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Provider 1356763155

NPI: 1356763155Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,483,544

Total Claims

503K

Beneficiaries

383K

1.3 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$3.5M
-7%
2019
$3.3M
-26%
2020
$2.4M
-47%
2021
$1.3M
-26%
2022
$945K
+51%
2023
$1.4M
-53%
2024
$664K

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 70% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.4M

60K claims · 69.8%

Your Cost: $157.20/claim|Median: $121.16
1.3× median
00003Normal range

Anesthesia services

$2.5M

14K claims · 18.6%

Your Cost: $183.93/claim|Median: $223.77
0.8× median
99203Top 1%

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

$593K

2,246 claims · 4.4%

Your Cost: $263.87/claim|Median: $57.85
4.6× median
99213Normal range

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

$482K

50K claims · 3.6%

Your Cost: $9.59/claim|Median: $37.81
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$277K

7,668 claims · 2.1%

Your Cost: $36.18/claim|Median: $25.06
1.4× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$38K

221 claims · 0.3%

Your Cost: $172.58/claim|Median: $40.11
4.3× median
J3490Top 10%

Unclassified drugs

$29K

312 claims · 0.2%

Your Cost: $93.83/claim|Median: $5.70
16.5× median
S9445Normal range

$26K

2,655 claims · 0.2%

Your Cost: $9.83/claim|Median: $12.72
0.8× median
99214Normal range

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

$21K

9,300 claims · 0.2%

Your Cost: $2.25/claim|Median: $53.41
0.0× median
99000Normal range

$15K

17K claims · 0.1%

Your Cost: $0.90/claim|Median: $2.30
0.4× median
3008FNormal range

$11K

61K claims · 0.1%

Your Cost: $0.19/claim|Median: $0.06
3.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9K

6,361 claims · 0.1%

Your Cost: $1.34/claim|Median: $7.18
0.2× median
96156Normal range

$8K

8,265 claims · 0.1%

Your Cost: $0.98/claim|Median: $22.36
0.0× median
98960Normal range

$8K

12K claims · 0.1%

Your Cost: $0.64/claim|Median: $12.74
0.1× median
90674Normal range

$5K

244 claims · 0.0%

Your Cost: $21.78/claim|Median: $15.16
1.4× median
G0447Normal range

$4K

7,097 claims · 0.0%

Your Cost: $0.59/claim|Median: $5.19
0.1× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$4K

37K claims · 0.0%

Your Cost: $0.11/claim|Median: $0.79
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$4K

6,938 claims · 0.0%

Your Cost: $0.54/claim|Median: $6.61
0.1× median
90688Normal range

$3K

317 claims · 0.0%

Your Cost: $10.09/claim|Median: $9.00
1.1× median
81025Normal range

Urine pregnancy test

$3K

1,837 claims · 0.0%

Your Cost: $1.73/claim|Median: $4.81
0.4× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$2K

4,941 claims · 0.0%

Your Cost: $0.44/claim|Median: $24.33
0.0× median
59425Normal range

Antepartum care only, 4-6 visits

$2K

73 claims · 0.0%

Your Cost: $24.85/claim|Median: $63.63
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

117 claims · 0.0%

Your Cost: $13.10/claim|Median: $99.21
0.1× median
85018Normal range

$1K

8,580 claims · 0.0%

Your Cost: $0.16/claim|Median: $1.71
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1K

810 claims · 0.0%

Your Cost: $1.69/claim|Median: $80.15
0.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$1K

4,428 claims · 0.0%

Your Cost: $0.31/claim|Median: $12.70
0.0× median
90715Normal range

Tdap vaccine

$1K

241 claims · 0.0%

Your Cost: $5.40/claim|Median: $10.32
0.5× median
99173Normal range

$1K

11K claims · 0.0%

Your Cost: $0.11/claim|Median: $2.16
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1K

1,307 claims · 0.0%

Your Cost: $0.79/claim|Median: $74.82
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$951

189 claims · 0.0%

Your Cost: $5.03/claim|Median: $41.28
0.1× median
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