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Provider 1225067317

NPI: 1225067317Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.5M

$8,500,642

Total Claims

223K

Beneficiaries

203K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-4%
2019
$1.1M
+28%
2020
$1.4M
+0%
2021
$1.4M
-1%
2022
$1.4M
-16%
2023
$1.2M
-27%
2024
$860K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (S0281) accounts for 54% of total spending.

S0281Normal range

$4.6M

91K claims · 54.0%

Your Cost: $50.26/claim|Median: $92.97
0.5× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$3.7M

63K claims · 43.0%

Your Cost: $57.60/claim|Median: $121.16
0.5× median
99213Normal range

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

$212K

34K claims · 2.5%

Your Cost: $6.17/claim|Median: $37.81
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$16K

7,256 claims · 0.2%

Your Cost: $2.20/claim|Median: $25.06
0.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$8K

660 claims · 0.1%

Your Cost: $12.47/claim|Median: $12.93
1.0× median
87206Top 25%

$6K

991 claims · 0.1%

Your Cost: $5.95/claim|Median: $2.64
2.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$4K

291 claims · 0.0%

Your Cost: $12.12/claim|Median: $80.15
0.2× median
90471Normal range

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

$2K

154 claims · 0.0%

Your Cost: $13.87/claim|Median: $9.80
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2K

168 claims · 0.0%

Your Cost: $11.84/claim|Median: $74.82
0.2× median
90734Top 25%

$2K

119 claims · 0.0%

Your Cost: $15.75/claim|Median: $6.40
2.5× median
90472Top 25%

Immunization administration, each additional vaccine

$801

42 claims · 0.0%

Your Cost: $19.08/claim|Median: $11.79
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$590

96 claims · 0.0%

Your Cost: $6.15/claim|Median: $75.18
0.1× median
87804Normal range

Influenza virus detection, rapid test

$250

1,241 claims · 0.0%

Your Cost: $0.20/claim|Median: $12.59
0.0× median
90756Normal range

Influenza virus vaccine, quadrivalent

$165

13 claims · 0.0%

Your Cost: $12.72/claim|Median: $14.34
0.9× median
J1100Normal range

$32

510 claims · 0.0%

Your Cost: $0.06/claim|Median: $0.52
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

516 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
90715Normal range

Tdap vaccine

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
90649Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.42
87807Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06
J0696Normal range

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.34
81002Normal range

Urinalysis, non-automated without microscopy

$0

167 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.00
90674Normal range

$0

53 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.16
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.93
87880Normal range

Streptococcus, Group A, rapid antigen detection

$0

2,384 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48
36415Normal range

Collection of venous blood by venipuncture

$0

452 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
90619Normal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.36
J2010Normal range

$0

82 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.72
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$0

19K claims · 0.0%

Your Cost: $0.00/claim|Median: $11.35
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