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Provider 1194974402

NPI: 1194974402Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.3M

$12,262,468

Total Claims

205K

Beneficiaries

167K

1.2 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+4%
2019
$1.3M
+24%
2020
$1.6M
+16%
2021
$1.8M
+7%
2022
$1.9M
+12%
2023
$2.2M
+8%
2024
$2.3M

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 51% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$6.3M

48K claims · 51.4%

Your Cost: $131.35/claim|Median: $121.16
1.1× median
99213Top 10%

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

$4.1M

50K claims · 33.8%

Your Cost: $82.92/claim|Median: $37.81
2.2× median
99212Top 25%

Office/outpatient visit, low complexity

$360K

9,668 claims · 2.9%

Your Cost: $37.23/claim|Median: $25.06
1.5× median
99203Top 25%

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

$253K

2,660 claims · 2.1%

Your Cost: $95.05/claim|Median: $57.85
1.6× median
96156Normal range

$227K

4,621 claims · 1.9%

Your Cost: $49.22/claim|Median: $22.36
2.2× median
G9012Top 1%

Other specified case management service, per 15 minutes

$208K

340 claims · 1.7%

Your Cost: $612.04/claim|Median: $137.85
4.4× median
99214Top 5%

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

$143K

1,052 claims · 1.2%

Your Cost: $136.03/claim|Median: $53.41
2.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$54K

691 claims · 0.4%

Your Cost: $78.09/claim|Median: $76.06
1.0× median
G0467Normal range

Federally qualified health center visit, mental health

$47K

1,632 claims · 0.4%

Your Cost: $28.87/claim|Median: $21.91
1.3× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$33K

331 claims · 0.3%

Your Cost: $100.83/claim|Median: $87.82
1.1× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$33K

664 claims · 0.3%

Your Cost: $49.30/claim|Median: $36.70
1.3× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$29K

677 claims · 0.2%

Your Cost: $43.33/claim|Median: $33.72
1.3× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$29K

348 claims · 0.2%

Your Cost: $81.91/claim|Median: $76.22
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$27K

513 claims · 0.2%

Your Cost: $53.46/claim|Median: $72.71
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$27K

1,419 claims · 0.2%

Your Cost: $18.73/claim|Median: $85.66
0.2× median
90471Top 25%

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

$26K

1,371 claims · 0.2%

Your Cost: $18.65/claim|Median: $9.80
1.9× median
99000Top 25%

$25K

3,364 claims · 0.2%

Your Cost: $7.56/claim|Median: $2.30
3.3× median
96151Top 10%

Health behavior reassessment

$23K

416 claims · 0.2%

Your Cost: $54.92/claim|Median: $15.43
3.6× median
G8510Top 25%

$22K

2,171 claims · 0.2%

Your Cost: $10.28/claim|Median: $1.96
5.2× median
G2023Top 5%

Specimen collection for COVID-19 testing

$22K

654 claims · 0.2%

Your Cost: $32.91/claim|Median: $17.15
1.9× median
0003ATop 10%

COVID-19 vaccine admin, Pfizer, 3rd dose

$18K

344 claims · 0.1%

Your Cost: $53.03/claim|Median: $36.49
1.5× median
96150Top 10%

Health behavior assessment, initial

$17K

301 claims · 0.1%

Your Cost: $57.18/claim|Median: $17.83
3.2× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$13K

544 claims · 0.1%

Your Cost: $23.20/claim|Median: $9.70
2.4× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$13K

277 claims · 0.1%

Your Cost: $45.25/claim|Median: $33.85
1.3× median
87426Normal range

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

$12K

370 claims · 0.1%

Your Cost: $32.89/claim|Median: $30.04
1.1× median
G9920Normal range

$12K

1,658 claims · 0.1%

Your Cost: $7.20/claim|Median: $6.56
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$11K

2,074 claims · 0.1%

Your Cost: $5.50/claim|Median: $3.67
1.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$10K

409 claims · 0.1%

Your Cost: $23.66/claim|Median: $40.11
0.6× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$10K

260 claims · 0.1%

Your Cost: $36.77/claim|Median: $25.93
1.4× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$9K

783 claims · 0.1%

Your Cost: $11.19/claim|Median: $5.50
2.0× median
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