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Provider 1053845636

NPI: 1053845636Share
Active Billing Period:2018-01→2024-12(74 months)

Total Paid

$8.2M

$8,240,911

Total Claims

185K

Beneficiaries

170K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$14K
+107%
2019
$30K
+1259%
2020
$407K
+383%
2021
$2.0M
+11%
2022
$2.2M
-7%
2023
$2.0M
-20%
2024
$1.6M

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

$5.6M

47K claims · 68.3%

Your Cost: $119.97/claim|Median: $121.16
1.0× median
99213Normal range

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

$1.1M

27K claims · 13.4%

Your Cost: $41.68/claim|Median: $37.81
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$403K

5,424 claims · 4.9%

Your Cost: $74.27/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$325K

4,199 claims · 3.9%

Your Cost: $77.36/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$230K

3,056 claims · 2.8%

Your Cost: $75.26/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$165K

2,185 claims · 2.0%

Your Cost: $75.64/claim|Median: $80.15
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$92K

2,793 claims · 1.1%

Your Cost: $33.10/claim|Median: $25.06
1.3× median
99381Normal range

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

$69K

790 claims · 0.8%

Your Cost: $87.55/claim|Median: $73.46
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$53K

5,835 claims · 0.6%

Your Cost: $9.00/claim|Median: $11.48
0.8× median
87426Normal range

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

$46K

1,830 claims · 0.6%

Your Cost: $24.89/claim|Median: $30.04
0.8× median
99214Normal range

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

$41K

780 claims · 0.5%

Your Cost: $52.47/claim|Median: $53.41
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$36K

7,171 claims · 0.4%

Your Cost: $5.02/claim|Median: $9.10
0.6× median
87804Normal range

Influenza virus detection, rapid test

$28K

3,078 claims · 0.3%

Your Cost: $8.94/claim|Median: $12.59
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$7K

407 claims · 0.1%

Your Cost: $17.50/claim|Median: $12.93
1.4× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$6K

641 claims · 0.1%

Your Cost: $9.00/claim|Median: $24.33
0.4× median
87807Normal range

$4K

609 claims · 0.1%

Your Cost: $7.24/claim|Median: $10.06
0.7× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$2K

325 claims · 0.0%

Your Cost: $6.57/claim|Median: $12.70
0.5× median
92552Normal range

Pure tone audiometry, air only, each ear

$2K

3,474 claims · 0.0%

Your Cost: $0.54/claim|Median: $12.63
0.0× median
99203Normal range

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

$705

12 claims · 0.0%

Your Cost: $58.73/claim|Median: $57.85
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$607

75 claims · 0.0%

Your Cost: $8.09/claim|Median: $9.56
0.8× median
90619Top 25%

$423

22 claims · 0.0%

Your Cost: $19.25/claim|Median: $8.36
2.3× median
99000Top 25%

$119

18 claims · 0.0%

Your Cost: $6.60/claim|Median: $2.30
2.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$24

849 claims · 0.0%

Your Cost: $0.03/claim|Median: $17.85
0.0× median
96160Normal range

Patient-focused health risk assessment

$18

119 claims · 0.0%

Your Cost: $0.15/claim|Median: $2.10
0.1× median
90461Normal range

Immunization admin, additional vaccine, counseling

$2

366 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.93
0.0× median
90471Normal range

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

$2

8,795 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
0.0× median
90620Normal range

$2

298 claims · 0.0%

Your Cost: $0.01/claim|Median: $6.49
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$0

6,342 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
0.0× median
90474Normal range

$0

2,250 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.42
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

2,144 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
0.0× median
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