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Provider 1063587046

NPI: 1063587046Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,921,051

Total Claims

221K

Beneficiaries

197K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$813K
+2%
2019
$830K
-15%
2020
$707K
+41%
2021
$998K
+9%
2022
$1.1M
+33%
2023
$1.4M
+41%
2024
$2.0M

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 41% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$3.3M

97K claims · 41.4%

Your Cost: $33.92/claim|Median: $121.16
0.3× median
99213Normal range

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

$1.5M

44K claims · 18.3%

Your Cost: $32.64/claim|Median: $37.81
0.9× median
99214Normal range

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

$1.1M

28K claims · 14.2%

Your Cost: $40.16/claim|Median: $53.41
0.8× median
J0578Top 1%

$744K

116 claims · 9.4%

Your Cost: $6,413.93/claim|Median: $1,710.92
3.7× median
Q9992Normal range

$146K

130 claims · 1.8%

Your Cost: $1,121.61/claim|Median: $1,537.34
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$141K

2,870 claims · 1.8%

Your Cost: $49.26/claim|Median: $75.18
0.7× median
99203Normal range

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

$140K

3,371 claims · 1.8%

Your Cost: $41.67/claim|Median: $57.85
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$121K

3,249 claims · 1.5%

Your Cost: $37.10/claim|Median: $69.35
0.5× median
99204Normal range

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

$96K

1,301 claims · 1.2%

Your Cost: $73.46/claim|Median: $84.03
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$91K

1,301 claims · 1.1%

Your Cost: $69.86/claim|Median: $74.09
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$91K

1,757 claims · 1.1%

Your Cost: $51.62/claim|Median: $74.82
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$71K

3,928 claims · 0.9%

Your Cost: $17.95/claim|Median: $11.79
1.5× median
Q9991Top 10%

$64K

34 claims · 0.8%

Your Cost: $1,887.06/claim|Median: $1,554.42
1.2× median
59426Top 5%

Antepartum care only, high risk, additional visits

$53K

44 claims · 0.7%

Your Cost: $1,214.25/claim|Median: $122.30
9.9× median
90471Normal range

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

$48K

6,967 claims · 0.6%

Your Cost: $6.93/claim|Median: $9.80
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$46K

800 claims · 0.6%

Your Cost: $57.88/claim|Median: $80.15
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$38K

2,168 claims · 0.5%

Your Cost: $17.64/claim|Median: $25.06
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$25K

310 claims · 0.3%

Your Cost: $79.86/claim|Median: $85.66
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$17K

3,419 claims · 0.2%

Your Cost: $5.02/claim|Median: $7.18
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$16K

219 claims · 0.2%

Your Cost: $72.43/claim|Median: $72.71
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$13K

2,547 claims · 0.2%

Your Cost: $5.10/claim|Median: $9.56
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$13K

119 claims · 0.2%

Your Cost: $107.97/claim|Median: $111.09
1.0× median
59430Top 10%

$12K

64 claims · 0.2%

Your Cost: $194.93/claim|Median: $80.32
2.4× median
90832Normal range

Psychotherapy, 30 minutes

$8K

865 claims · 0.1%

Your Cost: $9.30/claim|Median: $41.28
0.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$7K

662 claims · 0.1%

Your Cost: $10.72/claim|Median: $40.11
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$7K

122 claims · 0.1%

Your Cost: $56.95/claim|Median: $63.65
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$6K

663 claims · 0.1%

Your Cost: $8.77/claim|Median: $9.10
1.0× median
59025Normal range

Fetal non-stress test

$5K

240 claims · 0.1%

Your Cost: $22.57/claim|Median: $26.45
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$5K

67 claims · 0.1%

Your Cost: $80.50/claim|Median: $76.06
1.1× median
90473Normal range

Immunization admin, intranasal, first

$5K

925 claims · 0.1%

Your Cost: $5.22/claim|Median: $9.17
0.6× median
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