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Provider 1013948447

NPI: 1013948447Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.7M

$12,671,207

Total Claims

185K

Beneficiaries

160K

1.2 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$83K
-2%
2019
$81K
+510%
2020
$494K
+379%
2021
$2.4M
+30%
2022
$3.1M
+13%
2023
$3.5M
-10%
2024
$3.1M

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.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.6M

76K claims · 76.1%

Your Cost: $126.45/claim|Median: $121.16
1.0× median
99213Normal range

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

$1.5M

42K claims · 11.8%

Your Cost: $35.37/claim|Median: $37.81
0.9× median
D0999Normal range

Unspecified diagnostic procedure, by report

$308K

1,932 claims · 2.4%

Your Cost: $159.53/claim|Median: $101.33
1.6× median
99214Normal range

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

$228K

6,256 claims · 1.8%

Your Cost: $36.39/claim|Median: $53.41
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$140K

2,221 claims · 1.1%

Your Cost: $63.12/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$137K

2,289 claims · 1.1%

Your Cost: $60.07/claim|Median: $80.15
0.7× median
G0467Normal range

Federally qualified health center visit, mental health

$106K

3,202 claims · 0.8%

Your Cost: $33.16/claim|Median: $21.91
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$100K

1,961 claims · 0.8%

Your Cost: $51.06/claim|Median: $63.65
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$92K

1,555 claims · 0.7%

Your Cost: $58.90/claim|Median: $75.18
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$72K

3,569 claims · 0.6%

Your Cost: $20.24/claim|Median: $39.70
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$50K

6,482 claims · 0.4%

Your Cost: $7.69/claim|Median: $11.48
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$46K

1,766 claims · 0.4%

Your Cost: $26.14/claim|Median: $25.06
1.0× median
99204Normal range

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

$43K

870 claims · 0.3%

Your Cost: $50.00/claim|Median: $84.03
0.6× median
87804Normal range

Influenza virus detection, rapid test

$36K

4,656 claims · 0.3%

Your Cost: $7.63/claim|Median: $12.59
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$32K

557 claims · 0.3%

Your Cost: $56.92/claim|Median: $69.35
0.8× median
99203Normal range

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

$24K

658 claims · 0.2%

Your Cost: $37.14/claim|Median: $57.85
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$20K

325 claims · 0.2%

Your Cost: $60.50/claim|Median: $74.09
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$12K

4,878 claims · 0.1%

Your Cost: $2.56/claim|Median: $17.85
0.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$11K

423 claims · 0.1%

Your Cost: $26.56/claim|Median: $33.72
0.8× median
0071ANormal range

$10K

469 claims · 0.1%

Your Cost: $20.72/claim|Median: $38.71
0.5× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$8K

348 claims · 0.1%

Your Cost: $23.66/claim|Median: $36.70
0.6× median
CP002Normal range

$7K

754 claims · 0.1%

Your Cost: $9.21/claim|Median: $9.76
0.9× median
0072ANormal range

$7K

412 claims · 0.1%

Your Cost: $16.34/claim|Median: $39.57
0.4× median
59409Normal range

Vaginal delivery only

$6K

27 claims · 0.0%

Your Cost: $232.48/claim|Median: $619.91
0.4× median
90621Top 5%

$6K

61 claims · 0.0%

Your Cost: $94.87/claim|Median: $7.66
12.4× median
90791Normal range

Psychiatric diagnostic evaluation

$4K

60 claims · 0.0%

Your Cost: $70.89/claim|Median: $99.21
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$3K

56 claims · 0.0%

Your Cost: $54.86/claim|Median: $72.71
0.8× median
99382Normal range

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

$3K

69 claims · 0.0%

Your Cost: $42.39/claim|Median: $79.89
0.5× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$3K

13 claims · 0.0%

Your Cost: $205.67/claim|Median: $76.06
2.7× median
99383Normal range

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

$2K

27 claims · 0.0%

Your Cost: $72.40/claim|Median: $81.92
0.9× median
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