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Provider 1124045042

NPI: 1124045042Share
Active Billing Period:2018-01→2021-12(48 months)
Billing appears to have stoppedLast active: 2021-12

Total Paid

$10.3M

$10,303,679

Total Claims

272K

Beneficiaries

166K

1.6 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$5.2M
-32%
2019
$3.6M
-75%
2020
$891K
-31%
2021
$611K

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 93% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.5M

70K claims · 92.6%

Your Cost: $136.18/claim|Median: $121.16
1.1× median
0521Normal range

$516K

142K claims · 5.0%

Your Cost: $3.64/claim|Median: $7.40
0.5× median
0636Normal range

$61K

15K claims · 0.6%

Your Cost: $4.17/claim|Median: $5.41
0.8× median
0761Normal range

$52K

5,559 claims · 0.5%

Your Cost: $9.30/claim|Median: $24.10
0.4× median
0309Top 25%

$47K

4,820 claims · 0.5%

Your Cost: $9.83/claim|Median: $6.56
1.5× median
0306Normal range

$28K

2,219 claims · 0.3%

Your Cost: $12.40/claim|Median: $3.72
3.3× median
0301Normal range

$24K

4,699 claims · 0.2%

Your Cost: $5.21/claim|Median: $11.15
0.5× median
0770Normal range

$16K

3,743 claims · 0.2%

Your Cost: $4.29/claim|Median: $4.23
1.0× median
0771Top 25%

$4K

350 claims · 0.0%

Your Cost: $11.33/claim|Median: $4.66
2.4× median
0300Normal range

$4K

456 claims · 0.0%

Your Cost: $7.69/claim|Median: $8.79
0.9× median
0307Normal range

$2K

1,901 claims · 0.0%

Your Cost: $1.28/claim|Median: $1.09
1.2× median
99213Normal range

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

$2K

10K claims · 0.0%

Your Cost: $0.19/claim|Median: $37.81
0.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$776

54 claims · 0.0%

Your Cost: $14.36/claim|Median: $37.22
0.4× median
98940Normal range

$728

269 claims · 0.0%

Your Cost: $2.71/claim|Median: $14.55
0.2× median
80305Normal range

$393

144 claims · 0.0%

Your Cost: $2.73/claim|Median: $7.44
0.4× median
0929Normal range

$288

25 claims · 0.0%

Your Cost: $11.52/claim|Median: $13.71
0.8× median
0271Normal range

$163

380 claims · 0.0%

Your Cost: $0.43/claim|Median: $2.35
0.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$52

371 claims · 0.0%

Your Cost: $0.14/claim|Median: $39.70
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$18

20 claims · 0.0%

Your Cost: $0.90/claim|Median: $5.50
0.2× median
82947Normal range

Blood glucose level test

$18

31 claims · 0.0%

Your Cost: $0.58/claim|Median: $2.38
0.2× median
71046Normal range

Chest X-ray, 2 views

$13

25 claims · 0.0%

Your Cost: $0.54/claim|Median: $8.92
0.1× median
87804Normal range

Influenza virus detection, rapid test

$12

965 claims · 0.0%

Your Cost: $0.01/claim|Median: $12.59
0.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$7

1,023 claims · 0.0%

Your Cost: $0.01/claim|Median: $11.48
0.0× median
81000Normal range

Urinalysis with microscopy, non-automated

$3

539 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.51
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
90716Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.18
G2023Normal range

Specimen collection for COVID-19 testing

$0

372 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.15
99393Normal range

Preventive medicine, established patient, age 5-11

$0

95 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
99173Normal range

$0

218 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
0900Normal range

$0

2,566 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.08
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