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Provider 1043354020

NPI: 1043354020Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,815,511

Total Claims

77K

Beneficiaries

65K

1.2 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-23%
2019
$1.3M
-39%
2020
$816K
+11%
2021
$907K
-4%
2022
$873K
+33%
2023
$1.2M
-14%
2024
$996K

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 99% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$7.7M

16K claims · 98.8%

Your Cost: $470.60/claim|Median: $121.16
3.9× median
99213Normal range

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

$27K

9,858 claims · 0.3%

Your Cost: $2.74/claim|Median: $37.81
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$22K

8,945 claims · 0.3%

Your Cost: $2.50/claim|Median: $25.06
0.1× median
G0467Top 25%

Federally qualified health center visit, mental health

$21K

352 claims · 0.3%

Your Cost: $59.34/claim|Median: $21.91
2.7× median
99214Normal range

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

$10K

2,665 claims · 0.1%

Your Cost: $3.78/claim|Median: $53.41
0.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$5K

653 claims · 0.1%

Your Cost: $8.33/claim|Median: $82.43
0.1× median
71045Normal range

Chest X-ray, single view

$3K

1,152 claims · 0.0%

Your Cost: $2.78/claim|Median: $4.93
0.6× median
99203Normal range

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

$1K

219 claims · 0.0%

Your Cost: $6.11/claim|Median: $57.85
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$984

212 claims · 0.0%

Your Cost: $4.64/claim|Median: $7.18
0.6× median
99242Normal range

Office consultation, low complexity

$846

138 claims · 0.0%

Your Cost: $6.13/claim|Median: $57.97
0.1× median
89220Normal range

$719

356 claims · 0.0%

Your Cost: $2.02/claim|Median: $8.95
0.2× median
90739Normal range

$696

34 claims · 0.0%

Your Cost: $20.47/claim|Median: $74.43
0.3× median
G0071Normal range

$647

148 claims · 0.0%

Your Cost: $4.37/claim|Median: $7.20
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$642

64 claims · 0.0%

Your Cost: $10.03/claim|Median: $74.09
0.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$582

82 claims · 0.0%

Your Cost: $7.10/claim|Median: $40.11
0.2× median
90714Normal range

Td vaccine

$378

86 claims · 0.0%

Your Cost: $4.40/claim|Median: $13.20
0.3× median
90471Normal range

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

$216

527 claims · 0.0%

Your Cost: $0.41/claim|Median: $9.80
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$103

1,659 claims · 0.0%

Your Cost: $0.06/claim|Median: $39.70
0.0× median
90707Normal range

MMR vaccine

$72

16 claims · 0.0%

Your Cost: $4.50/claim|Median: $5.76
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$16

1,843 claims · 0.0%

Your Cost: $0.01/claim|Median: $4.71
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$10

38 claims · 0.0%

Your Cost: $0.25/claim|Median: $11.79
0.0× median
80061Normal range

Lipid panel

$9

906 claims · 0.0%

Your Cost: $0.01/claim|Median: $8.41
0.0× median
82565Normal range

Creatinine blood test

$5

1,143 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.94
0.0× median
84520Normal range

$4

1,036 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.89
0.0× median
80051Normal range

Electrolyte panel blood test

$0

1,008 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.56
0.0× median
82947Normal range

Blood glucose level test

$0

1,103 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.38
0.0× median
85027Normal range

Complete blood count (CBC), automated

$0

171 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.72
1159FNormal range

$0

3,059 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
82570Normal range

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.18
81001Normal range

Urinalysis, automated, with microscopy

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.03
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