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Provider 1164055927

NPI: 1164055927Share
Active Billing Period:2020-06→2024-12(55 months)

Total Paid

$10.6M

$10,618,176

Total Claims

194K

Beneficiaries

151K

1.3 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2020
$391K
+378%
2021
$1.9M
+46%
2022
$2.7M
+9%
2023
$3.0M
-11%
2024
$2.6M

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.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.2M

63K claims · 86.3%

Your Cost: $144.87/claim|Median: $121.16
1.2× median
99213Normal range

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

$478K

44K claims · 4.5%

Your Cost: $10.96/claim|Median: $37.81
0.3× median
G0511Top 25%

RHC/FQHC visit, psychiatric collaborative care model

$337K

13K claims · 3.2%

Your Cost: $25.63/claim|Median: $11.35
2.3× median
99214Normal range

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

$263K

14K claims · 2.5%

Your Cost: $18.16/claim|Median: $53.41
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$110K

2,441 claims · 1.0%

Your Cost: $45.14/claim|Median: $85.66
0.5× median
G0467Normal range

Federally qualified health center visit, mental health

$98K

12K claims · 0.9%

Your Cost: $7.94/claim|Median: $21.91
0.4× median
G2025Top 25%

$73K

2,898 claims · 0.7%

Your Cost: $25.25/claim|Median: $15.63
1.6× median
99490Normal range

Chronic care management services, 20 minutes per month

$14K

1,773 claims · 0.1%

Your Cost: $7.88/claim|Median: $6.31
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$12K

3,826 claims · 0.1%

Your Cost: $3.07/claim|Median: $25.06
0.1× median
90674Normal range

$10K

454 claims · 0.1%

Your Cost: $22.02/claim|Median: $15.16
1.5× median
90471Normal range

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

$7K

1,415 claims · 0.1%

Your Cost: $5.24/claim|Median: $9.80
0.5× median
G0439Normal range

Annual wellness visit, subsequent visit

$7K

652 claims · 0.1%

Your Cost: $10.75/claim|Median: $5.42
2.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$6K

837 claims · 0.1%

Your Cost: $6.96/claim|Median: $72.71
0.1× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$4K

1,137 claims · 0.0%

Your Cost: $3.44/claim|Median: $34.62
0.1× median
99203Normal range

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

$4K

955 claims · 0.0%

Your Cost: $4.00/claim|Median: $57.85
0.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$4K

1,986 claims · 0.0%

Your Cost: $1.87/claim|Median: $39.70
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$3K

828 claims · 0.0%

Your Cost: $4.14/claim|Median: $76.06
0.1× median
99204Normal range

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

$2K

398 claims · 0.0%

Your Cost: $6.20/claim|Median: $84.03
0.1× median
G0468Normal range

$2K

628 claims · 0.0%

Your Cost: $3.13/claim|Median: $43.74
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$2K

104 claims · 0.0%

Your Cost: $15.06/claim|Median: $41.28
0.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$2K

108 claims · 0.0%

Your Cost: $14.44/claim|Median: $40.11
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1K

884 claims · 0.0%

Your Cost: $1.57/claim|Median: $80.15
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$1K

2,382 claims · 0.0%

Your Cost: $0.54/claim|Median: $5.50
0.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1K

730 claims · 0.0%

Your Cost: $1.46/claim|Median: $17.85
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$936

378 claims · 0.0%

Your Cost: $2.48/claim|Median: $74.82
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$835

1,727 claims · 0.0%

Your Cost: $0.48/claim|Median: $9.56
0.1× median
82962Normal range

Blood glucose test by monitoring device

$718

3,145 claims · 0.0%

Your Cost: $0.23/claim|Median: $1.40
0.2× median
90461Normal range

Immunization admin, additional vaccine, counseling

$686

361 claims · 0.0%

Your Cost: $1.90/claim|Median: $6.93
0.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$633

2,589 claims · 0.0%

Your Cost: $0.24/claim|Median: $11.48
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$493

294 claims · 0.0%

Your Cost: $1.68/claim|Median: $75.18
0.0× median
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