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Provider 1396076147

NPI: 1396076147Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.7M

$9,725,269

Total Claims

127K

Beneficiaries

88K

1.4 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-40%
2019
$667K
+108%
2020
$1.4M
-66%
2021
$473K
+127%
2022
$1.1M
+111%
2023
$2.3M
+21%
2024
$2.7M

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 46% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$4.4M

25K claims · 45.7%

Your Cost: $180.28/claim|Median: $121.16
1.5× median
J2315Top 25%

$3.2M

2,600 claims · 33.0%

Your Cost: $1,234.58/claim|Median: $1,045.36
1.2× median
G9012Normal range

Other specified case management service, per 15 minutes

$1.6M

36K claims · 16.8%

Your Cost: $45.19/claim|Median: $137.85
0.3× median
H0043Normal range

Supported housing, per diem

$125K

1,378 claims · 1.3%

Your Cost: $90.96/claim|Median: $164.87
0.6× median
87426Normal range

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

$118K

3,504 claims · 1.2%

Your Cost: $33.72/claim|Median: $30.04
1.1× median
G9008Normal range

Coordination of long-term care services, per month

$47K

7,918 claims · 0.5%

Your Cost: $5.99/claim|Median: $66.78
0.1× median
99203Normal range

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

$37K

6,554 claims · 0.4%

Your Cost: $5.59/claim|Median: $57.85
0.1× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$32K

229 claims · 0.3%

Your Cost: $140.76/claim|Median: $97.61
1.4× median
G9920Top 25%

$23K

835 claims · 0.2%

Your Cost: $28.10/claim|Median: $6.56
4.3× median
99213Normal range

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

$10K

6,449 claims · 0.1%

Your Cost: $1.59/claim|Median: $37.81
0.0× median
99214Normal range

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

$8K

3,778 claims · 0.1%

Your Cost: $2.24/claim|Median: $53.41
0.0× median
99204Normal range

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

$8K

1,551 claims · 0.1%

Your Cost: $5.46/claim|Median: $84.03
0.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$6K

656 claims · 0.1%

Your Cost: $9.53/claim|Median: $111.09
0.1× median
0051ATop 10%

$4K

67 claims · 0.0%

Your Cost: $67.00/claim|Median: $36.92
1.8× median
0124ATop 5%

$4K

62 claims · 0.0%

Your Cost: $66.48/claim|Median: $34.32
1.9× median
0134ATop 5%

$3K

38 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.54
2.0× median
99215Normal range

Office/outpatient visit, high complexity

$2K

1,727 claims · 0.0%

Your Cost: $0.87/claim|Median: $74.09
0.0× median
0052ATop 5%

$1K

16 claims · 0.0%

Your Cost: $67.00/claim|Median: $37.79
1.8× median
0121ATop 5%

$1K

16 claims · 0.0%

Your Cost: $67.00/claim|Median: $29.06
2.3× median
99212Normal range

Office/outpatient visit, low complexity

$917

3,092 claims · 0.0%

Your Cost: $0.30/claim|Median: $25.06
0.0× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$804

12 claims · 0.0%

Your Cost: $67.00/claim|Median: $25.93
2.6× median
99000Normal range

$714

666 claims · 0.0%

Your Cost: $1.07/claim|Median: $2.30
0.5× median
99490Top 25%

Chronic care management services, 20 minutes per month

$586

43 claims · 0.0%

Your Cost: $13.64/claim|Median: $6.31
2.2× median
G9919Top 25%

$435

17 claims · 0.0%

Your Cost: $25.59/claim|Median: $8.66
3.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$308

14 claims · 0.0%

Your Cost: $22.01/claim|Median: $9.56
2.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$274

299 claims · 0.0%

Your Cost: $0.92/claim|Median: $40.11
0.0× median
G0442Normal range

$193

354 claims · 0.0%

Your Cost: $0.55/claim|Median: $4.91
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$103

33 claims · 0.0%

Your Cost: $3.12/claim|Median: $72.71
0.0× median
2001FNormal range

$0

1,382 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
1159FNormal range

$0

761 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
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