.01/claim|Median: $75.18
1.6× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$262K

2,010 claims · 1.4%

Your Cost: $130.47/claim|Median: $45.95
2.8× median
D1110Normal range

Prophylaxis, adult cleaning

$259K

11K claims · 1.4%

Your Cost: $22.82/claim|Median: $43.38
0.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$247K

5,267 claims · 1.3%

Your Cost: $46.99/claim|Median: $57.39
0.8× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$232K

1,791 claims · 1.2%

Your Cost: $129.28/claim|Median: $74.82
1.7× median
D0120Normal range

Periodic oral evaluation, established patient

$199K

16K claims · 1.1%

Your Cost: $12.12/claim|Median: $24.34
0.5× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$196K

1,500 claims · 1.0%

Your Cost: $130.43/claim|Median: $69.35
1.9× median
D0274Normal range

Bitewings, four radiographic images

$192K

11K claims · 1.0%

Your Cost: $17.50/claim|Median: $22.54
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$184K

8,459 claims · 1.0%

Your Cost: $21.74/claim|Median: $17.85
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$178K

18K claims · 1.0%

Your Cost: $9.75/claim|Median: $10.51
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$177K

6,721 claims · 0.9%

Your Cost: $26.33/claim|Median: $46.33
0.6× median
D1120Top 10%

Prophylaxis, adult

$162K

3,236 claims · 0.9%

Your Cost: $50.19/claim|Median: $33.86
1.5× median
D0140Normal range

Limited oral evaluation, problem focused

$159K

6,937 claims · 0.9%

Your Cost: $22.97/claim|Median: $27.07
0.8× median
D4342Normal range

$146K

5,350 claims · 0.8%

Your Cost: $27.23/claim|Median: $42.00
0.6× median
D2391Normal range

Resin-based composite, one surface, posterior

$146K

5,962 claims · 0.8%

Your Cost: $24.43/claim|Median: $54.60
0.4× median
D1206Top 25%

Topical application of fluoride varnish

$123K

4,856 claims · 0.7%

Your Cost: $25.26/claim|Median: $18.12
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$118K

5,770 claims · 0.6%

Your Cost: $20.49/claim|Median: $32.07
0.6× median
99214Normal range

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

$113K

18K claims · 0.6%

Your Cost: $6.30/claim|Median: $53.41
0.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$107K

3,673 claims · 0.6%

Your Cost: $29.03/claim|Median: $71.00
0.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$98K

2,107 claims · 0.5%

Your Cost: $46.40/claim|Median: $39.70
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$97K

12K claims · 0.5%

Your Cost: $7.80/claim|Median: $7.33
1.1× median
D9110Normal range

$82K

3,423 claims · 0.4%

Your Cost: $24.00/claim|Median: $38.08
0.6× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$73K

502 claims · 0.4%

Your Cost: $145.12/claim|Median: $80.15
1.8× median
S0302Normal range

$72K

9,146 claims · 0.4%

Your Cost: $7.90/claim|Median: $9.05
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$72K

7,002 claims · 0.4%

Your Cost: $10.23/claim|Median: $9.10
1.1× median
G2025Normal range

$58K

3,687 claims · 0.3%

Your Cost: $15.86/claim|Median: $15.63
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$57K

674 claims · 0.3%

Your Cost: $84.36/claim|Median: $109.42
0.8× median
D1351Top 25%

Sealant, per tooth

$54K

1,437 claims · 0.3%

Your Cost: $37.70/claim|Median: $26.10
1.4× median
G2023Top 25%

Specimen collection for COVID-19 testing

$53K

2,251 claims · 0.3%

Your Cost: $23.53/claim|Median: $17.15
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$46K

493 claims · 0.2%

Your Cost: $93.23/claim|Median: $85.66
1.1× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$38K

494 claims · 0.2%

Your Cost: $77.71/claim|Median: $51.67
1.5× median
99173Top 10%

$38K

3,028 claims · 0.2%

Your Cost: $12.67/claim|Median: $2.16
5.9× median
90834Top 25%

Psychotherapy, 45 minutes

$35K

391 claims · 0.2%

Your Cost: $89.70/claim|Median: $63.65
1.4× median
90674Normal range

$34K

1,760 claims · 0.2%

Your Cost: $19.59/claim|Median: $15.16
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$33K

3,559 claims · 0.2%

Your Cost: $9.20/claim|Median: $6.61
1.4× median
D0330Normal range

Panoramic radiographic image

$32K

822 claims · 0.2%

Your Cost: $39.13/claim|Median: $37.36
1.0× median
90471Normal range

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

$30K

3,544 claims · 0.2%

Your Cost: $8.38/claim|Median: $9.80
0.9× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$26K

835 claims · 0.1%

Your Cost: $31.36/claim|Median: $73.58
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$26K

711 claims · 0.1%

Your Cost: $36.66/claim|Median: $41.28
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$25K

789 claims · 0.1%

Your Cost: $31.56/claim|Median: $66.63
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$22K

288 claims · 0.1%

Your Cost: $78.02/claim|Median: $76.06
1.0× median
99213Normal range

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

$22K

11K claims · 0.1%

Your Cost: $2.00/claim|Median: $37.81
0.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$20K

579 claims · 0.1%

Your Cost: $34.68/claim|Median: $66.00
0.5× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$20K

69 claims · 0.1%

Your Cost: $290.69/claim|Median: $164.22
1.8× median
A0429Top 25%

Ambulance, BLS emergency transport

$19K

71 claims · 0.1%

Your Cost: $265.10/claim|Median: $138.19
1.9× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$17K

180 claims · 0.1%

Your Cost: $96.27/claim|Median: $72.71
1.3× median

Other Top Providers in Massachusetts

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Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

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Mountain Park Health Center

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$352.1M

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$202.1M

Neighborhood Healthcare

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$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

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$157.3M

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