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Provider 1164431383

NPI: 1164431383Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,427,687

Total Claims

313K

Beneficiaries

234K

1.3 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-6%
2019
$1.4M
+7%
2020
$1.5M
-5%
2021
$1.4M
-14%
2022
$1.2M
+57%
2023
$1.9M
-5%
2024
$1.8M

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 97% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$10.1M

78K claims · 97.0%

Your Cost: $129.62/claim|Median: $121.16
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$101K

3,183 claims · 1.0%

Your Cost: $31.66/claim|Median: $21.91
1.4× median
99214Normal range

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

$62K

38K claims · 0.6%

Your Cost: $1.62/claim|Median: $53.41
0.0× median
99213Normal range

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

$22K

43K claims · 0.2%

Your Cost: $0.50/claim|Median: $37.81
0.0× median
90471Normal range

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

$12K

7,362 claims · 0.1%

Your Cost: $1.68/claim|Median: $9.80
0.2× median
90677Normal range

$11K

839 claims · 0.1%

Your Cost: $12.57/claim|Median: $12.96
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$10K

550 claims · 0.1%

Your Cost: $17.61/claim|Median: $39.70
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

6,679 claims · 0.1%

Your Cost: $1.44/claim|Median: $7.18
0.2× median
90651Normal range

HPV vaccine, 9-valent

$9K

1,120 claims · 0.1%

Your Cost: $8.44/claim|Median: $8.93
0.9× median
99199Top 25%

Unlisted special service, procedure, or report

$8K

764 claims · 0.1%

Your Cost: $10.76/claim|Median: $5.39
2.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$8K

410 claims · 0.1%

Your Cost: $18.90/claim|Median: $91.47
0.2× median
0360Normal range

$6K

76 claims · 0.1%

Your Cost: $85.36/claim|Median: $95.40
0.9× median
90715Normal range

Tdap vaccine

$6K

1,345 claims · 0.1%

Your Cost: $4.47/claim|Median: $10.32
0.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$5K

152 claims · 0.0%

Your Cost: $33.86/claim|Median: $63.08
0.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$5K

177 claims · 0.0%

Your Cost: $27.47/claim|Median: $65.64
0.4× median
C9803Normal range

$3K

608 claims · 0.0%

Your Cost: $5.67/claim|Median: $13.20
0.4× median
90750Normal range

$3K

121 claims · 0.0%

Your Cost: $24.73/claim|Median: $96.16
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

2,146 claims · 0.0%

Your Cost: $1.12/claim|Median: $69.35
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2K

3,634 claims · 0.0%

Your Cost: $0.65/claim|Median: $80.15
0.0× median
0760Normal range

$2K

906 claims · 0.0%

Your Cost: $2.60/claim|Median: $22.01
0.1× median
99070Top 10%

$2K

38 claims · 0.0%

Your Cost: $61.70/claim|Median: $8.08
7.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$2K

270 claims · 0.0%

Your Cost: $7.93/claim|Median: $28.46
0.3× median
97110Normal range

Therapeutic exercises, each 15 min

$2K

7,589 claims · 0.0%

Your Cost: $0.26/claim|Median: $24.49
0.0× median
90746Normal range

Hepatitis B vaccine, adult

$2K

189 claims · 0.0%

Your Cost: $10.25/claim|Median: $48.85
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

469 claims · 0.0%

Your Cost: $3.40/claim|Median: $9.56
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1K

4,060 claims · 0.0%

Your Cost: $0.36/claim|Median: $74.82
0.0× median
99203Normal range

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

$1K

1,374 claims · 0.0%

Your Cost: $1.05/claim|Median: $57.85
0.0× median
90656Normal range

$1K

983 claims · 0.0%

Your Cost: $1.40/claim|Median: $8.67
0.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1K

1,746 claims · 0.0%

Your Cost: $0.79/claim|Median: $72.71
0.0× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$1K

49 claims · 0.0%

Your Cost: $24.23/claim|Median: $26.72
0.9× median
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