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Provider 1285785089

NPI: 1285785089Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,833,063

Total Claims

171K

Beneficiaries

122K

1.4 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$726K
+47%
2019
$1.1M
+2%
2020
$1.1M
+21%
2021
$1.3M
-5%
2022
$1.2M
+29%
2023
$1.6M
+12%
2024
$1.8M

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 100% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.8M

76K claims · 100.0%

Your Cost: $115.52/claim|Median: $121.16
1.0× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$2K

101 claims · 0.0%

Your Cost: $21.19/claim|Median: $144.05
0.1× median
99213Normal range

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

$359

37K claims · 0.0%

Your Cost: $0.01/claim|Median: $37.81
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$165

2,222 claims · 0.0%

Your Cost: $0.07/claim|Median: $25.06
0.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$85

22 claims · 0.0%

Your Cost: $3.88/claim|Median: $51.25
0.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$67

3,854 claims · 0.0%

Your Cost: $0.02/claim|Median: $35.30
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$3

3,271 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
0.0× median
99203Normal range

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

$0

2,163 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85
0.0× median
3008FNormal range

$0

1,646 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
99214Normal range

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

$0

29K claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
90471Normal range

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

$0

1,268 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
30746

$0

15 claims · 0.0%

99204Normal range

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

$0

49 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.03
1036FNormal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
99223Normal range

Initial hospital care, per day, high complexity

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $67.32
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$0

1,469 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.62
99232Normal range

Subsequent hospital care, per day, moderate complexity

$0

931 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.99
J1030Normal range

Injection, methylprednisolone acetate, forty milligrams

$0

184 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.38
J0702Normal range

$0

468 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.64
3080FNormal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
90472Normal range

Immunization administration, each additional vaccine

$0

657 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
99215Normal range

Office/outpatient visit, high complexity

$0

64 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09
99231Normal range

Subsequent hospital care, per day, low complexity

$0

254 claims · 0.0%

Your Cost: $0.00/claim|Median: $16.77
99394Normal range

Preventive medicine, established patient, age 12-17

$0

214 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.15
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.91
87804Normal range

Influenza virus detection, rapid test

$0

1,120 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
G8427Normal range

$0

375 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
90633Normal range

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.56
90792Normal range

Psychiatric diagnostic evaluation with medical services

$0

80 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91
3079FNormal range

$0

409 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
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