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Provider 1003813056

NPI: 1003813056Share
Active Billing Period:2018-03→2024-12(76 months)

Total Paid

$13.4M

$13,381,677

Total Claims

439K

Beneficiaries

375K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$44K
+1069%
2020
$511K
+449%
2021
$2.8M
+15%
2022
$3.2M
+11%
2023
$3.6M
-10%
2024
$3.2M

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 70% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.4M

70K claims · 70.4%

Your Cost: $134.96/claim|Median: $121.16
1.1× median
D0999Normal range

Unspecified diagnostic procedure, by report

$1.1M

6,161 claims · 8.0%

Your Cost: $174.27/claim|Median: $101.33
1.7× median
99213Normal range

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

$748K

29K claims · 5.6%

Your Cost: $25.64/claim|Median: $37.81
0.7× median
99214Normal range

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

$388K

12K claims · 2.9%

Your Cost: $32.77/claim|Median: $53.41
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$217K

4,220 claims · 1.6%

Your Cost: $51.49/claim|Median: $75.18
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$187K

3,286 claims · 1.4%

Your Cost: $56.86/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$179K

3,288 claims · 1.3%

Your Cost: $54.37/claim|Median: $74.82
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$177K

3,154 claims · 1.3%

Your Cost: $56.09/claim|Median: $80.15
0.7× median
87804Normal range

Influenza virus detection, rapid test

$121K

18K claims · 0.9%

Your Cost: $6.85/claim|Median: $12.59
0.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$78K

9,161 claims · 0.6%

Your Cost: $8.51/claim|Median: $30.04
0.3× median
G0467Normal range

Federally qualified health center visit, mental health

$77K

2,275 claims · 0.6%

Your Cost: $33.80/claim|Median: $21.91
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$71K

941 claims · 0.5%

Your Cost: $74.96/claim|Median: $85.66
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$67K

3,676 claims · 0.5%

Your Cost: $18.15/claim|Median: $25.06
0.7× median
99381Normal range

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

$60K

761 claims · 0.4%

Your Cost: $78.38/claim|Median: $73.46
1.1× median
99203Normal range

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

$57K

1,609 claims · 0.4%

Your Cost: $35.20/claim|Median: $57.85
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$50K

8,149 claims · 0.4%

Your Cost: $6.14/claim|Median: $11.48
0.5× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$49K

864 claims · 0.4%

Your Cost: $57.08/claim|Median: $81.92
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$48K

912 claims · 0.4%

Your Cost: $53.10/claim|Median: $72.71
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$42K

807 claims · 0.3%

Your Cost: $51.81/claim|Median: $63.65
0.8× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$36K

558 claims · 0.3%

Your Cost: $64.17/claim|Median: $83.63
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$33K

477 claims · 0.2%

Your Cost: $69.95/claim|Median: $99.21
0.7× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$29K

436 claims · 0.2%

Your Cost: $66.47/claim|Median: $79.89
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$28K

659 claims · 0.2%

Your Cost: $42.53/claim|Median: $41.28
1.0× median
99204Normal range

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

$24K

470 claims · 0.2%

Your Cost: $51.65/claim|Median: $84.03
0.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$17K

4,537 claims · 0.1%

Your Cost: $3.69/claim|Median: $5.50
0.7× median
87807Normal range

$15K

2,746 claims · 0.1%

Your Cost: $5.57/claim|Median: $10.06
0.6× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$15K

1,250 claims · 0.1%

Your Cost: $11.74/claim|Median: $39.63
0.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$12K

411 claims · 0.1%

Your Cost: $29.33/claim|Median: $40.11
0.7× median
85027Normal range

Complete blood count (CBC), automated

$8K

3,526 claims · 0.1%

Your Cost: $2.36/claim|Median: $3.72
0.6× median
81003Normal range

Urinalysis, automated without microscopy

$8K

7,425 claims · 0.1%

Your Cost: $1.02/claim|Median: $1.48
0.7× median
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