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Provider 1093019051

NPI: 1093019051Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,127,310

Total Claims

362K

Beneficiaries

261K

1.4 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+33%
2019
$2.5M
+7%
2020
$2.7M
+6%
2021
$2.8M
-23%
2022
$2.2M
+20%
2023
$2.6M
-3%
2024
$2.5M

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.

T1015Normal range

Clinic visit/encounter, all-inclusive

$14.6M

130K claims · 85.5%

Your Cost: $112.64/claim|Median: $121.16
0.9× median
99213Normal range

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

$1.1M

95K claims · 6.3%

Your Cost: $11.30/claim|Median: $37.81
0.3× median
99214Normal range

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

$403K

14K claims · 2.4%

Your Cost: $28.24/claim|Median: $53.41
0.5× median
99203Top 5%

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

$293K

1,584 claims · 1.7%

Your Cost: $185.02/claim|Median: $57.85
3.2× median
90834Normal range

Psychotherapy, 45 minutes

$175K

4,821 claims · 1.0%

Your Cost: $36.38/claim|Median: $63.65
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$134K

3,534 claims · 0.8%

Your Cost: $38.00/claim|Median: $108.91
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$129K

65K claims · 0.8%

Your Cost: $1.97/claim|Median: $25.06
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$127K

7,287 claims · 0.7%

Your Cost: $17.38/claim|Median: $41.28
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$39K

800 claims · 0.2%

Your Cost: $48.41/claim|Median: $99.21
0.5× median
99204Top 5%

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

$21K

106 claims · 0.1%

Your Cost: $201.47/claim|Median: $84.03
2.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$20K

922 claims · 0.1%

Your Cost: $21.38/claim|Median: $40.11
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$17K

269 claims · 0.1%

Your Cost: $62.04/claim|Median: $85.66
0.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$8K

1,334 claims · 0.0%

Your Cost: $5.64/claim|Median: $9.70
0.6× median
88150Normal range

$7K

709 claims · 0.0%

Your Cost: $9.37/claim|Median: $6.47
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$6K

6,683 claims · 0.0%

Your Cost: $0.83/claim|Median: $76.06
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$5K

4,121 claims · 0.0%

Your Cost: $1.24/claim|Median: $72.71
0.0× median
S9445Normal range

$4K

318 claims · 0.0%

Your Cost: $12.72/claim|Median: $12.72
1.0× median
Q0091Normal range

$3K

1,023 claims · 0.0%

Your Cost: $3.40/claim|Median: $11.15
0.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$3K

662 claims · 0.0%

Your Cost: $4.80/claim|Median: $80.15
0.1× median
0900Top 10%

$2K

14 claims · 0.0%

Your Cost: $170.79/claim|Median: $2.08
82.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$2K

1,599 claims · 0.0%

Your Cost: $1.20/claim|Median: $76.22
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2K

701 claims · 0.0%

Your Cost: $2.60/claim|Median: $74.82
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$2K

1,337 claims · 0.0%

Your Cost: $1.33/claim|Median: $21.91
0.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$2K

2,073 claims · 0.0%

Your Cost: $0.80/claim|Median: $17.85
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1K

499 claims · 0.0%

Your Cost: $2.46/claim|Median: $75.18
0.0× median
90658Normal range

$1K

681 claims · 0.0%

Your Cost: $1.63/claim|Median: $8.96
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$993

23 claims · 0.0%

Your Cost: $43.17/claim|Median: $111.09
0.4× median
90471Normal range

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

$984

591 claims · 0.0%

Your Cost: $1.67/claim|Median: $9.80
0.2× median
G0071Normal range

$823

2,523 claims · 0.0%

Your Cost: $0.33/claim|Median: $7.20
0.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$560

700 claims · 0.0%

Your Cost: $0.80/claim|Median: $6.93
0.1× median
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