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Provider 1215358924

NPI: 1215358924Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.0M

$10,997,150

Total Claims

116K

Beneficiaries

80K

1.5 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-25%
2019
$1.2M
+4%
2020
$1.3M
+23%
2021
$1.6M
-2%
2022
$1.6M
-9%
2023
$1.4M
+61%
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 57% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$6.3M

36K claims · 57.1%

Your Cost: $174.66/claim|Median: $121.16
1.4× median
00003Normal range

Anesthesia services

$3.4M

15K claims · 31.3%

Your Cost: $225.71/claim|Median: $223.77
1.0× median
99213Normal range

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

$435K

29K claims · 4.0%

Your Cost: $15.18/claim|Median: $37.81
0.4× median
99214Normal range

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

$363K

16K claims · 3.3%

Your Cost: $22.92/claim|Median: $53.41
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$133K

4,392 claims · 1.2%

Your Cost: $30.37/claim|Median: $41.28
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$122K

2,421 claims · 1.1%

Your Cost: $50.48/claim|Median: $63.65
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$66K

664 claims · 0.6%

Your Cost: $99.20/claim|Median: $99.21
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$26K

760 claims · 0.2%

Your Cost: $33.92/claim|Median: $74.09
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$19K

1,915 claims · 0.2%

Your Cost: $9.75/claim|Median: $25.06
0.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$18K

312 claims · 0.2%

Your Cost: $56.61/claim|Median: $111.09
0.5× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$16K

1,014 claims · 0.1%

Your Cost: $16.02/claim|Median: $7.18
2.2× median
99203Normal range

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

$15K

291 claims · 0.1%

Your Cost: $50.81/claim|Median: $57.85
0.9× median
90746Normal range

Hepatitis B vaccine, adult

$13K

236 claims · 0.1%

Your Cost: $56.27/claim|Median: $48.85
1.2× median
90471Normal range

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

$12K

2,906 claims · 0.1%

Your Cost: $4.23/claim|Median: $9.80
0.4× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$7K

625 claims · 0.1%

Your Cost: $10.99/claim|Median: $12.70
0.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$5K

146 claims · 0.0%

Your Cost: $37.11/claim|Median: $76.22
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$5K

62 claims · 0.0%

Your Cost: $74.61/claim|Median: $76.06
1.0× median
99204Normal range

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

$4K

90 claims · 0.0%

Your Cost: $45.75/claim|Median: $84.03
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$3K

59 claims · 0.0%

Your Cost: $52.32/claim|Median: $72.71
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

415 claims · 0.0%

Your Cost: $6.46/claim|Median: $12.93
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$3K

93 claims · 0.0%

Your Cost: $27.45/claim|Median: $80.15
0.3× median
90472Normal range

Immunization administration, each additional vaccine

$2K

375 claims · 0.0%

Your Cost: $4.76/claim|Median: $11.79
0.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2K

182 claims · 0.0%

Your Cost: $9.59/claim|Median: $75.18
0.1× median
90658Top 5%

$2K

70 claims · 0.0%

Your Cost: $23.44/claim|Median: $8.96
2.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2K

108 claims · 0.0%

Your Cost: $14.03/claim|Median: $74.82
0.2× median
59425Normal range

Antepartum care only, 4-6 visits

$1K

24 claims · 0.0%

Your Cost: $60.48/claim|Median: $63.63
1.0× median
85018Normal range

$1K

1,067 claims · 0.0%

Your Cost: $1.24/claim|Median: $1.71
0.7× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$1K

137 claims · 0.0%

Your Cost: $8.96/claim|Median: $81.92
0.1× median
57410Top 10%

$1K

14 claims · 0.0%

Your Cost: $75.26/claim|Median: $16.10
4.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$678

50 claims · 0.0%

Your Cost: $13.56/claim|Median: $40.11
0.3× median
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