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Provider 1366053167

NPI: 1366053167Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$13.0M

$13,002,123

Total Claims

222K

Beneficiaries

214K

1.0 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2021
$501K
+428%
2022
$2.6M
+92%
2023
$5.1M
-5%
2024
$4.8M

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 98% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$12.7M

57K claims · 97.9%

Your Cost: $221.48/claim|Median: $121.16
1.8× median
99213Normal range

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

$90K

26K claims · 0.7%

Your Cost: $3.50/claim|Median: $37.81
0.1× median
99214Normal range

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

$62K

13K claims · 0.5%

Your Cost: $4.75/claim|Median: $53.41
0.1× median
99203Normal range

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

$49K

2,619 claims · 0.4%

Your Cost: $18.87/claim|Median: $57.85
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$14K

2,708 claims · 0.1%

Your Cost: $5.24/claim|Median: $74.09
0.1× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$12K

5,112 claims · 0.1%

Your Cost: $2.38/claim|Median: $30.53
0.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$12K

2,808 claims · 0.1%

Your Cost: $4.22/claim|Median: $65.64
0.1× median
87804Normal range

Influenza virus detection, rapid test

$7K

6,389 claims · 0.1%

Your Cost: $1.16/claim|Median: $12.59
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$5K

2,789 claims · 0.0%

Your Cost: $1.97/claim|Median: $25.06
0.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$3K

4,642 claims · 0.0%

Your Cost: $0.59/claim|Median: $11.48
0.1× median
G0467Normal range

Federally qualified health center visit, mental health

$3K

93 claims · 0.0%

Your Cost: $28.90/claim|Median: $21.91
1.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$2K

1,034 claims · 0.0%

Your Cost: $2.34/claim|Median: $9.70
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

2,040 claims · 0.0%

Your Cost: $1.12/claim|Median: $9.56
0.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$2K

123 claims · 0.0%

Your Cost: $15.20/claim|Median: $40.11
0.4× median
99000Normal range

$1K

5,511 claims · 0.0%

Your Cost: $0.20/claim|Median: $2.30
0.1× median
81025Normal range

Urine pregnancy test

$892

2,736 claims · 0.0%

Your Cost: $0.33/claim|Median: $4.81
0.1× median
99204Normal range

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

$891

57 claims · 0.0%

Your Cost: $15.64/claim|Median: $84.03
0.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$786

6,270 claims · 0.0%

Your Cost: $0.13/claim|Median: $2.00
0.1× median
80048Normal range

Basic metabolic panel

$324

799 claims · 0.0%

Your Cost: $0.41/claim|Median: $5.78
0.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$302

1,435 claims · 0.0%

Your Cost: $0.21/claim|Median: $0.91
0.2× median
80047Normal range

$285

468 claims · 0.0%

Your Cost: $0.61/claim|Median: $6.12
0.1× median
85007Normal range

$233

1,238 claims · 0.0%

Your Cost: $0.19/claim|Median: $1.77
0.1× median
89240Normal range

$134

793 claims · 0.0%

Your Cost: $0.17/claim|Median: $0.11
1.5× median
87420Normal range

$96

190 claims · 0.0%

Your Cost: $0.51/claim|Median: $9.78
0.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$39

68 claims · 0.0%

Your Cost: $0.57/claim|Median: $10.88
0.1× median
36415Normal range

Collection of venous blood by venipuncture

$28

2,199 claims · 0.0%

Your Cost: $0.01/claim|Median: $1.57
0.0× median
G8510Normal range

$6

9,659 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
0.0× median
82962Normal range

Blood glucose test by monitoring device

$2

13 claims · 0.0%

Your Cost: $0.15/claim|Median: $1.40
0.1× median
J7620Normal range

$0

66 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.14
0.0× median
1159FNormal range

$0

8,017 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
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