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Provider 1285788059

NPI: 1285788059Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.1M

$14,138,727

Total Claims

306K

Beneficiaries

262K

1.2 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+10%
2019
$1.4M
+28%
2020
$1.8M
+48%
2021
$2.6M
-21%
2022
$2.1M
+12%
2023
$2.3M
+15%
2024
$2.7M

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 82% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$11.6M

106K claims · 82.1%

Your Cost: $109.63/claim|Median: $121.16
0.9× median
00003Normal range

Anesthesia services

$1.7M

9,688 claims · 11.8%

Your Cost: $172.30/claim|Median: $223.77
0.8× median
99213Normal range

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

$290K

58K claims · 2.1%

Your Cost: $4.99/claim|Median: $37.81
0.1× median
G2025Normal range

$106K

10K claims · 0.8%

Your Cost: $10.15/claim|Median: $15.63
0.6× median
96156Normal range

$74K

4,159 claims · 0.5%

Your Cost: $17.78/claim|Median: $22.36
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$70K

10K claims · 0.5%

Your Cost: $7.01/claim|Median: $25.06
0.3× median
99214Normal range

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

$67K

12K claims · 0.5%

Your Cost: $5.67/claim|Median: $53.41
0.1× median
G0467Normal range

Federally qualified health center visit, mental health

$53K

3,899 claims · 0.4%

Your Cost: $13.55/claim|Median: $21.91
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$44K

3,969 claims · 0.3%

Your Cost: $10.99/claim|Median: $63.65
0.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$37K

1,068 claims · 0.3%

Your Cost: $34.79/claim|Median: $76.06
0.5× median
H1001Normal range

$18K

293 claims · 0.1%

Your Cost: $60.05/claim|Median: $60.48
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$15K

2,415 claims · 0.1%

Your Cost: $6.02/claim|Median: $7.18
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$13K

511 claims · 0.1%

Your Cost: $25.89/claim|Median: $72.71
0.4× median
90750Normal range

$11K

113 claims · 0.1%

Your Cost: $100.27/claim|Median: $96.16
1.0× median
99203Normal range

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

$8K

592 claims · 0.1%

Your Cost: $12.85/claim|Median: $57.85
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$7K

306 claims · 0.1%

Your Cost: $24.34/claim|Median: $99.21
0.2× median
92551Normal range

Screening audiometry, pure tone, air only

$4K

1,379 claims · 0.0%

Your Cost: $2.81/claim|Median: $6.61
0.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3K

427 claims · 0.0%

Your Cost: $8.08/claim|Median: $75.18
0.1× median
85018Normal range

$3K

8,532 claims · 0.0%

Your Cost: $0.37/claim|Median: $1.71
0.2× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$3K

264 claims · 0.0%

Your Cost: $11.29/claim|Median: $30.53
0.4× median
99334Normal range

$3K

2,022 claims · 0.0%

Your Cost: $1.32/claim|Median: $9.92
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

279 claims · 0.0%

Your Cost: $8.74/claim|Median: $69.35
0.1× median
99173Normal range

$2K

5,677 claims · 0.0%

Your Cost: $0.41/claim|Median: $2.16
0.2× median
59425Normal range

Antepartum care only, 4-6 visits

$2K

76 claims · 0.0%

Your Cost: $26.26/claim|Median: $63.63
0.4× median
81025Normal range

Urine pregnancy test

$2K

1,390 claims · 0.0%

Your Cost: $1.38/claim|Median: $4.81
0.3× median
82962Normal range

Blood glucose test by monitoring device

$2K

7,523 claims · 0.0%

Your Cost: $0.25/claim|Median: $1.40
0.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$2K

4,842 claims · 0.0%

Your Cost: $0.37/claim|Median: $2.00
0.2× median
96110Normal range

Developmental screening, per standardized instrument

$2K

1,355 claims · 0.0%

Your Cost: $1.29/claim|Median: $9.10
0.1× median
G8510Normal range

$2K

419 claims · 0.0%

Your Cost: $4.12/claim|Median: $1.96
2.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$1K

69 claims · 0.0%

Your Cost: $17.87/claim|Median: $33.85
0.5× median
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