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INTERCARE COMMUNITY HEALTH NETWORK

Clinic/Center, Federally Qualified Health Center (FQHC)·BENTON HARBOR, MI·NPI: 1982614103Share

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 $20.5M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$20.5M

$20,474,983

Total Claims

626K

Beneficiaries

578K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+10%
2019
$3.0M
-13%
2020
$2.6M
+26%
2021
$3.2M
-6%
2022
$3.0M
+3%
2023
$3.1M
-8%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 38% of total spending.

G0467Top 25%

Federally qualified health center visit, mental health

$7.8M

114K claims · 38.3%

Your Cost: $68.76/claim|Median: $21.91
3.1× median
G0468Top 25%

$2.6M

36K claims · 12.6%

Your Cost: $70.92/claim|Median: $43.74
1.6× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$1.5M

14K claims · 7.3%

Your Cost: $106.85/claim|Median: $57.39
1.9× median
D0140Top 5%

Limited oral evaluation, problem focused

$1.3M

15K claims · 6.5%

Your Cost: $90.38/claim|Median: $27.07
3.3× median
G0470Normal range

Chronic care management services, FQHC/RHC

$1.1M

16K claims · 5.4%

Your Cost: $71.52/claim|Median: $45.95
1.6× median
D1110Top 1%

Prophylaxis, adult cleaning

$616K

6,094 claims · 3.0%

Your Cost: $101.12/claim|Median: $43.38
2.3× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$520K

3,669 claims · 2.5%

Your Cost: $141.69/claim|Median: $71.00
2.0× median
D2391Top 5%

Resin-based composite, one surface, posterior

$415K

3,739 claims · 2.0%

Your Cost: $111.01/claim|Median: $54.60
2.0× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$405K

4,675 claims · 2.0%

Your Cost: $86.57/claim|Median: $32.07
2.7× median
D1120Top 25%

Prophylaxis, adult

$396K

9,763 claims · 1.9%

Your Cost: $40.56/claim|Median: $33.86
1.2× median
J2315Normal range

$349K

442 claims · 1.7%

Your Cost: $790.64/claim|Median: $1,045.36
0.8× median
G0466Top 25%

$328K

3,764 claims · 1.6%

Your Cost: $87.25/claim|Median: $63.31
1.4× median
99213Normal range

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

$296K

78K claims · 1.4%

Your Cost: $3.82/claim|Median: $37.81
0.1× median
D1206Top 25%

Topical application of fluoride varnish

$279K

11K claims · 1.4%

Your Cost: $24.39/claim|Median: $18.12
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$231K

6,323 claims · 1.1%

Your Cost: $36.58/claim|Median: $24.34
1.5× median
D1351Normal range

Sealant, per tooth

$209K

8,325 claims · 1.0%

Your Cost: $25.17/claim|Median: $26.10
1.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$202K

4,058 claims · 1.0%

Your Cost: $49.69/claim|Median: $41.92
1.2× median
D0274Normal range

Bitewings, four radiographic images

$160K

6,325 claims · 0.8%

Your Cost: $25.31/claim|Median: $22.54
1.1× median
D2393Top 5%

Resin-based composite, three surfaces, posterior

$141K

835 claims · 0.7%

Your Cost: $169.28/claim|Median: $84.26
2.0× median
99214Normal range

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

$130K

28K claims · 0.6%

Your Cost: $4.67/claim|Median: $53.41
0.1× median
D4355Top 5%

$113K

769 claims · 0.6%

Your Cost: $146.44/claim|Median: $64.42
2.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$104K

13K claims · 0.5%

Your Cost: $8.16/claim|Median: $10.51
0.8× median
D0191Top 25%

$97K

6,388 claims · 0.5%

Your Cost: $15.23/claim|Median: $11.16
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$82K

2,593 claims · 0.4%

Your Cost: $31.65/claim|Median: $46.33
0.7× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$76K

369 claims · 0.4%

Your Cost: $206.86/claim|Median: $120.85
1.7× median
90651Normal range

HPV vaccine, 9-valent

$67K

3,487 claims · 0.3%

Your Cost: $19.17/claim|Median: $8.93
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$62K

8,480 claims · 0.3%

Your Cost: $7.31/claim|Median: $75.18
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$51K

8,416 claims · 0.3%

Your Cost: $6.11/claim|Median: $69.35
0.1× median
D2331Top 5%

Resin-based composite filling, two surfaces, anterior

$48K

385 claims · 0.2%

Your Cost: $124.90/claim|Median: $73.58
1.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$45K

6,193 claims · 0.2%

Your Cost: $7.22/claim|Median: $74.82
0.1× median
D7210Top 5%

Extraction, erupted tooth, surgical approach

$41K

238 claims · 0.2%

Your Cost: $173.62/claim|Median: $109.42
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$38K

3,836 claims · 0.2%

Your Cost: $9.97/claim|Median: $80.15
0.1× median
D0330Normal range

Panoramic radiographic image

$38K

1,156 claims · 0.2%

Your Cost: $32.65/claim|Median: $37.36
0.9× median
D1354Normal range

$37K

1,918 claims · 0.2%

Your Cost: $19.20/claim|Median: $12.52
1.5× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$36K

427 claims · 0.2%

Your Cost: $83.56/claim|Median: $66.63
1.3× median
D0272Top 25%

Bitewings, two radiographic images

$34K

1,624 claims · 0.2%

Your Cost: $20.97/claim|Median: $15.81
1.3× median
90472Normal range

Immunization administration, each additional vaccine

$34K

16K claims · 0.2%

Your Cost: $2.13/claim|Median: $11.79
0.2× median
D0270Normal range

$29K

4,414 claims · 0.1%

Your Cost: $6.49/claim|Median: $5.46
1.2× median
90471Normal range

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

$27K

28K claims · 0.1%

Your Cost: $0.96/claim|Median: $9.80
0.1× median
H0031Normal range

Mental health assessment by non-physician

$26K

3,166 claims · 0.1%

Your Cost: $8.11/claim|Median: $96.18
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$26K

3,254 claims · 0.1%

Your Cost: $7.87/claim|Median: $72.71
0.1× median
D2335Top 10%

$23K

131 claims · 0.1%

Your Cost: $172.74/claim|Median: $105.06
1.6× median
D2150Top 1%

Amalgam, two surfaces, primary or permanent

$22K

150 claims · 0.1%

Your Cost: $146.82/claim|Median: $66.00
2.2× median
90832Normal range

Psychotherapy, 30 minutes

$18K

5,575 claims · 0.1%

Your Cost: $3.29/claim|Median: $41.28
0.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$17K

3,840 claims · 0.1%

Your Cost: $4.38/claim|Median: $7.33
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$15K

6,710 claims · 0.1%

Your Cost: $2.24/claim|Median: $25.06
0.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$14K

382 claims · 0.1%

Your Cost: $37.50/claim|Median: $33.85
1.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$14K

420 claims · 0.1%

Your Cost: $33.27/claim|Median: $25.93
1.3× median
99381Normal range

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

$14K

2,115 claims · 0.1%

Your Cost: $6.59/claim|Median: $73.46
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$13K

2,381 claims · 0.1%

Your Cost: $5.59/claim|Median: $76.06
0.1× median