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Provider 1043315286

NPI: 1043315286Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.1M

$12,076,707

Total Claims

386K

Beneficiaries

223K

1.7 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+15%
2019
$1.5M
+12%
2020
$1.7M
+9%
2021
$1.8M
+10%
2022
$2.0M
-7%
2023
$1.8M
+11%
2024
$2.0M

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 66% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.9M

89K claims · 65.6%

Your Cost: $89.02/claim|Median: $121.16
0.7× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$4.0M

50K claims · 33.5%

Your Cost: $80.94/claim|Median: $144.05
0.6× median
98960Normal range

$93K

5,379 claims · 0.8%

Your Cost: $17.32/claim|Median: $12.74
1.4× median
D0999Normal range

Unspecified diagnostic procedure, by report

$3K

26 claims · 0.0%

Your Cost: $131.70/claim|Median: $101.33
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$2K

66K claims · 0.0%

Your Cost: $0.03/claim|Median: $41.28
0.0× median
3074FNormal range

$2K

12K claims · 0.0%

Your Cost: $0.15/claim|Median: $0.11
1.3× median
3079FNormal range

$1K

11K claims · 0.0%

Your Cost: $0.12/claim|Median: $0.12
1.0× median
3078FNormal range

$1K

8,961 claims · 0.0%

Your Cost: $0.13/claim|Median: $0.08
1.6× median
3077FNormal range

$785

6,959 claims · 0.0%

Your Cost: $0.11/claim|Median: $0.12
0.9× median
3075FNormal range

$645

5,928 claims · 0.0%

Your Cost: $0.11/claim|Median: $0.15
0.7× median
3080FNormal range

$620

4,392 claims · 0.0%

Your Cost: $0.14/claim|Median: $0.16
0.9× median
99050Normal range

$546

48 claims · 0.0%

Your Cost: $11.38/claim|Median: $11.81
1.0× median
99213Normal range

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

$272

49K claims · 0.0%

Your Cost: $0.01/claim|Median: $37.81
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$228

4,291 claims · 0.0%

Your Cost: $0.05/claim|Median: $99.21
0.0× median
3044FTop 25%

$80

40 claims · 0.0%

Your Cost: $2.00/claim|Median: $0.16
12.5× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$48

5,483 claims · 0.0%

Your Cost: $0.01/claim|Median: $12.70
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$25

6,869 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$8

1,563 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
0.0× median
82948Normal range

$3

5,819 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.78
0.0× median
1000FNormal range

$0

3,132 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
87804Normal range

Influenza virus detection, rapid test

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
99385Normal range

Preventive visit, new patient, 18-39 yr

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.22
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

702 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
90792Normal range

Psychiatric diagnostic evaluation with medical services

$0

410 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91
99201Normal range

Office/outpatient visit, new patient, straightforward

$0

749 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.38
D0150Normal range

Comprehensive oral evaluation, new or established patient

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.07
J1094Normal range

$0

466 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.24
J7637Normal range

$0

75 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
90853Normal range

Group psychotherapy

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02
85018Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
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