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Provider 1134286727

NPI: 1134286727Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.8M

$17,786,571

Total Claims

271K

Beneficiaries

179K

1.5 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-3%
2019
$2.2M
+22%
2020
$2.7M
+11%
2021
$3.0M
-28%
2022
$2.2M
+29%
2023
$2.8M
-13%
2024
$2.4M

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 100% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$17.7M

65K claims · 99.6%

Your Cost: $272.54/claim|Median: $121.16
2.2× median
0520Normal range

$69K

3,541 claims · 0.4%

Your Cost: $19.60/claim|Median: $71.00
0.3× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$3K

46 claims · 0.0%

Your Cost: $65.54/claim|Median: $25.93
2.5× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

40 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
0521Normal range

$1K

103K claims · 0.0%

Your Cost: $0.01/claim|Median: $7.40
0.0× median
90480Normal range

$920

253 claims · 0.0%

Your Cost: $3.64/claim|Median: $25.29
0.1× median
99213Normal range

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

$402

21K claims · 0.0%

Your Cost: $0.02/claim|Median: $37.81
0.0× median
99214Normal range

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

$188

4,702 claims · 0.0%

Your Cost: $0.04/claim|Median: $53.41
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$128

186 claims · 0.0%

Your Cost: $0.69/claim|Median: $99.21
0.0× median
G9920Normal range

$58

2,377 claims · 0.0%

Your Cost: $0.02/claim|Median: $6.56
0.0× median
99203Normal range

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

$57

16 claims · 0.0%

Your Cost: $3.58/claim|Median: $57.85
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$48

1,339 claims · 0.0%

Your Cost: $0.04/claim|Median: $41.28
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$35

1,224 claims · 0.0%

Your Cost: $0.03/claim|Median: $69.35
0.0× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$15

1,658 claims · 0.0%

Your Cost: $0.01/claim|Median: $39.63
0.0× median
90633Normal range

$9

501 claims · 0.0%

Your Cost: $0.02/claim|Median: $3.56
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9

2,262 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
0.0× median
85018Normal range

$2

4,297 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
0.0× median
99173Normal range

$0

2,724 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
0470Normal range

$0

515 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.70
0500Normal range

$0

4,616 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.15
90656Normal range

$0

275 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
Q0111Normal range

$0

65 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.66
0771Normal range

$0

755 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.66
Z6304Normal range

$0

24 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.43
0900Normal range

$0

196 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.08
90734Normal range

$0

255 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.40
0305Normal range

$0

130 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.46
D1206Normal range

Topical application of fluoride varnish

$0

256 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.12
90834Normal range

Psychotherapy, 45 minutes

$0

127 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65
90677Normal range

$0

489 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.96
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