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Community Health Care

Case Management·Tacoma, WA·NPI: 1790762755Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $128.5M is at the 50th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$128.5M

$128,544,153

Total Claims

1.4M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$90

#909 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Community Health Care is a Case Management provider based in Tacoma, WA. From the 2018–2024 period, this provider received $128.5M in Medicaid payments across 1.4M claims.

Important Context

  • ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.

Why This Matters

This provider received $128.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,068 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 17% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.2M
+12%
2019
$19.3M
-9%
2020
$17.6M
+5%
2021
$18.5M
-4%
2022
$17.7M
+3%
2023
$18.3M
+9%
2024
$20.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 76% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$97.1M

352K claims · 75.6%

Your Cost: $275.65/claim|Median: $121.16
2.3× median
99213Normal range

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

$8.2M

177K claims · 6.4%

Your Cost: $46.09/claim|Median: $37.81
1.2× median
99214Normal range

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

$3.1M

49K claims · 2.4%

Your Cost: $62.82/claim|Median: $53.41
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.5M

23K claims · 1.2%

Your Cost: $65.20/claim|Median: $71.00
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$1.4M

55K claims · 1.1%

Your Cost: $26.06/claim|Median: $24.34
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.4M

29K claims · 1.1%

Your Cost: $46.56/claim|Median: $54.60
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$1.2M

35K claims · 0.9%

Your Cost: $32.84/claim|Median: $32.07
1.0× median
T1002Normal range

RN services, per 15 minutes

$987K

36K claims · 0.8%

Your Cost: $27.60/claim|Median: $37.42
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$930K

42K claims · 0.7%

Your Cost: $22.15/claim|Median: $27.07
0.8× median
D4341Normal range

Periodontal scaling, per quadrant

$850K

25K claims · 0.7%

Your Cost: $33.74/claim|Median: $70.00
0.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$815K

21K claims · 0.6%

Your Cost: $38.82/claim|Median: $57.39
0.7× median
D1206Normal range

Topical application of fluoride varnish

$795K

44K claims · 0.6%

Your Cost: $17.90/claim|Median: $18.12
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$776K

92K claims · 0.6%

Your Cost: $8.45/claim|Median: $10.51
0.8× median
G0467Normal range

Federally qualified health center visit, mental health

$681K

22K claims · 0.5%

Your Cost: $31.56/claim|Median: $21.91
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$624K

15K claims · 0.5%

Your Cost: $40.33/claim|Median: $43.38
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$597K

8K claims · 0.5%

Your Cost: $77.15/claim|Median: $69.35
1.1× median
D1120Normal range

Prophylaxis, adult

$542K

24K claims · 0.4%

Your Cost: $22.69/claim|Median: $33.86
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$528K

18K claims · 0.4%

Your Cost: $29.53/claim|Median: $25.06
1.2× median
D0330Normal range

Panoramic radiographic image

$502K

17K claims · 0.4%

Your Cost: $29.04/claim|Median: $37.36
0.8× median
D0274Normal range

Bitewings, four radiographic images

$483K

43K claims · 0.4%

Your Cost: $11.13/claim|Median: $22.54
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$422K

5K claims · 0.3%

Your Cost: $84.77/claim|Median: $75.18
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$349K

10K claims · 0.3%

Your Cost: $35.36/claim|Median: $46.33
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$309K

7K claims · 0.2%

Your Cost: $42.45/claim|Median: $41.28
1.0× median
59025Top 25%

Fetal non-stress test

$306K

7K claims · 0.2%

Your Cost: $44.19/claim|Median: $26.45
1.7× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$288K

21K claims · 0.2%

Your Cost: $13.92/claim|Median: $7.18
1.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$264K

124K claims · 0.2%

Your Cost: $2.13/claim|Median: $7.33
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$245K

3K claims · 0.2%

Your Cost: $85.74/claim|Median: $74.82
1.1× median
D1351Normal range

Sealant, per tooth

$232K

13K claims · 0.2%

Your Cost: $18.36/claim|Median: $26.10
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$218K

3K claims · 0.2%

Your Cost: $86.40/claim|Median: $99.21
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$188K

2K claims · 0.1%

Your Cost: $91.98/claim|Median: $74.09
1.2× median

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