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Provider 1386708634

NPI: 1386708634Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.2M

$16,200,244

Total Claims

325K

Beneficiaries

276K

1.2 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+3%
2019
$1.9M
+10%
2020
$2.1M
+62%
2021
$3.4M
-29%
2022
$2.4M
-5%
2023
$2.3M
-6%
2024
$2.2M

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 77% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$12.5M

101K claims · 76.9%

Your Cost: $123.90/claim|Median: $121.16
1.0× median
00003Normal range

Anesthesia services

$3.5M

18K claims · 21.3%

Your Cost: $189.28/claim|Median: $223.77
0.8× median
G9012Normal range

Other specified case management service, per 15 minutes

$80K

5,095 claims · 0.5%

Your Cost: $15.62/claim|Median: $137.85
0.1× median
99213Normal range

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

$51K

40K claims · 0.3%

Your Cost: $1.29/claim|Median: $37.81
0.0× median
G0467Top 25%

Federally qualified health center visit, mental health

$33K

537 claims · 0.2%

Your Cost: $60.62/claim|Median: $21.91
2.8× median
G9008Normal range

Coordination of long-term care services, per month

$22K

3,336 claims · 0.1%

Your Cost: $6.50/claim|Median: $66.78
0.1× median
98940Normal range

$21K

7,575 claims · 0.1%

Your Cost: $2.76/claim|Median: $14.55
0.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$21K

770 claims · 0.1%

Your Cost: $26.88/claim|Median: $33.85
0.8× median
99214Normal range

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

$13K

7,973 claims · 0.1%

Your Cost: $1.60/claim|Median: $53.41
0.0× median
0064ANormal range

$7K

191 claims · 0.0%

Your Cost: $36.54/claim|Median: $34.17
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$7K

168 claims · 0.0%

Your Cost: $39.07/claim|Median: $33.72
1.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$6K

607 claims · 0.0%

Your Cost: $9.91/claim|Median: $25.93
0.4× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$4K

92 claims · 0.0%

Your Cost: $43.17/claim|Median: $36.70
1.2× median
99203Normal range

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

$4K

3,310 claims · 0.0%

Your Cost: $1.16/claim|Median: $57.85
0.0× median
0013ANormal range

$3K

93 claims · 0.0%

Your Cost: $36.02/claim|Median: $35.38
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$2K

11K claims · 0.0%

Your Cost: $0.21/claim|Median: $25.06
0.0× median
G0468Top 25%

$1K

12 claims · 0.0%

Your Cost: $105.87/claim|Median: $43.74
2.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1K

48 claims · 0.0%

Your Cost: $25.71/claim|Median: $111.09
0.2× median
0071ATop 25%

$1K

24 claims · 0.0%

Your Cost: $43.33/claim|Median: $38.71
1.1× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$810

23 claims · 0.0%

Your Cost: $35.22/claim|Median: $36.49
1.0× median
0004ANormal range

$787

24 claims · 0.0%

Your Cost: $32.79/claim|Median: $35.62
0.9× median
0031ANormal range

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

$737

27 claims · 0.0%

Your Cost: $27.30/claim|Median: $32.49
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$736

42 claims · 0.0%

Your Cost: $17.51/claim|Median: $99.21
0.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$608

893 claims · 0.0%

Your Cost: $0.68/claim|Median: $40.11
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$461

124 claims · 0.0%

Your Cost: $3.72/claim|Median: $41.28
0.1× median
81025Normal range

Urine pregnancy test

$441

1,238 claims · 0.0%

Your Cost: $0.36/claim|Median: $4.81
0.1× median
G0071Normal range

$137

18 claims · 0.0%

Your Cost: $7.61/claim|Median: $7.20
1.1× median
0072ANormal range

$55

14 claims · 0.0%

Your Cost: $3.93/claim|Median: $39.57
0.1× median
3078FNormal range

$40

3,559 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.08
0.1× median
3074FNormal range

$40

3,605 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.11
0.1× median
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