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Provider 1093095192

NPI: 1093095192Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,837,832

Total Claims

315K

Beneficiaries

224K

1.4 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$827K
+5%
2019
$865K
+36%
2020
$1.2M
+51%
2021
$1.8M
-48%
2022
$927K
+37%
2023
$1.3M
+59%
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 63% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$5.6M

39K claims · 63.0%

Your Cost: $141.87/claim|Median: $121.16
1.2× median
00003Normal range

Anesthesia services

$2.6M

12K claims · 29.7%

Your Cost: $224.88/claim|Median: $223.77
1.0× median
98942Top 1%

$419K

1,824 claims · 4.7%

Your Cost: $229.70/claim|Median: $28.40
8.1× median
99212Normal range

Office/outpatient visit, low complexity

$69K

26K claims · 0.8%

Your Cost: $2.66/claim|Median: $25.06
0.1× median
99213Normal range

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

$64K

55K claims · 0.7%

Your Cost: $1.16/claim|Median: $37.81
0.0× median
99203Normal range

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

$21K

2,781 claims · 0.2%

Your Cost: $7.65/claim|Median: $57.85
0.1× median
G2023Normal range

Specimen collection for COVID-19 testing

$14K

2,863 claims · 0.2%

Your Cost: $4.81/claim|Median: $17.15
0.3× median
99000Normal range

$10K

23K claims · 0.1%

Your Cost: $0.41/claim|Median: $2.30
0.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$9K

765 claims · 0.1%

Your Cost: $12.04/claim|Median: $40.11
0.3× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$7K

175 claims · 0.1%

Your Cost: $38.43/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$6K

176 claims · 0.1%

Your Cost: $35.81/claim|Median: $33.72
1.1× median
90471Normal range

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

$5K

1,995 claims · 0.1%

Your Cost: $2.48/claim|Median: $9.80
0.3× median
92081Normal range

$5K

10K claims · 0.1%

Your Cost: $0.47/claim|Median: $11.63
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$4K

112 claims · 0.0%

Your Cost: $33.26/claim|Median: $33.85
1.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$3K

7,797 claims · 0.0%

Your Cost: $0.42/claim|Median: $12.63
0.0× median
0072ANormal range

$2K

47 claims · 0.0%

Your Cost: $37.06/claim|Median: $39.57
0.9× median
88150Normal range

$1K

221 claims · 0.0%

Your Cost: $5.27/claim|Median: $6.47
0.8× median
0071ANormal range

$1K

67 claims · 0.0%

Your Cost: $17.00/claim|Median: $38.71
0.4× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$1K

2,811 claims · 0.0%

Your Cost: $0.38/claim|Median: $12.70
0.0× median
0064ANormal range

$1K

47 claims · 0.0%

Your Cost: $21.77/claim|Median: $34.17
0.6× median
3008FNormal range

$980

74K claims · 0.0%

Your Cost: $0.01/claim|Median: $0.06
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$965

115 claims · 0.0%

Your Cost: $8.39/claim|Median: $74.09
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$959

1,133 claims · 0.0%

Your Cost: $0.85/claim|Median: $72.71
0.0× median
0004ANormal range

$911

37 claims · 0.0%

Your Cost: $24.62/claim|Median: $35.62
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$841

329 claims · 0.0%

Your Cost: $2.56/claim|Median: $7.18
0.4× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$835

163 claims · 0.0%

Your Cost: $5.12/claim|Median: $25.93
0.2× median
86580Normal range

Tuberculosis (TB) skin test

$506

100 claims · 0.0%

Your Cost: $5.06/claim|Median: $4.46
1.1× median
99214Normal range

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

$411

337 claims · 0.0%

Your Cost: $1.22/claim|Median: $53.41
0.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$312

709 claims · 0.0%

Your Cost: $0.44/claim|Median: $24.33
0.0× median
90670Normal range

$252

112 claims · 0.0%

Your Cost: $2.25/claim|Median: $5.94
0.4× median
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