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Provider 1154614097

NPI: 1154614097Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$8,025,742

Total Claims

141K

Beneficiaries

111K

1.3 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$895K
-15%
2019
$757K
+14%
2020
$861K
+15%
2021
$989K
+32%
2022
$1.3M
+35%
2023
$1.8M
-17%
2024
$1.5M

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 86% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$6.9M

31K claims · 86.2%

Your Cost: $223.10/claim|Median: $121.16
1.8× median
99213Normal range

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

$465K

32K claims · 5.8%

Your Cost: $14.46/claim|Median: $37.81
0.4× median
99214Normal range

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

$240K

12K claims · 3.0%

Your Cost: $20.61/claim|Median: $53.41
0.4× median
G0467Top 25%

Federally qualified health center visit, mental health

$162K

3,798 claims · 2.0%

Your Cost: $42.72/claim|Median: $21.91
1.9× median
87428Normal range

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

$70K

2,004 claims · 0.9%

Your Cost: $34.90/claim|Median: $39.63
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$69K

6,328 claims · 0.9%

Your Cost: $10.94/claim|Median: $25.06
0.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$11K

351 claims · 0.1%

Your Cost: $30.29/claim|Median: $75.18
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$8K

195 claims · 0.1%

Your Cost: $42.28/claim|Median: $80.15
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$8K

235 claims · 0.1%

Your Cost: $34.61/claim|Median: $74.82
0.5× median
92551Normal range

Screening audiometry, pure tone, air only

$8K

1,113 claims · 0.1%

Your Cost: $7.15/claim|Median: $6.61
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$7K

954 claims · 0.1%

Your Cost: $7.26/claim|Median: $9.56
0.8× median
90677Top 25%

$6K

81 claims · 0.1%

Your Cost: $69.52/claim|Median: $12.96
5.4× median
90471Normal range

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

$5K

2,143 claims · 0.1%

Your Cost: $2.46/claim|Median: $9.80
0.3× median
90688Normal range

$5K

537 claims · 0.1%

Your Cost: $8.87/claim|Median: $9.00
1.0× median
83037Normal range

$4K

2,259 claims · 0.1%

Your Cost: $1.98/claim|Median: $4.07
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$4K

158 claims · 0.0%

Your Cost: $24.46/claim|Median: $69.35
0.4× median
85018Normal range

$4K

1,830 claims · 0.0%

Your Cost: $2.01/claim|Median: $1.71
1.2× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$3K

28 claims · 0.0%

Your Cost: $112.45/claim|Median: $76.06
1.5× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$3K

30 claims · 0.0%

Your Cost: $103.22/claim|Median: $72.71
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$3K

447 claims · 0.0%

Your Cost: $5.73/claim|Median: $11.48
0.5× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$2K

99 claims · 0.0%

Your Cost: $25.02/claim|Median: $14.34
1.7× median
J3420Top 25%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$2K

983 claims · 0.0%

Your Cost: $2.37/claim|Median: $1.04
2.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$2K

66 claims · 0.0%

Your Cost: $32.05/claim|Median: $65.64
0.5× median
90651Normal range

HPV vaccine, 9-valent

$2K

86 claims · 0.0%

Your Cost: $20.71/claim|Median: $8.93
2.3× median
81003Top 25%

Urinalysis, automated without microscopy

$2K

835 claims · 0.0%

Your Cost: $2.11/claim|Median: $1.48
1.4× median
90734Top 5%

$2K

31 claims · 0.0%

Your Cost: $55.52/claim|Median: $6.40
8.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

313 claims · 0.0%

Your Cost: $5.45/claim|Median: $7.18
0.8× median
99173Normal range

$2K

1,007 claims · 0.0%

Your Cost: $1.55/claim|Median: $2.16
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$1K

423 claims · 0.0%

Your Cost: $3.41/claim|Median: $11.79
0.3× median
99188Normal range

$1K

199 claims · 0.0%

Your Cost: $6.72/claim|Median: $12.80
0.5× median
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