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Provider 1053663690

NPI: 1053663690Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,883,597

Total Claims

261K

Beneficiaries

211K

1.2 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$224K
-18%
2019
$184K
+210%
2020
$569K
+273%
2021
$2.1M
+28%
2022
$2.7M
+4%
2023
$2.8M
-20%
2024
$2.2M

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 68% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.5M

61K claims · 68.5%

Your Cost: $122.26/claim|Median: $121.16
1.0× median
99213Normal range

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

$1.3M

39K claims · 11.7%

Your Cost: $32.42/claim|Median: $37.81
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$426K

7,065 claims · 3.9%

Your Cost: $60.27/claim|Median: $63.65
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$327K

6,364 claims · 3.0%

Your Cost: $51.41/claim|Median: $41.28
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$299K

10K claims · 2.8%

Your Cost: $29.52/claim|Median: $25.06
1.2× median
99214Normal range

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

$241K

6,147 claims · 2.2%

Your Cost: $39.23/claim|Median: $53.41
0.7× median
D0999Normal range

Unspecified diagnostic procedure, by report

$162K

1,542 claims · 1.5%

Your Cost: $105.24/claim|Median: $101.33
1.0× median
G0467Normal range

Federally qualified health center visit, mental health

$98K

3,832 claims · 0.9%

Your Cost: $25.68/claim|Median: $21.91
1.2× median
59430Normal range

$82K

995 claims · 0.8%

Your Cost: $82.43/claim|Median: $80.32
1.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$74K

3,474 claims · 0.7%

Your Cost: $21.16/claim|Median: $30.04
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$60K

706 claims · 0.6%

Your Cost: $85.15/claim|Median: $99.21
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$49K

847 claims · 0.5%

Your Cost: $57.91/claim|Median: $69.35
0.8× median
99203Normal range

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

$45K

1,109 claims · 0.4%

Your Cost: $40.64/claim|Median: $57.85
0.7× median
87804Normal range

Influenza virus detection, rapid test

$40K

6,337 claims · 0.4%

Your Cost: $6.31/claim|Median: $12.59
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$38K

806 claims · 0.4%

Your Cost: $47.60/claim|Median: $75.18
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$33K

641 claims · 0.3%

Your Cost: $52.08/claim|Median: $85.66
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$23K

3,427 claims · 0.2%

Your Cost: $6.77/claim|Median: $11.48
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$19K

742 claims · 0.2%

Your Cost: $25.87/claim|Median: $39.70
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$16K

309 claims · 0.1%

Your Cost: $51.04/claim|Median: $74.78
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$14K

212 claims · 0.1%

Your Cost: $65.36/claim|Median: $80.15
0.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$11K

274 claims · 0.1%

Your Cost: $41.00/claim|Median: $58.16
0.7× median
81003Normal range

Urinalysis, automated without microscopy

$11K

15K claims · 0.1%

Your Cost: $0.74/claim|Median: $1.48
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$11K

148 claims · 0.1%

Your Cost: $71.83/claim|Median: $72.71
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$8K

2,424 claims · 0.1%

Your Cost: $3.49/claim|Median: $9.56
0.4× median
90847Normal range

Family psychotherapy with patient, 50 min

$8K

118 claims · 0.1%

Your Cost: $67.14/claim|Median: $77.33
0.9× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$8K

98 claims · 0.1%

Your Cost: $78.32/claim|Median: $73.46
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$8K

120 claims · 0.1%

Your Cost: $63.48/claim|Median: $74.82
0.8× median
99406Normal range

$6K

2,500 claims · 0.1%

Your Cost: $2.46/claim|Median: $6.53
0.4× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$6K

453 claims · 0.1%

Your Cost: $13.08/claim|Median: $11.35
1.2× median
G0470Normal range

Chronic care management services, FQHC/RHC

$4K

218 claims · 0.0%

Your Cost: $20.11/claim|Median: $45.95
0.4× median
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