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Provider 1366625089

NPI: 1366625089Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,253,807

Total Claims

84K

Beneficiaries

61K

1.4 claims/patient

Avg Cost/Claim

$122

Monthly Spending Trend

Yearly Spending

2018
$607K
+3%
2019
$625K
+133%
2020
$1.5M
+7%
2021
$1.6M
+12%
2022
$1.7M
+22%
2023
$2.1M
+1%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 64% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$6.6M

48K claims · 64.4%

Your Cost: $136.61/claim|Median: $121.16
1.1× median
99214Top 5%

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

$1.9M

11K claims · 18.9%

Your Cost: $170.38/claim|Median: $53.41
3.2× median
99213Top 1%

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

$1.6M

10K claims · 15.9%

Your Cost: $161.33/claim|Median: $37.81
4.3× median
99212Top 5%

Office/outpatient visit, low complexity

$58K

350 claims · 0.6%

Your Cost: $165.55/claim|Median: $25.06
6.6× median
W7010Normal range

$11K

720 claims · 0.1%

Your Cost: $14.68/claim|Median: $15.03
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$4K

191 claims · 0.0%

Your Cost: $23.44/claim|Median: $47.08
0.5× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$4K

127 claims · 0.0%

Your Cost: $35.11/claim|Median: $25.93
1.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$4K

109 claims · 0.0%

Your Cost: $38.37/claim|Median: $33.85
1.1× median
3074FNormal range

$3K

4,807 claims · 0.0%

Your Cost: $0.64/claim|Median: $0.11
5.8× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$2K

15 claims · 0.0%

Your Cost: $158.07/claim|Median: $76.22
2.1× median
0064ATop 10%

$2K

45 claims · 0.0%

Your Cost: $48.97/claim|Median: $34.17
1.4× median
80305Top 5%

$509

30 claims · 0.0%

Your Cost: $16.96/claim|Median: $7.44
2.3× median
92250Normal range

Fundus photography with interpretation and report

$452

123 claims · 0.0%

Your Cost: $3.68/claim|Median: $27.95
0.1× median
3078FNormal range

$423

4,870 claims · 0.0%

Your Cost: $0.09/claim|Median: $0.08
1.1× median
87426Normal range

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

$407

49 claims · 0.0%

Your Cost: $8.31/claim|Median: $30.04
0.3× median
3079FNormal range

$201

381 claims · 0.0%

Your Cost: $0.53/claim|Median: $0.12
4.4× median
92015Normal range

Determination of refractive state

$190

280 claims · 0.0%

Your Cost: $0.68/claim|Median: $10.36
0.1× median
91301

COVID-19 vaccine (Moderna), first dose

$171

70 claims · 0.0%

99000Top 25%

$171

32 claims · 0.0%

Your Cost: $5.33/claim|Median: $2.30
2.3× median
99406Normal range

$112

1,049 claims · 0.0%

Your Cost: $0.11/claim|Median: $6.53
0.0× median
3075FNormal range

$45

107 claims · 0.0%

Your Cost: $0.42/claim|Median: $0.15
2.8× median
90674Normal range

$27

89 claims · 0.0%

Your Cost: $0.30/claim|Median: $15.16
0.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
83037Normal range

$0

149 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.07
3077FNormal range

$0

71 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
G0467Normal range

Federally qualified health center visit, mental health

$0

285 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.91
87804Normal range

Influenza virus detection, rapid test

$0

25 claims · 0.0%

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