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Provider 1245777358

NPI: 1245777358Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,181,484

Total Claims

272K

Beneficiaries

184K

1.5 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+7%
2019
$1.7M
-15%
2020
$1.4M
-7%
2021
$1.3M
-13%
2022
$1.2M
-16%
2023
$970K
+8%
2024
$1.1M

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 91% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.4M

74K claims · 91.4%

Your Cost: $113.60/claim|Median: $121.16
0.9× median
99213Normal range

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

$345K

40K claims · 3.8%

Your Cost: $8.69/claim|Median: $37.81
0.2× median
H1001Normal range

$181K

14K claims · 2.0%

Your Cost: $12.62/claim|Median: $60.48
0.2× median
59425Normal range

Antepartum care only, 4-6 visits

$71K

6,141 claims · 0.8%

Your Cost: $11.53/claim|Median: $63.63
0.2× median
J3490Normal range

Unclassified drugs

$49K

4,843 claims · 0.5%

Your Cost: $10.10/claim|Median: $5.70
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$40K

4,511 claims · 0.4%

Your Cost: $8.97/claim|Median: $25.06
0.4× median
99214Normal range

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

$27K

3,470 claims · 0.3%

Your Cost: $7.77/claim|Median: $53.41
0.1× median
81005Normal range

$14K

24K claims · 0.2%

Your Cost: $0.58/claim|Median: $1.10
0.5× median
H1003Normal range

$9K

2,054 claims · 0.1%

Your Cost: $4.35/claim|Median: $10.04
0.4× median
99203Normal range

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

$7K

209 claims · 0.1%

Your Cost: $33.80/claim|Median: $57.85
0.6× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$6K

127 claims · 0.1%

Your Cost: $49.31/claim|Median: $114.71
0.4× median
81025Normal range

Urine pregnancy test

$6K

6,209 claims · 0.1%

Your Cost: $0.91/claim|Median: $4.81
0.2× median
59430Normal range

$4K

328 claims · 0.0%

Your Cost: $13.33/claim|Median: $80.32
0.2× median
99000Normal range

$4K

15K claims · 0.0%

Your Cost: $0.26/claim|Median: $2.30
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$4K

454 claims · 0.0%

Your Cost: $8.24/claim|Median: $72.71
0.1× median
S9445Normal range

$3K

1,238 claims · 0.0%

Your Cost: $2.77/claim|Median: $12.72
0.2× median
3074FTop 25%

$3K

2,254 claims · 0.0%

Your Cost: $1.51/claim|Median: $0.11
13.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$3K

567 claims · 0.0%

Your Cost: $5.44/claim|Median: $40.11
0.1× median
81003Normal range

Urinalysis, automated without microscopy

$2K

16K claims · 0.0%

Your Cost: $0.13/claim|Median: $1.48
0.1× median
90715Normal range

Tdap vaccine

$2K

682 claims · 0.0%

Your Cost: $2.83/claim|Median: $10.32
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

1,324 claims · 0.0%

Your Cost: $1.29/claim|Median: $7.18
0.2× median
H1000Normal range

Prenatal care, at-risk assessment

$2K

66 claims · 0.0%

Your Cost: $25.56/claim|Median: $50.36
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$965

846 claims · 0.0%

Your Cost: $1.14/claim|Median: $69.35
0.0× median
81000Normal range

Urinalysis with microscopy, non-automated

$787

2,883 claims · 0.0%

Your Cost: $0.27/claim|Median: $2.51
0.1× median
99401Normal range

$759

157 claims · 0.0%

Your Cost: $4.84/claim|Median: $16.53
0.3× median
H1002Normal range

$693

15 claims · 0.0%

Your Cost: $46.18/claim|Median: $23.28
2.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$678

1,272 claims · 0.0%

Your Cost: $0.53/claim|Median: $9.56
0.1× median
59025Normal range

Fetal non-stress test

$651

90 claims · 0.0%

Your Cost: $7.24/claim|Median: $26.45
0.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$498

154 claims · 0.0%

Your Cost: $3.24/claim|Median: $58.16
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$435

42 claims · 0.0%

Your Cost: $10.36/claim|Median: $76.06
0.1× median
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