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Provider 1417378597

NPI: 1417378597Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,552,235

Total Claims

268K

Beneficiaries

178K

1.5 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-0%
2019
$1.1M
+103%
2020
$2.3M
+6%
2021
$2.4M
-47%
2022
$1.3M
+40%
2023
$1.8M
-7%
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 95% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$10.9M

65K claims · 94.7%

Your Cost: $168.18/claim|Median: $121.16
1.4× median
G9008Normal range

Coordination of long-term care services, per month

$326K

2,971 claims · 2.8%

Your Cost: $109.78/claim|Median: $66.78
1.6× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$37K

694 claims · 0.3%

Your Cost: $53.79/claim|Median: $33.72
1.6× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$33K

577 claims · 0.3%

Your Cost: $57.47/claim|Median: $36.70
1.6× median
0003ATop 5%

COVID-19 vaccine admin, Pfizer, 3rd dose

$26K

401 claims · 0.2%

Your Cost: $65.54/claim|Median: $36.49
1.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$26K

4,129 claims · 0.2%

Your Cost: $6.18/claim|Median: $39.70
0.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$24K

997 claims · 0.2%

Your Cost: $23.98/claim|Median: $25.93
0.9× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$18K

647 claims · 0.2%

Your Cost: $28.30/claim|Median: $33.85
0.8× median
0013ATop 10%

$18K

282 claims · 0.2%

Your Cost: $64.65/claim|Median: $35.38
1.8× median
99213Normal range

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

$17K

36K claims · 0.1%

Your Cost: $0.47/claim|Median: $37.81
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$13K

2,776 claims · 0.1%

Your Cost: $4.58/claim|Median: $40.11
0.1× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$10K

4,943 claims · 0.1%

Your Cost: $2.12/claim|Median: $27.38
0.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$8K

2,653 claims · 0.1%

Your Cost: $3.17/claim|Median: $137.85
0.0× median
99214Normal range

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

$7K

5,465 claims · 0.1%

Your Cost: $1.32/claim|Median: $53.41
0.0× median
0064ATop 10%

$6K

110 claims · 0.1%

Your Cost: $56.14/claim|Median: $34.17
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$6K

14K claims · 0.0%

Your Cost: $0.40/claim|Median: $25.06
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$4K

310 claims · 0.0%

Your Cost: $13.26/claim|Median: $21.91
0.6× median
90673Normal range

$4K

302 claims · 0.0%

Your Cost: $12.24/claim|Median: $32.84
0.4× median
99203Normal range

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

$4K

1,004 claims · 0.0%

Your Cost: $3.67/claim|Median: $57.85
0.1× median
11721Normal range

$3K

646 claims · 0.0%

Your Cost: $4.96/claim|Median: $8.56
0.6× median
99000Normal range

$2K

4,210 claims · 0.0%

Your Cost: $0.55/claim|Median: $2.30
0.2× median
90715Normal range

Tdap vaccine

$2K

227 claims · 0.0%

Your Cost: $8.84/claim|Median: $10.32
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$2K

2,717 claims · 0.0%

Your Cost: $0.68/claim|Median: $41.28
0.0× median
90750Normal range

$2K

67 claims · 0.0%

Your Cost: $26.07/claim|Median: $96.16
0.3× median
0054ANormal range

$1K

44 claims · 0.0%

Your Cost: $29.84/claim|Median: $35.83
0.8× median
Q2038Normal range

$1K

283 claims · 0.0%

Your Cost: $4.18/claim|Median: $3.31
1.3× median
0031ATop 10%

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

$1K

20 claims · 0.0%

Your Cost: $53.60/claim|Median: $32.49
1.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$914

410 claims · 0.0%

Your Cost: $2.23/claim|Median: $12.93
0.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$737

674 claims · 0.0%

Your Cost: $1.09/claim|Median: $76.06
0.0× median
45378Normal range

Colonoscopy, diagnostic

$588

387 claims · 0.0%

Your Cost: $1.52/claim|Median: $225.49
0.0× median
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