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Provider 1205253374

NPI: 1205253374Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.4M

$13,353,708

Total Claims

137K

Beneficiaries

106K

1.3 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-21%
2019
$1.6M
+5%
2020
$1.7M
+35%
2021
$2.3M
-7%
2022
$2.1M
+2%
2023
$2.1M
-23%
2024
$1.6M

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 73% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$9.8M

39K claims · 73.3%

Your Cost: $250.46/claim|Median: $121.16
2.1× median
00003Top 25%

Anesthesia services

$3.3M

12K claims · 24.9%

Your Cost: $282.16/claim|Median: $223.77
1.3× median
G0467Top 25%

Federally qualified health center visit, mental health

$104K

1,933 claims · 0.8%

Your Cost: $53.80/claim|Median: $21.91
2.5× median
90834Normal range

Psychotherapy, 45 minutes

$45K

3,842 claims · 0.3%

Your Cost: $11.61/claim|Median: $63.65
0.2× median
99213Normal range

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

$40K

26K claims · 0.3%

Your Cost: $1.52/claim|Median: $37.81
0.0× median
99214Normal range

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

$22K

17K claims · 0.2%

Your Cost: $1.34/claim|Median: $53.41
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$13K

1,354 claims · 0.1%

Your Cost: $9.47/claim|Median: $41.28
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$7K

457 claims · 0.1%

Your Cost: $16.06/claim|Median: $85.66
0.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$4K

600 claims · 0.0%

Your Cost: $7.00/claim|Median: $39.70
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2K

1,404 claims · 0.0%

Your Cost: $1.53/claim|Median: $75.18
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$1K

1,848 claims · 0.0%

Your Cost: $0.62/claim|Median: $25.06
0.0× median
99203Normal range

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

$969

194 claims · 0.0%

Your Cost: $5.00/claim|Median: $57.85
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$965

585 claims · 0.0%

Your Cost: $1.65/claim|Median: $69.35
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$744

542 claims · 0.0%

Your Cost: $1.37/claim|Median: $74.82
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$315

869 claims · 0.0%

Your Cost: $0.36/claim|Median: $12.63
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$280

174 claims · 0.0%

Your Cost: $1.61/claim|Median: $9.56
0.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$174

393 claims · 0.0%

Your Cost: $0.44/claim|Median: $5.50
0.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$70

48 claims · 0.0%

Your Cost: $1.46/claim|Median: $11.48
0.1× median
90723Normal range

DTaP-HepB-IPV vaccine

$45

372 claims · 0.0%

Your Cost: $0.12/claim|Median: $5.78
0.0× median
90688Normal range

$44

14 claims · 0.0%

Your Cost: $3.15/claim|Median: $9.00
0.4× median
90677Normal range

$27

32 claims · 0.0%

Your Cost: $0.84/claim|Median: $12.96
0.1× median
81025Normal range

Urine pregnancy test

$18

75 claims · 0.0%

Your Cost: $0.25/claim|Median: $4.81
0.1× median
90633Normal range

$18

134 claims · 0.0%

Your Cost: $0.13/claim|Median: $3.56
0.0× median
90670Normal range

$18

442 claims · 0.0%

Your Cost: $0.04/claim|Median: $5.94
0.0× median
90647Normal range

$18

198 claims · 0.0%

Your Cost: $0.09/claim|Median: $4.31
0.0× median
90707Normal range

MMR vaccine

$18

229 claims · 0.0%

Your Cost: $0.08/claim|Median: $5.76
0.0× median
85018Normal range

$14

149 claims · 0.0%

Your Cost: $0.10/claim|Median: $1.71
0.1× median
81003Normal range

Urinalysis, automated without microscopy

$12

51 claims · 0.0%

Your Cost: $0.23/claim|Median: $1.48
0.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$10

43 claims · 0.0%

Your Cost: $0.23/claim|Median: $2.00
0.1× median
90656Normal range

$9

58 claims · 0.0%

Your Cost: $0.16/claim|Median: $8.67
0.0× median
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