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Provider 1063422756

NPI: 1063422756Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,864,963

Total Claims

278K

Beneficiaries

225K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-7%
2019
$1.3M
+7%
2020
$1.4M
+2%
2021
$1.4M
-13%
2022
$1.2M
+9%
2023
$1.3M
-22%
2024
$1.0M

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 93% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.2M

116K claims · 92.6%

Your Cost: $71.06/claim|Median: $121.16
0.6× median
D9430Top 1%

$335K

5,071 claims · 3.8%

Your Cost: $65.99/claim|Median: $31.69
2.1× median
90670Normal range

$33K

4,523 claims · 0.4%

Your Cost: $7.31/claim|Median: $5.94
1.2× median
90688Normal range

$27K

3,494 claims · 0.3%

Your Cost: $7.85/claim|Median: $9.00
0.9× median
90680Normal range

$27K

3,660 claims · 0.3%

Your Cost: $7.38/claim|Median: $5.58
1.3× median
90633Normal range

$23K

3,231 claims · 0.3%

Your Cost: $7.15/claim|Median: $3.56
2.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$21K

2,798 claims · 0.2%

Your Cost: $7.40/claim|Median: $7.18
1.0× median
90651Normal range

HPV vaccine, 9-valent

$17K

1,578 claims · 0.2%

Your Cost: $10.54/claim|Median: $8.93
1.2× median
90647Normal range

$16K

2,238 claims · 0.2%

Your Cost: $7.15/claim|Median: $4.31
1.7× median
90734Normal range

$15K

1,842 claims · 0.2%

Your Cost: $8.15/claim|Median: $6.40
1.3× median
90715Normal range

Tdap vaccine

$14K

1,458 claims · 0.2%

Your Cost: $9.42/claim|Median: $10.32
0.9× median
90723Normal range

DTaP-HepB-IPV vaccine

$13K

1,770 claims · 0.1%

Your Cost: $7.20/claim|Median: $5.78
1.2× median
90671Normal range

$12K

1,536 claims · 0.1%

Your Cost: $7.61/claim|Median: $8.59
0.9× median
90707Normal range

MMR vaccine

$11K

1,444 claims · 0.1%

Your Cost: $7.39/claim|Median: $5.76
1.3× median
90697Normal range

$11K

1,309 claims · 0.1%

Your Cost: $8.11/claim|Median: $7.24
1.1× median
90716Normal range

$10K

1,360 claims · 0.1%

Your Cost: $7.71/claim|Median: $6.18
1.2× median
90710Normal range

MMRV vaccine

$10K

1,366 claims · 0.1%

Your Cost: $7.29/claim|Median: $7.00
1.0× median
90698Normal range

$9K

1,251 claims · 0.1%

Your Cost: $7.55/claim|Median: $6.32
1.2× median
90656Normal range

$9K

1,043 claims · 0.1%

Your Cost: $8.83/claim|Median: $8.67
1.0× median
90700Normal range

$9K

1,252 claims · 0.1%

Your Cost: $7.02/claim|Median: $4.56
1.5× median
90655Normal range

$7K

1,182 claims · 0.1%

Your Cost: $6.20/claim|Median: $3.81
1.6× median
90696Normal range

DTaP-IPV vaccine

$7K

988 claims · 0.1%

Your Cost: $6.87/claim|Median: $5.95
1.2× median
99213Normal range

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

$5K

32K claims · 0.1%

Your Cost: $0.17/claim|Median: $37.81
0.0× median
99214Normal range

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

$3K

24K claims · 0.0%

Your Cost: $0.14/claim|Median: $53.41
0.0× median
90649Normal range

$3K

419 claims · 0.0%

Your Cost: $7.86/claim|Median: $6.42
1.2× median
90648Normal range

$2K

293 claims · 0.0%

Your Cost: $7.35/claim|Median: $4.08
1.8× median
90744Normal range

$2K

239 claims · 0.0%

Your Cost: $7.05/claim|Median: $5.00
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1K

5,757 claims · 0.0%

Your Cost: $0.24/claim|Median: $75.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1K

3,666 claims · 0.0%

Your Cost: $0.36/claim|Median: $74.82
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$874

1,734 claims · 0.0%

Your Cost: $0.50/claim|Median: $80.15
0.0× median
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