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Provider 1285686477

NPI: 1285686477Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.6M

$13,585,109

Total Claims

267K

Beneficiaries

220K

1.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+7%
2019
$1.3M
+21%
2020
$1.6M
+67%
2021
$2.7M
+22%
2022
$3.3M
-35%
2023
$2.1M
-34%
2024
$1.4M

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

$12.2M

86K claims · 89.7%

Your Cost: $141.83/claim|Median: $121.16
1.2× median
G0467Normal range

Federally qualified health center visit, mental health

$357K

26K claims · 2.6%

Your Cost: $13.93/claim|Median: $21.91
0.6× median
G0511Top 10%

RHC/FQHC visit, psychiatric collaborative care model

$338K

6,893 claims · 2.5%

Your Cost: $49.07/claim|Median: $11.35
4.3× median
99214Normal range

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

$193K

22K claims · 1.4%

Your Cost: $8.64/claim|Median: $53.41
0.2× median
99213Normal range

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

$120K

31K claims · 0.9%

Your Cost: $3.94/claim|Median: $37.81
0.1× median
99336Normal range

$82K

4,885 claims · 0.6%

Your Cost: $16.83/claim|Median: $20.35
0.8× median
99309Normal range

Nursing facility care, subsequent, low complexity

$75K

5,787 claims · 0.6%

Your Cost: $12.98/claim|Median: $14.00
0.9× median
99307Top 25%

$39K

2,792 claims · 0.3%

Your Cost: $14.15/claim|Median: $6.57
2.2× median
99308Normal range

Nursing facility care, subsequent, straightforward

$29K

2,388 claims · 0.2%

Your Cost: $12.16/claim|Median: $9.79
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$29K

5,368 claims · 0.2%

Your Cost: $5.31/claim|Median: $25.06
0.2× median
99349Normal range

$22K

1,870 claims · 0.2%

Your Cost: $11.83/claim|Median: $24.29
0.5× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$20K

528 claims · 0.1%

Your Cost: $37.48/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$17K

517 claims · 0.1%

Your Cost: $33.32/claim|Median: $33.72
1.0× median
99310Normal range

$15K

1,070 claims · 0.1%

Your Cost: $13.68/claim|Median: $21.82
0.6× median
99335Normal range

$14K

1,299 claims · 0.1%

Your Cost: $10.81/claim|Median: $14.90
0.7× median
M0243Normal range

$13K

48 claims · 0.1%

Your Cost: $271.88/claim|Median: $215.21
1.3× median
G2025Normal range

$10K

916 claims · 0.1%

Your Cost: $11.03/claim|Median: $15.63
0.7× median
36415Top 25%

Collection of venous blood by venipuncture

$7K

2,493 claims · 0.1%

Your Cost: $2.96/claim|Median: $1.57
1.9× median
80305Normal range

$4K

2,715 claims · 0.0%

Your Cost: $1.37/claim|Median: $7.44
0.2× median
36416Normal range

$3K

4,174 claims · 0.0%

Your Cost: $0.75/claim|Median: $1.31
0.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$3K

3,831 claims · 0.0%

Your Cost: $0.77/claim|Median: $5.50
0.1× median
90853Normal range

Group psychotherapy

$2K

101 claims · 0.0%

Your Cost: $15.24/claim|Median: $25.02
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$1K

543 claims · 0.0%

Your Cost: $1.90/claim|Median: $22.44
0.1× median
80053Normal range

Comprehensive metabolic panel

$949

805 claims · 0.0%

Your Cost: $1.18/claim|Median: $7.24
0.2× median
G0008Normal range

$754

182 claims · 0.0%

Your Cost: $4.14/claim|Median: $2.54
1.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$691

274 claims · 0.0%

Your Cost: $2.52/claim|Median: $7.18
0.4× median
99304Normal range

$592

92 claims · 0.0%

Your Cost: $6.43/claim|Median: $13.51
0.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$494

308 claims · 0.0%

Your Cost: $1.60/claim|Median: $9.87
0.2× median
G0466Normal range

$485

190 claims · 0.0%

Your Cost: $2.55/claim|Median: $63.31
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$374

622 claims · 0.0%

Your Cost: $0.60/claim|Median: $17.85
0.0× median
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