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Provider 1366492597

NPI: 1366492597Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.8M

$16,834,331

Total Claims

276K

Beneficiaries

204K

1.4 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+5%
2019
$3.3M
-29%
2020
$2.3M
-9%
2021
$2.1M
-1%
2022
$2.1M
+2%
2023
$2.1M
-25%
2024
$1.6M

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 93% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$15.7M

145K claims · 93.0%

Your Cost: $108.33/claim|Median: $121.16
0.9× median
D9430Top 1%

$1.1M

14K claims · 6.8%

Your Cost: $84.44/claim|Median: $31.69
2.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

957 claims · 0.1%

Your Cost: $10.23/claim|Median: $7.18
1.4× median
90715Normal range

Tdap vaccine

$4K

264 claims · 0.0%

Your Cost: $16.34/claim|Median: $10.32
1.6× median
90651Normal range

HPV vaccine, 9-valent

$4K

541 claims · 0.0%

Your Cost: $6.57/claim|Median: $8.93
0.7× median
90700Normal range

$3K

609 claims · 0.0%

Your Cost: $4.62/claim|Median: $4.56
1.0× median
90713Normal range

Poliovirus vaccine (IPV)

$2K

393 claims · 0.0%

Your Cost: $5.19/claim|Median: $5.41
1.0× median
90734Normal range

$1K

202 claims · 0.0%

Your Cost: $7.29/claim|Median: $6.40
1.1× median
90670Normal range

$872

151 claims · 0.0%

Your Cost: $5.77/claim|Median: $5.94
1.0× median
90633Normal range

$736

114 claims · 0.0%

Your Cost: $6.46/claim|Median: $3.56
1.8× median
90648Normal range

$656

137 claims · 0.0%

Your Cost: $4.79/claim|Median: $4.08
1.2× median
90716Normal range

$416

55 claims · 0.0%

Your Cost: $7.56/claim|Median: $6.18
1.2× median
90674Normal range

$408

61 claims · 0.0%

Your Cost: $6.69/claim|Median: $15.16
0.4× median
90619Normal range

$312

41 claims · 0.0%

Your Cost: $7.61/claim|Median: $8.36
0.9× median
90744Normal range

$224

45 claims · 0.0%

Your Cost: $4.98/claim|Median: $5.00
1.0× median
90707Normal range

MMR vaccine

$184

25 claims · 0.0%

Your Cost: $7.36/claim|Median: $5.76
1.3× median
90680Normal range

$128

32 claims · 0.0%

Your Cost: $4.00/claim|Median: $5.58
0.7× median
99213Normal range

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

$0

34K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$0

127 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.93
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.72
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$0

88 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.85
99205Normal range

Office/outpatient visit, new patient, high complexity

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $111.09
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.49
G0467Normal range

Federally qualified health center visit, mental health

$0

544 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.91
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

22 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
87804Normal range

Influenza virus detection, rapid test

$0

159 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
11721Normal range

$0

119 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.56
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $79.89
99203Normal range

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

$0

69 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85
36415Normal range

Collection of venous blood by venipuncture

$0

4,575 claims · 0.0%

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