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TOTAL HEALTH CARE INC

Clinic/Center, Federally Qualified Health Center (FQHC)·BALTIMORE, MD·NPI: 1972597425Share

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 $67.5M 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

$67.5M

$67,537,006

Total Claims

564K

Beneficiaries

474K

1.2 claims/patient

Avg Cost/Claim

$120

Monthly Spending Trend

Yearly Spending

2018
$4.8M
-27%
2019
$3.5M
+237%
2020
$11.8M
+14%
2021
$13.5M
+5%
2022
$14.2M
-24%
2023
$10.8M
-18%
2024
$8.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 38% of total spending.

99213Top 1%

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

$25.4M

135K claims · 37.7%

Your Cost: $188.97/claim|Median: $37.81
5.0× median
T1015Top 25%

Clinic visit/encounter, all-inclusive

$20.9M

113K claims · 31.0%

Your Cost: $185.76/claim|Median: $121.16
1.5× median
99214Top 5%

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

$6.8M

40K claims · 10.1%

Your Cost: $169.51/claim|Median: $53.41
3.2× median
99212Top 5%

Office/outpatient visit, low complexity

$3.0M

16K claims · 4.4%

Your Cost: $187.11/claim|Median: $25.06
7.5× median
H0005Top 1%

Alcohol and/or drug services, group counseling

$1.8M

9,491 claims · 2.7%

Your Cost: $189.52/claim|Median: $47.35
4.0× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$1.7M

7,251 claims · 2.6%

Your Cost: $240.57/claim|Median: $74.82
3.2× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$1.5M

6,093 claims · 2.2%

Your Cost: $240.13/claim|Median: $80.15
3.0× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$1.3M

5,711 claims · 2.0%

Your Cost: $234.10/claim|Median: $75.18
3.1× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$1.1M

4,994 claims · 1.7%

Your Cost: $223.61/claim|Median: $72.71
3.1× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$1.0M

4,527 claims · 1.6%

Your Cost: $231.33/claim|Median: $69.35
3.3× median
H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$859K

3,417 claims · 1.3%

Your Cost: $251.39/claim|Median: $74.63
3.4× median
H0015Top 10%

Alcohol and/or drug abuse, intensive outpatient, per hour

$751K

3,113 claims · 1.1%

Your Cost: $241.35/claim|Median: $129.75
1.9× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$712K

3,111 claims · 1.1%

Your Cost: $229.01/claim|Median: $76.06
3.0× median
99215Top 10%

Office/outpatient visit, high complexity

$96K

649 claims · 0.1%

Your Cost: $147.16/claim|Median: $74.09
2.0× median
H0001Top 5%

Alcohol and/or drug assessment

$77K

314 claims · 0.1%

Your Cost: $245.01/claim|Median: $94.22
2.6× median
90832Normal range

Psychotherapy, 30 minutes

$66K

3,922 claims · 0.1%

Your Cost: $16.90/claim|Median: $41.28
0.4× median
80305Normal range

$46K

10K claims · 0.1%

Your Cost: $4.57/claim|Median: $7.44
0.6× median
36416Top 5%

$44K

3,996 claims · 0.1%

Your Cost: $11.12/claim|Median: $1.31
8.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$40K

7,296 claims · 0.1%

Your Cost: $5.47/claim|Median: $7.18
0.8× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$38K

157 claims · 0.1%

Your Cost: $243.82/claim|Median: $182.66
1.3× median
82962Top 10%

Blood glucose test by monitoring device

$34K

6,610 claims · 0.0%

Your Cost: $5.07/claim|Median: $1.40
3.6× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$32K

161 claims · 0.0%

Your Cost: $201.15/claim|Median: $40.11
5.0× median
99381Top 5%

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

$28K

138 claims · 0.0%

Your Cost: $202.12/claim|Median: $73.46
2.8× median
90670Normal range

$27K

4,005 claims · 0.0%

Your Cost: $6.79/claim|Median: $5.94
1.1× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$25K

2,755 claims · 0.0%

Your Cost: $9.24/claim|Median: $5.50
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$23K

1,273 claims · 0.0%

Your Cost: $18.23/claim|Median: $63.65
0.3× median
90651Normal range

HPV vaccine, 9-valent

$22K

3,451 claims · 0.0%

Your Cost: $6.31/claim|Median: $8.93
0.7× median
82948Normal range

$21K

7,349 claims · 0.0%

Your Cost: $2.87/claim|Median: $1.78
1.6× median
99203Top 5%

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

$19K

142 claims · 0.0%

Your Cost: $136.51/claim|Median: $57.85
2.4× median
90647Normal range

$16K

2,185 claims · 0.0%

Your Cost: $7.13/claim|Median: $4.31
1.7× median
90723Normal range

DTaP-HepB-IPV vaccine

$15K

2,019 claims · 0.0%

Your Cost: $7.26/claim|Median: $5.78
1.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$15K

463 claims · 0.0%

Your Cost: $31.44/claim|Median: $33.72
0.9× median
90734Normal range

$13K

1,809 claims · 0.0%

Your Cost: $7.13/claim|Median: $6.40
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$12K

340 claims · 0.0%

Your Cost: $36.75/claim|Median: $36.70
1.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$12K

452 claims · 0.0%

Your Cost: $27.51/claim|Median: $33.85
0.8× median
90756Normal range

Influenza virus vaccine, quadrivalent

$12K

2,552 claims · 0.0%

Your Cost: $4.68/claim|Median: $14.34
0.3× median
90633Normal range

$12K

2,028 claims · 0.0%

Your Cost: $5.79/claim|Median: $3.56
1.6× median
90710Normal range

MMRV vaccine

$11K

1,894 claims · 0.0%

Your Cost: $6.06/claim|Median: $7.00
0.9× median
G0008Top 25%

$9K

609 claims · 0.0%

Your Cost: $15.35/claim|Median: $2.54
6.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$9K

502 claims · 0.0%

Your Cost: $17.59/claim|Median: $25.93
0.7× median
90680Normal range

$9K

1,110 claims · 0.0%

Your Cost: $7.80/claim|Median: $5.58
1.4× median
90620Normal range

$8K

1,331 claims · 0.0%

Your Cost: $6.28/claim|Median: $6.49
1.0× median
0071ANormal range

$7K

182 claims · 0.0%

Your Cost: $39.90/claim|Median: $38.71
1.0× median
3074FNormal range

$7K

13K claims · 0.0%

Your Cost: $0.56/claim|Median: $0.11
5.1× median
90837Normal range

Psychotherapy, 60 minutes

$7K

871 claims · 0.0%

Your Cost: $8.02/claim|Median: $85.66
0.1× median
90677Normal range

$7K

334 claims · 0.0%

Your Cost: $20.20/claim|Median: $12.96
1.6× median
90715Normal range

Tdap vaccine

$6K

985 claims · 0.0%

Your Cost: $6.26/claim|Median: $10.32
0.6× median
99211Top 1%

Office/outpatient visit, minimal complexity

$6K

25 claims · 0.0%

Your Cost: $245.42/claim|Median: $12.93
19.0× median
0064ANormal range

$6K

158 claims · 0.0%

Your Cost: $38.78/claim|Median: $34.17
1.1× median
99204Top 5%

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

$6K

31 claims · 0.0%

Your Cost: $197.55/claim|Median: $84.03
2.4× median

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