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Provider 1316188253

NPI: 1316188253Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.8M

$17,771,349

Total Claims

497K

Beneficiaries

462K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$4.5M
-48%
2019
$2.3M
-10%
2020
$2.1M
+5%
2021
$2.2M
-9%
2022
$2.0M
+6%
2023
$2.1M
+22%
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 65% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$11.6M

147K claims · 65.0%

Your Cost: $78.85/claim|Median: $121.16
0.7× median
99213Normal range

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

$1.5M

128K claims · 8.6%

Your Cost: $11.85/claim|Median: $37.81
0.3× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$808K

1,406 claims · 4.5%

Your Cost: $574.68/claim|Median: $470.36
1.2× median
99214Normal range

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

$557K

32K claims · 3.1%

Your Cost: $17.56/claim|Median: $53.41
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$350K

41K claims · 2.0%

Your Cost: $8.57/claim|Median: $25.06
0.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$215K

4,460 claims · 1.2%

Your Cost: $48.31/claim|Median: $80.15
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$212K

5,452 claims · 1.2%

Your Cost: $38.96/claim|Median: $74.82
0.5× median
90750Top 25%

$185K

1,136 claims · 1.0%

Your Cost: $162.42/claim|Median: $96.16
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$178K

5,030 claims · 1.0%

Your Cost: $35.37/claim|Median: $75.18
0.5× median
59425Normal range

Antepartum care only, 4-6 visits

$165K

2,196 claims · 0.9%

Your Cost: $74.92/claim|Median: $63.63
1.2× median
90651Top 25%

HPV vaccine, 9-valent

$134K

3,560 claims · 0.8%

Your Cost: $37.63/claim|Median: $8.93
4.2× median
99203Normal range

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

$113K

3,265 claims · 0.6%

Your Cost: $34.60/claim|Median: $57.85
0.6× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$107K

3,437 claims · 0.6%

Your Cost: $31.21/claim|Median: $29.03
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$106K

3,403 claims · 0.6%

Your Cost: $31.28/claim|Median: $69.35
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$94K

9,924 claims · 0.5%

Your Cost: $9.52/claim|Median: $7.18
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$91K

12K claims · 0.5%

Your Cost: $7.90/claim|Median: $6.61
1.2× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$88K

647 claims · 0.5%

Your Cost: $135.78/claim|Median: $100.62
1.3× median
64615Normal range

$79K

981 claims · 0.4%

Your Cost: $80.46/claim|Median: $82.82
1.0× median
90715Top 25%

Tdap vaccine

$74K

2,983 claims · 0.4%

Your Cost: $24.85/claim|Median: $10.32
2.4× median
99204Normal range

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

$72K

1,747 claims · 0.4%

Your Cost: $41.21/claim|Median: $84.03
0.5× median
G2025Normal range

$70K

2,930 claims · 0.4%

Your Cost: $24.02/claim|Median: $15.63
1.5× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$68K

544 claims · 0.4%

Your Cost: $124.50/claim|Median: $72.71
1.7× median
96110Top 5%

Developmental screening, per standardized instrument

$63K

833 claims · 0.4%

Your Cost: $76.10/claim|Median: $9.10
8.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$61K

823 claims · 0.3%

Your Cost: $73.76/claim|Median: $121.58
0.6× median
87426Normal range

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

$60K

2,239 claims · 0.3%

Your Cost: $26.68/claim|Median: $30.04
0.9× median
90670Top 25%

$49K

3,407 claims · 0.3%

Your Cost: $14.51/claim|Median: $5.94
2.4× median
G0467Normal range

Federally qualified health center visit, mental health

$43K

13K claims · 0.2%

Your Cost: $3.27/claim|Median: $21.91
0.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$39K

1,935 claims · 0.2%

Your Cost: $20.35/claim|Median: $9.56
2.1× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$36K

129 claims · 0.2%

Your Cost: $278.68/claim|Median: $76.06
3.7× median
90734Normal range

$26K

2,410 claims · 0.1%

Your Cost: $10.98/claim|Median: $6.40
1.7× median
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