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Provider 1043580624

NPI: 1043580624Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,925,731

Total Claims

340K

Beneficiaries

255K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+15%
2019
$1.3M
-4%
2020
$1.3M
+6%
2021
$1.4M
+3%
2022
$1.4M
+49%
2023
$2.1M
+12%
2024
$2.3M

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 91% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.9M

104K claims · 91.0%

Your Cost: $96.03/claim|Median: $121.16
0.8× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$976K

13K claims · 8.9%

Your Cost: $76.64/claim|Median: $144.05
0.5× median
98960Normal range

$1K

47 claims · 0.0%

Your Cost: $29.87/claim|Median: $12.74
2.3× median
99213Normal range

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

$289

70K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
0.0× median
99214Normal range

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

$178

14K claims · 0.0%

Your Cost: $0.01/claim|Median: $53.41
0.0× median
3044FNormal range

$60

1,025 claims · 0.0%

Your Cost: $0.06/claim|Median: $0.16
0.4× median
J0696Normal range

$2

744 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.34
0.0× median
90471Normal range

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

$0

1,433 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
90733Normal range

$0

364 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.55
3008FNormal range

$0

4,595 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
90680Normal range

$0

858 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.58
99217Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $31.89
90620Normal range

$0

447 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.49
1036FNormal range

$0

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
90716Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.18
4004FNormal range

$0

454 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
1160FNormal range

$0

1,934 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
11721Normal range

$0

434 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.56
90832Normal range

Psychotherapy, 30 minutes

$0

1,775 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28
G8482Normal range

$0

277 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
90734Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.40
99188Normal range

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.80
99173Normal range

$0

2,754 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
99308Normal range

Nursing facility care, subsequent, straightforward

$0

3,190 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.79
1030F

$0

1,684 claims · 0.0%

90648Normal range

$0

760 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.08
96110Normal range

Developmental screening, per standardized instrument

$0

508 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.10
83655Normal range

$0

125 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.49
3078FNormal range

$0

4,448 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
99395Normal range

Preventive medicine, established patient, age 18-39

$0

409 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.71
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