Provider 1306062419
Total Paid
$15.6M
$15,563,888
Total Claims
38K
Beneficiaries
26K
1.4 claims/patient
Avg Cost/Claim
$411
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 25 distinct procedure codes. The top code (00003 (Anesthesia services)) accounts for 63% of total spending.
Anesthesia services
$9.9M
19K claims · 63.3%
$5.5M
9,925 claims
$553.80
$121.16
Clinic visit/encounter, all-inclusive
$5.5M
9,925 claims · 35.3%
$107K
2,085 claims
$51.19
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$107K
2,085 claims · 0.7%
$100K
206 claims
$485.23
$21.91
Federally qualified health center visit, mental health
$100K
206 claims · 0.6%
$1K
37 claims
$40.00
$33.85
COVID-19 vaccine admin, Moderna, 2nd dose
$1K
37 claims · 0.0%
$968
34 claims
$28.47
$25.93
COVID-19 vaccine admin, Moderna, 1st dose
$968
34 claims · 0.0%
$0
1,734 claims
$0.00
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$0
1,734 claims · 0.0%
Psychotherapy, 30 minutes
$0
273 claims · 0.0%
$0
86 claims · 0.0%
Screening audiometry, pure tone, air only
$0
84 claims · 0.0%
$0
17 claims · 0.0%
$0
43 claims · 0.0%
$0
69 claims
$0.00
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$0
69 claims · 0.0%
$0
41 claims
$0.00
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$0
41 claims · 0.0%
$0
79 claims
$0.00
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$0
79 claims · 0.0%
$0
12 claims
$0.00
$11.48
Streptococcus, Group A, rapid antigen detection
$0
12 claims · 0.0%
$0
97 claims
$0.00
$12.93
Office/outpatient visit, minimal complexity
$0
97 claims · 0.0%
$0
58 claims
$0.00
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$0
58 claims · 0.0%
Psychotherapy, 60 minutes
$0
1,298 claims · 0.0%
$0
17 claims
$0.00
$9.56
Therapeutic injection, subcutaneous/intramuscular
$0
17 claims · 0.0%
$0
2,545 claims
$0.00
$25.06
Office/outpatient visit, low complexity
$0
2,545 claims · 0.0%
$0
12 claims
$0.00
$80.15
Preventive medicine, established patient, age 12-17
$0
12 claims · 0.0%
$0
15 claims
$0.00
$74.82
Preventive medicine, established patient, age 5-11
$0
15 claims · 0.0%
Tdap vaccine
$0
14 claims · 0.0%
$0
16 claims
$0.00
$6.93
Immunization admin, additional vaccine, counseling
$0
16 claims · 0.0%