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Provider 1114978582

NPI: 1114978582Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.3M

$18,307,911

Total Claims

802K

Beneficiaries

568K

1.4 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+6%
2019
$2.1M
-16%
2020
$1.7M
+60%
2021
$2.8M
-0%
2022
$2.8M
-2%
2023
$2.7M
+54%
2024
$4.2M

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 67% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$12.2M

121K claims · 66.5%

Your Cost: $100.35/claim|Median: $121.16
0.8× median
99199Normal range

Unlisted special service, procedure, or report

$2.3M

416K claims · 12.5%

Your Cost: $5.48/claim|Median: $5.39
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$618K

7,855 claims · 3.4%

Your Cost: $78.73/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$506K

6,540 claims · 2.8%

Your Cost: $77.44/claim|Median: $74.82
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$452K

5,900 claims · 2.5%

Your Cost: $76.61/claim|Median: $69.35
1.1× median
90471Normal range

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

$402K

34K claims · 2.2%

Your Cost: $11.69/claim|Median: $9.80
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$337K

4,362 claims · 1.8%

Your Cost: $77.22/claim|Median: $80.15
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$312K

17K claims · 1.7%

Your Cost: $18.71/claim|Median: $11.79
1.6× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$147K

4,685 claims · 0.8%

Your Cost: $31.39/claim|Median: $57.30
0.5× median
80061Normal range

Lipid panel

$90K

7,541 claims · 0.5%

Your Cost: $12.00/claim|Median: $8.41
1.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$86K

13K claims · 0.5%

Your Cost: $6.48/claim|Median: $5.50
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$81K

1,126 claims · 0.4%

Your Cost: $72.20/claim|Median: $63.08
1.1× median
D1206Normal range

Topical application of fluoride varnish

$64K

4,635 claims · 0.4%

Your Cost: $13.90/claim|Median: $18.12
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$61K

12K claims · 0.3%

Your Cost: $5.15/claim|Median: $9.10
0.6× median
80053Normal range

Comprehensive metabolic panel

$44K

6,365 claims · 0.2%

Your Cost: $6.93/claim|Median: $7.24
1.0× median
0071ANormal range

$43K

1,147 claims · 0.2%

Your Cost: $37.71/claim|Median: $38.71
1.0× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$43K

977 claims · 0.2%

Your Cost: $44.25/claim|Median: $36.70
1.2× median
0072ANormal range

$41K

1,019 claims · 0.2%

Your Cost: $40.61/claim|Median: $39.57
1.0× median
G0071Normal range

$40K

2,166 claims · 0.2%

Your Cost: $18.54/claim|Median: $7.20
2.6× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$39K

866 claims · 0.2%

Your Cost: $45.46/claim|Median: $33.72
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$35K

21K claims · 0.2%

Your Cost: $1.65/claim|Median: $3.67
0.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$26K

508 claims · 0.1%

Your Cost: $51.22/claim|Median: $35.43
1.4× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$23K

602 claims · 0.1%

Your Cost: $38.62/claim|Median: $25.93
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$23K

537 claims · 0.1%

Your Cost: $42.98/claim|Median: $39.70
1.1× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$23K

1,206 claims · 0.1%

Your Cost: $18.66/claim|Median: $15.76
1.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$21K

434 claims · 0.1%

Your Cost: $49.28/claim|Median: $33.85
1.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$21K

1,674 claims · 0.1%

Your Cost: $12.41/claim|Median: $9.87
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$20K

764 claims · 0.1%

Your Cost: $26.31/claim|Median: $24.95
1.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$20K

2,824 claims · 0.1%

Your Cost: $7.11/claim|Median: $4.71
1.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$19K

765 claims · 0.1%

Your Cost: $25.13/claim|Median: $23.39
1.1× median
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