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Provider 1275562373

NPI: 1275562373Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,853,860

Total Claims

214K

Beneficiaries

174K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-60%
2019
$501K
+109%
2020
$1.0M
+18%
2021
$1.2M
+7%
2022
$1.3M
-4%
2023
$1.3M
-3%
2024
$1.2M

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 90% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.1M

95K claims · 90.3%

Your Cost: $74.93/claim|Median: $121.16
0.6× median
99213Normal range

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

$563K

79K claims · 7.2%

Your Cost: $7.12/claim|Median: $37.81
0.2× median
36415Top 10%

Collection of venous blood by venipuncture

$58K

8,872 claims · 0.7%

Your Cost: $6.54/claim|Median: $1.57
4.2× median
81002Top 5%

Urinalysis, non-automated without microscopy

$20K

2,088 claims · 0.3%

Your Cost: $9.75/claim|Median: $2.00
4.9× median
J1100Top 5%

$17K

1,121 claims · 0.2%

Your Cost: $15.08/claim|Median: $0.52
29.0× median
J0696Top 25%

$17K

1,509 claims · 0.2%

Your Cost: $11.00/claim|Median: $1.34
8.2× median
87206Top 10%

$16K

2,537 claims · 0.2%

Your Cost: $6.23/claim|Median: $2.64
2.4× median
J3301Top 5%

Injection, triamcinolone acetonide, per ten milligrams

$10K

814 claims · 0.1%

Your Cost: $12.17/claim|Median: $2.91
4.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$9K

1,891 claims · 0.1%

Your Cost: $4.70/claim|Median: $12.93
0.4× median
90471Normal range

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

$9K

605 claims · 0.1%

Your Cost: $14.32/claim|Median: $9.80
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$7K

404 claims · 0.1%

Your Cost: $17.13/claim|Median: $80.15
0.2× median
87804Normal range

Influenza virus detection, rapid test

$6K

3,205 claims · 0.1%

Your Cost: $1.98/claim|Median: $12.59
0.2× median
81025Top 5%

Urine pregnancy test

$5K

350 claims · 0.1%

Your Cost: $13.39/claim|Median: $4.81
2.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$4K

271 claims · 0.1%

Your Cost: $16.59/claim|Median: $74.82
0.2× median
90756Top 5%

Influenza virus vaccine, quadrivalent

$4K

146 claims · 0.1%

Your Cost: $30.50/claim|Median: $14.34
2.1× median
J3420Top 1%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$4K

259 claims · 0.1%

Your Cost: $17.16/claim|Median: $1.04
16.5× median
90472Top 25%

Immunization administration, each additional vaccine

$3K

145 claims · 0.0%

Your Cost: $19.74/claim|Median: $11.79
1.7× median
90715Top 25%

Tdap vaccine

$3K

104 claims · 0.0%

Your Cost: $25.76/claim|Median: $10.32
2.5× median
90734Normal range

$3K

179 claims · 0.0%

Your Cost: $14.47/claim|Median: $6.40
2.3× median
95117Top 1%

$1K

26 claims · 0.0%

Your Cost: $45.19/claim|Median: $8.34
5.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$632

29 claims · 0.0%

Your Cost: $21.79/claim|Median: $72.71
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$233

11K claims · 0.0%

Your Cost: $0.02/claim|Median: $25.06
0.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$178

26 claims · 0.0%

Your Cost: $6.85/claim|Median: $7.50
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$17

4,541 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48
0.0× median
90716Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.18
90619Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.36
90674Normal range

$0

125 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.16
G2025Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.63
J1030Normal range

Injection, methylprednisolone acetate, forty milligrams

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.38
87807Normal range

$0

189 claims · 0.0%

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