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Provider 1114084894

NPI: 1114084894Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$9,992,479

Total Claims

151K

Beneficiaries

102K

1.5 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-1%
2019
$1.3M
-0%
2020
$1.3M
+25%
2021
$1.7M
-11%
2022
$1.5M
+6%
2023
$1.6M
-17%
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 99% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$9.9M

37K claims · 99.3%

Your Cost: $270.43/claim|Median: $121.16
2.2× median
0520Normal range

$61K

2,706 claims · 0.6%

Your Cost: $22.37/claim|Median: $71.00
0.3× median
0521Normal range

$2K

61K claims · 0.0%

Your Cost: $0.03/claim|Median: $7.40
0.0× median
0072ATop 5%

$2K

25 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.57
1.7× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$2K

23 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
0071ATop 10%

$2K

25 claims · 0.0%

Your Cost: $61.64/claim|Median: $38.71
1.6× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$1K

18 claims · 0.0%

Your Cost: $67.00/claim|Median: $25.93
2.6× median
G9920Normal range

$58

1,986 claims · 0.0%

Your Cost: $0.03/claim|Median: $6.56
0.0× median
0300Normal range

$25

7,633 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.79
0.0× median
99213Normal range

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

$18

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
0.0× median
81025Normal range

Urine pregnancy test

$3

464 claims · 0.0%

Your Cost: $0.01/claim|Median: $4.81
0.0× median
0771Normal range

$0

382 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.66
99214Normal range

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

$0

3,425 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
90471Normal range

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

$0

80 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
0250Normal range

$0

70 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.70
90680Normal range

$0

203 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.58
36415Normal range

Collection of venous blood by venipuncture

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
90656Normal range

$0

152 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
90670Normal range

$0

328 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
96110Normal range

Developmental screening, per standardized instrument

$0

323 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.10
Z1034Normal range

$0

1,083 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.74
99392Normal range

Preventive medicine, established patient, age 1-4

$0

559 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
0636Normal range

$0

5,985 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.41
99396Normal range

Preventive medicine, established patient, age 40-64

$0

78 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.06
81003Normal range

Urinalysis, automated without microscopy

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.48
90732Normal range

Pneumococcal vaccine (PPSV23)

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.96
99000Normal range

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
92551Normal range

Screening audiometry, pure tone, air only

$0

1,948 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$0

241 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
87880Normal range

Streptococcus, Group A, rapid antigen detection

$0

70 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48
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