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Provider 1083832232

NPI: 1083832232Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,259,130

Total Claims

91K

Beneficiaries

74K

1.2 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+13%
2019
$1.3M
-16%
2020
$1.1M
+19%
2021
$1.3M
+6%
2022
$1.4M
-8%
2023
$1.3M
+37%
2024
$1.7M

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 85% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$7.9M

32K claims · 85.0%

Your Cost: $247.80/claim|Median: $121.16
2.0× median
99213Normal range

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

$297K

12K claims · 3.2%

Your Cost: $23.86/claim|Median: $37.81
0.6× median
99214Normal range

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

$254K

7,456 claims · 2.7%

Your Cost: $34.03/claim|Median: $53.41
0.6× median
T1027Normal range

Family training and counseling, per 15 minutes

$212K

12K claims · 2.3%

Your Cost: $18.02/claim|Median: $53.00
0.3× median
T1002Normal range

RN services, per 15 minutes

$101K

2,325 claims · 1.1%

Your Cost: $43.23/claim|Median: $37.42
1.2× median
G0467Normal range

Federally qualified health center visit, mental health

$93K

6,642 claims · 1.0%

Your Cost: $14.07/claim|Median: $21.91
0.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$54K

1,087 claims · 0.6%

Your Cost: $49.26/claim|Median: $47.08
1.0× median
T1017Normal range

Targeted case management, per 15 min

$41K

2,015 claims · 0.4%

Your Cost: $20.22/claim|Median: $69.56
0.3× median
S9470Normal range

Nutritional counseling

$34K

1,247 claims · 0.4%

Your Cost: $26.95/claim|Median: $16.62
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$31K

1,255 claims · 0.3%

Your Cost: $24.47/claim|Median: $25.06
1.0× median
S9482Normal range

Family stabilization services, per 15 minutes

$26K

798 claims · 0.3%

Your Cost: $32.74/claim|Median: $625.59
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$25K

490 claims · 0.3%

Your Cost: $51.72/claim|Median: $63.65
0.8× median
92015Normal range

Determination of refractive state

$21K

2,823 claims · 0.2%

Your Cost: $7.46/claim|Median: $10.36
0.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$21K

385 claims · 0.2%

Your Cost: $53.97/claim|Median: $59.72
0.9× median
92507Normal range

Speech/hearing/language treatment

$19K

600 claims · 0.2%

Your Cost: $31.41/claim|Median: $49.45
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$19K

381 claims · 0.2%

Your Cost: $48.68/claim|Median: $69.35
0.7× median
87428Normal range

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

$18K

430 claims · 0.2%

Your Cost: $41.63/claim|Median: $39.63
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$14K

364 claims · 0.2%

Your Cost: $38.43/claim|Median: $75.18
0.5× median
59409Top 25%

Vaginal delivery only

$11K

12 claims · 0.1%

Your Cost: $912.79/claim|Median: $619.91
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$10K

293 claims · 0.1%

Your Cost: $35.69/claim|Median: $74.82
0.5× median
90471Normal range

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

$10K

1,175 claims · 0.1%

Your Cost: $8.75/claim|Median: $9.80
0.9× median
59426Top 25%

Antepartum care only, high risk, additional visits

$10K

12 claims · 0.1%

Your Cost: $810.82/claim|Median: $122.30
6.6× median
92340Normal range

Fitting of spectacles, except for aphakia

$10K

717 claims · 0.1%

Your Cost: $13.40/claim|Median: $19.46
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$9K

167 claims · 0.1%

Your Cost: $52.95/claim|Median: $74.09
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$7K

283 claims · 0.1%

Your Cost: $23.96/claim|Median: $41.28
0.6× median
76815Normal range

Ultrasound, pregnant uterus, limited

$7K

135 claims · 0.1%

Your Cost: $48.60/claim|Median: $36.79
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$6K

119 claims · 0.1%

Your Cost: $49.07/claim|Median: $80.15
0.6× median
59025Normal range

Fetal non-stress test

$5K

117 claims · 0.1%

Your Cost: $43.13/claim|Median: $26.45
1.6× median
G2025Normal range

$5K

327 claims · 0.1%

Your Cost: $14.55/claim|Median: $15.63
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$4K

111 claims · 0.0%

Your Cost: $39.18/claim|Median: $37.22
1.1× median
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