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Provider 1124045158

NPI: 1124045158Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,785,451

Total Claims

150K

Beneficiaries

77K

2.0 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-7%
2019
$1.5M
+23%
2020
$1.9M
+6%
2021
$2.0M
-34%
2022
$1.3M
-16%
2023
$1.1M
+9%
2024
$1.2M

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 81% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$8.7M

41K claims · 80.8%

Your Cost: $211.48/claim|Median: $121.16
1.7× median
0521Top 25%

$1.3M

65K claims · 12.3%

Your Cost: $20.27/claim|Median: $7.40
2.7× median
0636Top 5%

$225K

1,009 claims · 2.1%

Your Cost: $223.32/claim|Median: $5.41
41.3× median
00003Normal range

Anesthesia services

$117K

515 claims · 1.1%

Your Cost: $226.83/claim|Median: $223.77
1.0× median
99213Normal range

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

$104K

5,915 claims · 1.0%

Your Cost: $17.56/claim|Median: $37.81
0.5× median
H1001Normal range

$73K

5,351 claims · 0.7%

Your Cost: $13.72/claim|Median: $60.48
0.2× median
99214Normal range

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

$70K

2,575 claims · 0.7%

Your Cost: $27.35/claim|Median: $53.41
0.5× median
59409Normal range

Vaginal delivery only

$49K

80 claims · 0.5%

Your Cost: $618.10/claim|Median: $619.91
1.0× median
0761Top 5%

$37K

347 claims · 0.3%

Your Cost: $107.36/claim|Median: $24.10
4.5× median
0307Top 25%

$14K

4,711 claims · 0.1%

Your Cost: $2.90/claim|Median: $1.09
2.7× median
S9445Normal range

$11K

4,622 claims · 0.1%

Your Cost: $2.31/claim|Median: $12.72
0.2× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$10K

306 claims · 0.1%

Your Cost: $33.18/claim|Median: $114.71
0.3× median
H1003Normal range

$8K

1,709 claims · 0.1%

Your Cost: $4.97/claim|Median: $10.04
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$5K

781 claims · 0.0%

Your Cost: $6.04/claim|Median: $25.06
0.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$4K

100 claims · 0.0%

Your Cost: $43.32/claim|Median: $37.22
1.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$4K

75 claims · 0.0%

Your Cost: $52.80/claim|Median: $35.30
1.5× median
0270Top 25%

$4K

291 claims · 0.0%

Your Cost: $13.20/claim|Median: $5.50
2.4× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$3K

529 claims · 0.0%

Your Cost: $5.04/claim|Median: $24.33
0.2× median
H1000Normal range

Prenatal care, at-risk assessment

$3K

76 claims · 0.0%

Your Cost: $34.40/claim|Median: $50.36
0.7× median
99401Normal range

$2K

1,100 claims · 0.0%

Your Cost: $1.55/claim|Median: $16.53
0.1× median
0771Normal range

$1K

263 claims · 0.0%

Your Cost: $5.06/claim|Median: $4.66
1.1× median
59025Normal range

Fetal non-stress test

$1K

440 claims · 0.0%

Your Cost: $2.50/claim|Median: $26.45
0.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$1K

397 claims · 0.0%

Your Cost: $2.69/claim|Median: $12.70
0.2× median
81025Normal range

Urine pregnancy test

$988

1,463 claims · 0.0%

Your Cost: $0.68/claim|Median: $4.81
0.1× median
0309Normal range

$935

316 claims · 0.0%

Your Cost: $2.96/claim|Median: $6.56
0.5× median
98940Normal range

$717

1,627 claims · 0.0%

Your Cost: $0.44/claim|Median: $14.55
0.0× median
S9452Top 25%

$300

26 claims · 0.0%

Your Cost: $11.53/claim|Median: $6.85
1.7× median
90715Normal range

Tdap vaccine

$269

99 claims · 0.0%

Your Cost: $2.72/claim|Median: $10.32
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$197

69 claims · 0.0%

Your Cost: $2.86/claim|Median: $74.09
0.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$90

240 claims · 0.0%

Your Cost: $0.38/claim|Median: $58.16
0.0× median
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