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Provider 1013932797

NPI: 1013932797Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,428,015

Total Claims

164K

Beneficiaries

115K

1.4 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-33%
2019
$2.0M
-21%
2020
$1.6M
+39%
2021
$2.2M
-25%
2022
$1.6M
+40%
2023
$2.3M
+21%
2024
$2.8M

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 58% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$9.0M

50K claims · 58.3%

Your Cost: $180.64/claim|Median: $121.16
1.5× median
00003Top 25%

Anesthesia services

$6.3M

22K claims · 40.7%

Your Cost: $283.31/claim|Median: $223.77
1.3× median
99213Normal range

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

$38K

43K claims · 0.2%

Your Cost: $0.90/claim|Median: $37.81
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$24K

1,955 claims · 0.2%

Your Cost: $12.21/claim|Median: $41.28
0.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$14K

4,157 claims · 0.1%

Your Cost: $3.26/claim|Median: $5.50
0.6× median
83068Normal range

$10K

2,079 claims · 0.1%

Your Cost: $4.76/claim|Median: $4.39
1.1× median
G0442Normal range

$10K

1,500 claims · 0.1%

Your Cost: $6.58/claim|Median: $4.91
1.3× median
99214Normal range

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

$9K

15K claims · 0.1%

Your Cost: $0.62/claim|Median: $53.41
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$7K

1,401 claims · 0.0%

Your Cost: $4.76/claim|Median: $7.18
0.7× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$4K

258 claims · 0.0%

Your Cost: $17.09/claim|Median: $20.83
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$4K

576 claims · 0.0%

Your Cost: $7.39/claim|Median: $63.65
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$4K

86 claims · 0.0%

Your Cost: $46.45/claim|Median: $99.21
0.5× median
90651Normal range

HPV vaccine, 9-valent

$3K

205 claims · 0.0%

Your Cost: $15.64/claim|Median: $8.93
1.8× median
99283Normal range

Emergency dept visit, moderate complexity

$3K

3,975 claims · 0.0%

Your Cost: $0.76/claim|Median: $42.48
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$3K

2,888 claims · 0.0%

Your Cost: $1.03/claim|Median: $25.06
0.0× median
90715Normal range

Tdap vaccine

$3K

268 claims · 0.0%

Your Cost: $11.12/claim|Median: $10.32
1.1× median
80305Normal range

$3K

430 claims · 0.0%

Your Cost: $6.70/claim|Median: $7.44
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$3K

1,143 claims · 0.0%

Your Cost: $2.44/claim|Median: $74.82
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

259 claims · 0.0%

Your Cost: $9.38/claim|Median: $69.35
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$2K

3,524 claims · 0.0%

Your Cost: $0.67/claim|Median: $6.61
0.1× median
90471Normal range

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

$2K

963 claims · 0.0%

Your Cost: $2.00/claim|Median: $9.80
0.2× median
90670Normal range

$2K

229 claims · 0.0%

Your Cost: $6.97/claim|Median: $5.94
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2K

563 claims · 0.0%

Your Cost: $2.78/claim|Median: $80.15
0.0× median
81025Normal range

Urine pregnancy test

$1K

790 claims · 0.0%

Your Cost: $1.68/claim|Median: $4.81
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1K

1,094 claims · 0.0%

Your Cost: $1.01/claim|Median: $75.18
0.0× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$1K

41 claims · 0.0%

Your Cost: $25.00/claim|Median: $14.34
1.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$962

2,205 claims · 0.0%

Your Cost: $0.44/claim|Median: $2.00
0.2× median
90734Normal range

$800

82 claims · 0.0%

Your Cost: $9.76/claim|Median: $6.40
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$564

48 claims · 0.0%

Your Cost: $11.76/claim|Median: $39.70
0.3× median
90647Normal range

$423

67 claims · 0.0%

Your Cost: $6.31/claim|Median: $4.31
1.5× median
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