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Provider 1114280690

NPI: 1114280690Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,103,140

Total Claims

390K

Beneficiaries

242K

1.6 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+8%
2019
$1.9M
+6%
2020
$2.0M
+26%
2021
$2.5M
-21%
2022
$2.0M
-1%
2023
$2.0M
-45%
2024
$1.1M

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 73% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.6M

101K claims · 73.3%

Your Cost: $95.17/claim|Median: $121.16
0.8× median
99213Normal range

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

$2.4M

114K claims · 18.5%

Your Cost: $21.28/claim|Median: $37.81
0.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$354K

45K claims · 2.7%

Your Cost: $7.83/claim|Median: $17.85
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$145K

7,194 claims · 1.1%

Your Cost: $20.20/claim|Median: $41.28
0.5× median
99214Normal range

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

$114K

3,461 claims · 0.9%

Your Cost: $32.83/claim|Median: $53.41
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$96K

7,065 claims · 0.7%

Your Cost: $13.56/claim|Median: $25.06
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$64K

2,561 claims · 0.5%

Your Cost: $24.95/claim|Median: $69.35
0.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$49K

1,902 claims · 0.4%

Your Cost: $25.60/claim|Median: $75.18
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$36K

6,819 claims · 0.3%

Your Cost: $5.25/claim|Median: $7.18
0.7× median
90471Normal range

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

$29K

3,336 claims · 0.2%

Your Cost: $8.58/claim|Median: $9.80
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$26K

2,019 claims · 0.2%

Your Cost: $13.05/claim|Median: $21.91
0.6× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$25K

1,760 claims · 0.2%

Your Cost: $13.97/claim|Median: $40.58
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$15K

649 claims · 0.1%

Your Cost: $23.59/claim|Median: $74.82
0.3× median
T2003Normal range

Non-emergency transport; encounter/trip

$11K

1,109 claims · 0.1%

Your Cost: $10.35/claim|Median: $21.70
0.5× median
0051ANormal range

$10K

298 claims · 0.1%

Your Cost: $35.04/claim|Median: $36.92
0.9× median
0064ANormal range

$8K

253 claims · 0.1%

Your Cost: $32.40/claim|Median: $34.17
0.9× median
99203Normal range

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

$8K

645 claims · 0.1%

Your Cost: $12.45/claim|Median: $57.85
0.2× median
D1110Normal range

Prophylaxis, adult cleaning

$7K

235 claims · 0.1%

Your Cost: $30.93/claim|Median: $43.38
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$5K

92 claims · 0.0%

Your Cost: $57.06/claim|Median: $57.39
1.0× median
D1351Normal range

Sealant, per tooth

$5K

536 claims · 0.0%

Your Cost: $9.73/claim|Median: $26.10
0.4× median
92551Normal range

Screening audiometry, pure tone, air only

$5K

1,655 claims · 0.0%

Your Cost: $3.03/claim|Median: $6.61
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$5K

204 claims · 0.0%

Your Cost: $24.28/claim|Median: $32.07
0.8× median
99401Normal range

$4K

242 claims · 0.0%

Your Cost: $18.26/claim|Median: $16.53
1.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$4K

1,643 claims · 0.0%

Your Cost: $2.59/claim|Median: $5.50
0.5× median
90656Normal range

$4K

351 claims · 0.0%

Your Cost: $11.00/claim|Median: $8.67
1.3× median
90746Normal range

Hepatitis B vaccine, adult

$3K

83 claims · 0.0%

Your Cost: $40.70/claim|Median: $48.85
0.8× median
D0330Normal range

Panoramic radiographic image

$3K

74 claims · 0.0%

Your Cost: $43.82/claim|Median: $37.36
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$3K

181 claims · 0.0%

Your Cost: $16.89/claim|Median: $24.34
0.7× median
0071ANormal range

$3K

71 claims · 0.0%

Your Cost: $37.99/claim|Median: $38.71
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

516 claims · 0.0%

Your Cost: $3.96/claim|Median: $9.56
0.4× median
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