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Provider 1366425308

NPI: 1366425308Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,318,934

Total Claims

144K

Beneficiaries

105K

1.4 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$999K
+22%
2019
$1.2M
+7%
2020
$1.3M
+2%
2021
$1.3M
-19%
2022
$1.1M
+3%
2023
$1.1M
+15%
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 89% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.4M

51K claims · 88.9%

Your Cost: $145.61/claim|Median: $121.16
1.2× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$922K

6,985 claims · 11.1%

Your Cost: $132.06/claim|Median: $144.05
0.9× median
99213Normal range

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

$256

26K claims · 0.0%

Your Cost: $0.01/claim|Median: $37.81
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$3

2,112 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
0.0× median
99214Normal range

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

$0

23K claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$0

1,728 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

3,950 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$0

932 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.35
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$0

699 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.00
0.0× median
86318Normal range

$0

1,748 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.61
0.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$0

1,777 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.71
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$0

1,627 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
0.0× median
81025Normal range

Urine pregnancy test

$0

242 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
0.0× median
J0696Normal range

$0

1,403 claims · 0.0%

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

Influenza virus detection, rapid test

$0

1,460 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
J0702Normal range

$0

1,039 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.64
3074FNormal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
J1040Normal range

$0

576 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.87
11596

$0

477 claims · 0.0%

J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$0

557 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.91
87426Normal range

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

$0

61 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.04
11606

$0

477 claims · 0.0%

94640Normal range

Pressurized or nonpressurized inhalation treatment

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.88
90658Normal range

$0

137 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.96
99204Normal range

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

$0

218 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.03
11256

$0

88 claims · 0.0%

99309Normal range

Nursing facility care, subsequent, low complexity

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.00
99212Normal range

Office/outpatient visit, low complexity

$0

2,260 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
99393Normal range

Preventive medicine, established patient, age 5-11

$0

946 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
11586

$0

477 claims · 0.0%

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