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Provider 1083647036

NPI: 1083647036Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.4M

$14,444,173

Total Claims

186K

Beneficiaries

152K

1.2 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-15%
2019
$2.5M
-35%
2020
$1.6M
+22%
2021
$2.0M
-29%
2022
$1.4M
-7%
2023
$1.3M
+96%
2024
$2.6M

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 99% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$14.2M

54K claims · 98.6%

Your Cost: $263.50/claim|Median: $121.16
2.2× median
99213Normal range

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

$76K

34K claims · 0.5%

Your Cost: $2.24/claim|Median: $37.81
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$20K

6,293 claims · 0.1%

Your Cost: $3.11/claim|Median: $69.35
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$19K

6,889 claims · 0.1%

Your Cost: $2.80/claim|Median: $75.18
0.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$17K

3,565 claims · 0.1%

Your Cost: $4.72/claim|Median: $62.48
0.1× median
99214Normal range

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

$13K

2,584 claims · 0.1%

Your Cost: $5.17/claim|Median: $53.41
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$11K

4,576 claims · 0.1%

Your Cost: $2.39/claim|Median: $74.82
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$9K

8,688 claims · 0.1%

Your Cost: $1.03/claim|Median: $25.06
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$5K

1,888 claims · 0.0%

Your Cost: $2.61/claim|Median: $80.15
0.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$5K

1,573 claims · 0.0%

Your Cost: $3.06/claim|Median: $37.22
0.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$4K

4,761 claims · 0.0%

Your Cost: $0.80/claim|Median: $12.63
0.1× median
90723Normal range

DTaP-HepB-IPV vaccine

$2K

3,956 claims · 0.0%

Your Cost: $0.62/claim|Median: $5.78
0.1× median
90670Normal range

$2K

4,154 claims · 0.0%

Your Cost: $0.58/claim|Median: $5.94
0.1× median
90647Normal range

$2K

3,839 claims · 0.0%

Your Cost: $0.57/claim|Median: $4.31
0.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$2K

43 claims · 0.0%

Your Cost: $37.33/claim|Median: $36.70
1.0× median
85018Normal range

$1K

17K claims · 0.0%

Your Cost: $0.08/claim|Median: $1.71
0.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$1K

35 claims · 0.0%

Your Cost: $36.69/claim|Median: $33.72
1.1× median
90633Normal range

$1K

2,334 claims · 0.0%

Your Cost: $0.54/claim|Median: $3.56
0.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1K

116 claims · 0.0%

Your Cost: $10.33/claim|Median: $91.47
0.1× median
90716Normal range

$1K

2,202 claims · 0.0%

Your Cost: $0.52/claim|Median: $6.18
0.1× median
90707Normal range

MMR vaccine

$1K

2,106 claims · 0.0%

Your Cost: $0.51/claim|Median: $5.76
0.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1K

215 claims · 0.0%

Your Cost: $4.90/claim|Median: $39.70
0.1× median
3008FNormal range

$1K

5,779 claims · 0.0%

Your Cost: $0.18/claim|Median: $0.06
3.0× median
90680Normal range

$1K

2,293 claims · 0.0%

Your Cost: $0.44/claim|Median: $5.58
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$906

2,837 claims · 0.0%

Your Cost: $0.32/claim|Median: $7.18
0.0× median
99203Normal range

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

$832

25 claims · 0.0%

Your Cost: $33.27/claim|Median: $57.85
0.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$749

269 claims · 0.0%

Your Cost: $2.79/claim|Median: $43.85
0.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$724

181 claims · 0.0%

Your Cost: $4.00/claim|Median: $65.64
0.1× median
90658Normal range

$709

461 claims · 0.0%

Your Cost: $1.54/claim|Median: $8.96
0.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$591

144 claims · 0.0%

Your Cost: $4.11/claim|Median: $10.88
0.4× median
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