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Provider 1295118883

NPI: 1295118883Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.1M

$16,127,838

Total Claims

1.2M

Beneficiaries

654K

1.8 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$789K
+6%
2019
$839K
+8%
2020
$907K
+175%
2021
$2.5M
+55%
2022
$3.9M
+18%
2023
$4.6M
-42%
2024
$2.6M

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 58% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.4M

129K claims · 58.2%

Your Cost: $72.83/claim|Median: $121.16
0.6× median
99213Normal range

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

$3.0M

143K claims · 18.5%

Your Cost: $20.93/claim|Median: $37.81
0.6× median
99214Normal range

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

$461K

15K claims · 2.9%

Your Cost: $29.83/claim|Median: $53.41
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$348K

17K claims · 2.2%

Your Cost: $20.55/claim|Median: $41.28
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$272K

18K claims · 1.7%

Your Cost: $15.15/claim|Median: $17.85
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$248K

7,468 claims · 1.5%

Your Cost: $33.25/claim|Median: $75.18
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$204K

16K claims · 1.3%

Your Cost: $12.90/claim|Median: $25.06
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$201K

7,400 claims · 1.2%

Your Cost: $27.22/claim|Median: $69.35
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$143K

4,608 claims · 0.9%

Your Cost: $31.12/claim|Median: $74.82
0.4× median
G0467Normal range

Federally qualified health center visit, mental health

$126K

5,736 claims · 0.8%

Your Cost: $21.97/claim|Median: $21.91
1.0× median
J1050Top 10%

Injection, medroxyprogesterone acetate, one milligram

$121K

1,429 claims · 0.8%

Your Cost: $85.00/claim|Median: $41.92
2.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$108K

3,515 claims · 0.7%

Your Cost: $30.63/claim|Median: $72.71
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$99K

3,868 claims · 0.6%

Your Cost: $25.69/claim|Median: $63.65
0.4× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$95K

5,967 claims · 0.6%

Your Cost: $15.88/claim|Median: $30.04
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$75K

1,842 claims · 0.5%

Your Cost: $40.77/claim|Median: $85.66
0.5× median
D1110Normal range

Prophylaxis, adult cleaning

$72K

4,677 claims · 0.4%

Your Cost: $15.48/claim|Median: $43.38
0.4× median
90670Top 10%

$68K

2,351 claims · 0.4%

Your Cost: $28.98/claim|Median: $5.94
4.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$65K

1,805 claims · 0.4%

Your Cost: $36.20/claim|Median: $80.15
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$57K

5,731 claims · 0.4%

Your Cost: $9.95/claim|Median: $32.07
0.3× median
D0330Normal range

Panoramic radiographic image

$54K

3,148 claims · 0.3%

Your Cost: $17.19/claim|Median: $37.36
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$51K

8,086 claims · 0.3%

Your Cost: $6.26/claim|Median: $11.48
0.5× median
D1120Normal range

Prophylaxis, adult

$49K

4,630 claims · 0.3%

Your Cost: $10.61/claim|Median: $33.86
0.3× median
96110Normal range

Developmental screening, per standardized instrument

$49K

13K claims · 0.3%

Your Cost: $3.70/claim|Median: $9.10
0.4× median
99203Normal range

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

$44K

2,052 claims · 0.3%

Your Cost: $21.45/claim|Median: $57.85
0.4× median
D1206Normal range

Topical application of fluoride varnish

$40K

5,755 claims · 0.2%

Your Cost: $6.94/claim|Median: $18.12
0.4× median
D0120Normal range

Periodic oral evaluation, established patient

$40K

4,924 claims · 0.2%

Your Cost: $8.10/claim|Median: $24.34
0.3× median
36415Normal range

Collection of venous blood by venipuncture

$33K

20K claims · 0.2%

Your Cost: $1.66/claim|Median: $1.57
1.1× median
87804Normal range

Influenza virus detection, rapid test

$33K

5,186 claims · 0.2%

Your Cost: $6.29/claim|Median: $12.59
0.5× median
92551Normal range

Screening audiometry, pure tone, air only

$31K

8,762 claims · 0.2%

Your Cost: $3.55/claim|Median: $6.61
0.5× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$30K

421 claims · 0.2%

Your Cost: $71.97/claim|Median: $74.78
1.0× median
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