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Provider 1396852455

NPI: 1396852455Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,355,385

Total Claims

106K

Beneficiaries

80K

1.3 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-20%
2019
$1.7M
-30%
2020
$1.2M
+28%
2021
$1.5M
+9%
2022
$1.6M
+9%
2023
$1.8M
-13%
2024
$1.5M

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 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$11.3M

56K claims · 99.3%

Your Cost: $200.17/claim|Median: $121.16
1.7× median
99213Normal range

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

$48K

3,073 claims · 0.4%

Your Cost: $15.76/claim|Median: $37.81
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$11K

2,232 claims · 0.1%

Your Cost: $5.15/claim|Median: $41.28
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$11K

1,272 claims · 0.1%

Your Cost: $8.55/claim|Median: $25.06
0.3× median
G9920Normal range

$3K

454 claims · 0.0%

Your Cost: $7.36/claim|Median: $6.56
1.1× median
H1001Normal range

$1K

17 claims · 0.0%

Your Cost: $59.88/claim|Median: $60.48
1.0× median
99214Normal range

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

$664

140 claims · 0.0%

Your Cost: $4.74/claim|Median: $53.41
0.1× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$510

17 claims · 0.0%

Your Cost: $29.99/claim|Median: $96.39
0.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$313

343 claims · 0.0%

Your Cost: $0.91/claim|Median: $36.79
0.0× median
S9445Normal range

$300

24 claims · 0.0%

Your Cost: $12.49/claim|Median: $12.72
1.0× median
90715Normal range

Tdap vaccine

$110

160 claims · 0.0%

Your Cost: $0.69/claim|Median: $10.32
0.1× median
G0442Normal range

$50

215 claims · 0.0%

Your Cost: $0.23/claim|Median: $4.91
0.0× median
81025Normal range

Urine pregnancy test

$39

40 claims · 0.0%

Your Cost: $0.98/claim|Median: $4.81
0.2× median
59025Normal range

Fetal non-stress test

$23

726 claims · 0.0%

Your Cost: $0.03/claim|Median: $26.45
0.0× median
85018Normal range

$20

337 claims · 0.0%

Your Cost: $0.06/claim|Median: $1.71
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$15

143 claims · 0.0%

Your Cost: $0.10/claim|Median: $7.18
0.0× median
90471Normal range

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

$13

283 claims · 0.0%

Your Cost: $0.05/claim|Median: $9.80
0.0× median
99000Normal range

$7

336 claims · 0.0%

Your Cost: $0.02/claim|Median: $2.30
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$4

88 claims · 0.0%

Your Cost: $0.05/claim|Median: $2.00
0.0× median
1160FNormal range

$0

914 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
Z6304Normal range

$0

130 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.43
3075FNormal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
3078FNormal range

$0

6,409 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
1126FNormal range

$0

1,019 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
3074FNormal range

$0

7,526 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.78
Z6400Normal range

$0

2,181 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.65
36415Normal range

Collection of venous blood by venipuncture

$0

141 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
90656Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
3079FNormal range

$0

1,358 claims · 0.0%

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