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Provider 1083727838

NPI: 1083727838Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,625,823

Total Claims

662K

Beneficiaries

488K

1.4 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-3%
2019
$1.5M
+19%
2020
$1.7M
-3%
2021
$1.7M
-10%
2022
$1.5M
-3%
2023
$1.5M
-12%
2024
$1.3M

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 89% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.4M

109K claims · 88.6%

Your Cost: $86.32/claim|Median: $121.16
0.7× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$1.2M

22K claims · 11.3%

Your Cost: $55.26/claim|Median: $144.05
0.4× median
3074FNormal range

$3K

31K claims · 0.0%

Your Cost: $0.11/claim|Median: $0.11
1.0× median
3078FNormal range

$3K

26K claims · 0.0%

Your Cost: $0.13/claim|Median: $0.08
1.6× median
3079FNormal range

$2K

19K claims · 0.0%

Your Cost: $0.13/claim|Median: $0.12
1.0× median
3077FNormal range

$1K

13K claims · 0.0%

Your Cost: $0.10/claim|Median: $0.12
0.8× median
3080FNormal range

$1K

9,718 claims · 0.0%

Your Cost: $0.13/claim|Median: $0.16
0.8× median
3075FNormal range

$785

10K claims · 0.0%

Your Cost: $0.08/claim|Median: $0.15
0.5× median
99213Normal range

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

$577

126K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
0.0× median
99214Normal range

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

$63

6,505 claims · 0.0%

Your Cost: $0.01/claim|Median: $53.41
0.0× median
G0179Normal range

Physician recertification for home health plan of care

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.63
90633Normal range

$0

83 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.56
30796

$0

1,737 claims · 0.0%

87804Normal range

Influenza virus detection, rapid test

$0

398 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
00000Normal range

$0

112 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.15
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

394 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
99211Normal range

Office/outpatient visit, minimal complexity

$0

91 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.93
G0180Normal range

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.31
30756

$0

977 claims · 0.0%

85018Normal range

$0

417 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
30776

$0

2,141 claims · 0.0%

90688Normal range

$0

141 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
99204Normal range

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

$0

833 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.03
30746

$0

4,005 claims · 0.0%

3044FNormal range

$0

99 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
30806

$0

388 claims · 0.0%

90658Normal range

$0

145 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.96
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

742 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
86317Normal range

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
99391Normal range

Preventive medicine, established patient, infant (under 1)

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.35
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