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Provider 1306965587

NPI: 1306965587Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,186,425

Total Claims

148K

Beneficiaries

116K

1.3 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-6%
2019
$1.4M
-27%
2020
$1.0M
+71%
2021
$1.8M
-10%
2022
$1.6M
-22%
2023
$1.2M
+20%
2024
$1.5M

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 33% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$3.4M

42K claims · 32.9%

Your Cost: $80.74/claim|Median: $121.16
0.7× median
99213Top 10%

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

$2.2M

26K claims · 21.2%

Your Cost: $83.91/claim|Median: $37.81
2.2× median
99214Top 5%

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

$1.5M

9,762 claims · 14.8%

Your Cost: $154.52/claim|Median: $53.41
2.9× median
90837Normal range

Psychotherapy, 60 minutes

$779K

13K claims · 7.6%

Your Cost: $61.97/claim|Median: $85.66
0.7× median
00003Normal range

Anesthesia services

$512K

3,355 claims · 5.0%

Your Cost: $152.54/claim|Median: $223.77
0.7× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$329K

9,120 claims · 3.2%

Your Cost: $36.07/claim|Median: $12.70
2.8× median
90834Normal range

Psychotherapy, 45 minutes

$207K

6,359 claims · 2.0%

Your Cost: $32.60/claim|Median: $63.65
0.5× median
99203Top 5%

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

$144K

821 claims · 1.4%

Your Cost: $174.84/claim|Median: $57.85
3.0× median
90791Normal range

Psychiatric diagnostic evaluation

$111K

1,593 claims · 1.1%

Your Cost: $69.84/claim|Median: $99.21
0.7× median
80053Top 5%

Comprehensive metabolic panel

$92K

2,142 claims · 0.9%

Your Cost: $42.82/claim|Median: $7.24
5.9× median
99204Top 1%

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

$92K

311 claims · 0.9%

Your Cost: $294.49/claim|Median: $84.03
3.5× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$84K

342 claims · 0.8%

Your Cost: $245.56/claim|Median: $76.06
3.2× median
80061Top 5%

Lipid panel

$83K

1,963 claims · 0.8%

Your Cost: $42.21/claim|Median: $8.41
5.0× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$65K

2,944 claims · 0.6%

Your Cost: $22.18/claim|Median: $5.50
4.0× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$61K

1,550 claims · 0.6%

Your Cost: $39.23/claim|Median: $9.87
4.0× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$59K

263 claims · 0.6%

Your Cost: $225.02/claim|Median: $72.71
3.1× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$58K

336 claims · 0.6%

Your Cost: $171.83/claim|Median: $76.22
2.3× median
90471Top 5%

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

$45K

1,262 claims · 0.4%

Your Cost: $35.40/claim|Median: $9.80
3.6× median
99212Top 25%

Office/outpatient visit, low complexity

$36K

956 claims · 0.4%

Your Cost: $37.75/claim|Median: $25.06
1.5× median
90832Normal range

Psychotherapy, 30 minutes

$35K

1,361 claims · 0.3%

Your Cost: $25.98/claim|Median: $41.28
0.6× median
99401Normal range

$33K

1,766 claims · 0.3%

Your Cost: $18.92/claim|Median: $16.53
1.1× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$33K

1,691 claims · 0.3%

Your Cost: $19.58/claim|Median: $4.71
4.2× median
96110Top 10%

Developmental screening, per standardized instrument

$31K

1,290 claims · 0.3%

Your Cost: $23.97/claim|Median: $9.10
2.6× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$30K

212 claims · 0.3%

Your Cost: $141.32/claim|Median: $40.11
3.5× median
92552Normal range

Pure tone audiometry, air only, each ear

$29K

1,653 claims · 0.3%

Your Cost: $17.73/claim|Median: $12.63
1.4× median
87086Top 10%

Urine culture, colony count, with identification

$27K

1,278 claims · 0.3%

Your Cost: $20.81/claim|Median: $5.31
3.9× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$25K

462 claims · 0.2%

Your Cost: $55.09/claim|Median: $38.83
1.4× median
G9012Top 5%

Other specified case management service, per 15 minutes

$23K

41 claims · 0.2%

Your Cost: $553.83/claim|Median: $137.85
4.0× median
90853Normal range

Group psychotherapy

$21K

2,106 claims · 0.2%

Your Cost: $10.04/claim|Median: $25.02
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$19K

1,430 claims · 0.2%

Your Cost: $13.40/claim|Median: $7.18
1.9× median
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