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Provider 1356324362

NPI: 1356324362Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,411,355

Total Claims

130K

Beneficiaries

81K

1.6 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-28%
2019
$1.2M
-12%
2020
$1.1M
+35%
2021
$1.5M
-16%
2022
$1.2M
+16%
2023
$1.4M
-9%
2024
$1.3M

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 83% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$7.9M

40K claims · 83.4%

Your Cost: $194.23/claim|Median: $121.16
1.6× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$1.6M

10K claims · 16.6%

Your Cost: $154.80/claim|Median: $144.05
1.1× median
99214Normal range

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

$947

26K claims · 0.0%

Your Cost: $0.04/claim|Median: $53.41
0.0× median
99213Normal range

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

$634

25K claims · 0.0%

Your Cost: $0.03/claim|Median: $37.81
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$131

707 claims · 0.0%

Your Cost: $0.19/claim|Median: $25.06
0.0× median
87426Normal range

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

$50

207 claims · 0.0%

Your Cost: $0.24/claim|Median: $30.04
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$33

5,564 claims · 0.0%

Your Cost: $0.01/claim|Median: $41.28
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$14

4,085 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
0.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$9

820 claims · 0.0%

Your Cost: $0.01/claim|Median: $4.71
0.0× median
99203Normal range

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

$8

262 claims · 0.0%

Your Cost: $0.03/claim|Median: $57.85
0.0× median
99204Normal range

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

$0

918 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.03
1159FNormal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
J0696Normal range

$0

2,409 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.34
87804Normal range

Influenza virus detection, rapid test

$0

974 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
11596

$0

658 claims · 0.0%

J0702Normal range

$0

875 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.64
J1040Normal range

$0

642 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.87
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$0

780 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.91
11256

$0

156 claims · 0.0%

1158FNormal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.13
99307Normal range

$0

4,673 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.57
1170FNormal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
11706

$0

658 claims · 0.0%

36415Normal range

Collection of venous blood by venipuncture

$0

1,055 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
11586

$0

658 claims · 0.0%

99202Normal range

Office/outpatient visit, new patient, low complexity

$0

149 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
11606

$0

658 claims · 0.0%

81002Normal range

Urinalysis, non-automated without microscopy

$0

449 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.00
1160FNormal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
86318Normal range

$0

484 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.61
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