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Provider 1417912999

NPI: 1417912999Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,278,075

Total Claims

452K

Beneficiaries

395K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+5%
2019
$2.8M
-23%
2020
$2.2M
-9%
2021
$2.0M
-15%
2022
$1.7M
+39%
2023
$2.3M
+16%
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 43% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.0M

40K claims · 42.9%

Your Cost: $172.65/claim|Median: $121.16
1.4× median
99213Normal range

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

$2.7M

102K claims · 16.3%

Your Cost: $25.99/claim|Median: $37.81
0.7× median
99214Normal range

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

$1.8M

44K claims · 10.9%

Your Cost: $40.30/claim|Median: $53.41
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$1.1M

24K claims · 6.5%

Your Cost: $43.96/claim|Median: $63.65
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$491K

9,629 claims · 3.0%

Your Cost: $50.95/claim|Median: $74.82
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$424K

7,971 claims · 2.6%

Your Cost: $53.14/claim|Median: $75.18
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$344K

6,555 claims · 2.1%

Your Cost: $52.41/claim|Median: $80.15
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$323K

6,817 claims · 2.0%

Your Cost: $47.42/claim|Median: $69.35
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$226K

3,001 claims · 1.4%

Your Cost: $75.21/claim|Median: $99.21
0.8× median
H1000Normal range

Prenatal care, at-risk assessment

$196K

3,971 claims · 1.2%

Your Cost: $49.40/claim|Median: $50.36
1.0× median
G0467Normal range

Federally qualified health center visit, mental health

$196K

8,611 claims · 1.2%

Your Cost: $22.74/claim|Median: $21.91
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$172K

4,982 claims · 1.1%

Your Cost: $34.60/claim|Median: $41.28
0.8× median
Q3014Normal range

Telehealth originating site facility fee

$148K

9,166 claims · 0.9%

Your Cost: $16.14/claim|Median: $15.37
1.1× median
T1016Normal range

Case management, each 15 min

$112K

16K claims · 0.7%

Your Cost: $7.20/claim|Median: $49.62
0.1× median
H1003Top 25%

$107K

4,149 claims · 0.7%

Your Cost: $25.67/claim|Median: $10.04
2.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$100K

1,530 claims · 0.6%

Your Cost: $65.22/claim|Median: $77.33
0.8× median
H1002Normal range

$98K

3,734 claims · 0.6%

Your Cost: $26.35/claim|Median: $23.28
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$95K

19K claims · 0.6%

Your Cost: $4.90/claim|Median: $7.18
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$66K

4,994 claims · 0.4%

Your Cost: $13.31/claim|Median: $25.06
0.5× median
99188Normal range

$60K

5,334 claims · 0.4%

Your Cost: $11.27/claim|Median: $12.80
0.9× median
G0470Normal range

Chronic care management services, FQHC/RHC

$59K

2,129 claims · 0.4%

Your Cost: $27.69/claim|Median: $45.95
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$58K

5,385 claims · 0.4%

Your Cost: $10.75/claim|Median: $12.93
0.8× median
83655Normal range

$48K

4,145 claims · 0.3%

Your Cost: $11.59/claim|Median: $10.49
1.1× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$40K

2,809 claims · 0.2%

Your Cost: $14.35/claim|Median: $11.48
1.2× median
96110Top 25%

Developmental screening, per standardized instrument

$39K

2,116 claims · 0.2%

Your Cost: $18.40/claim|Median: $9.10
2.0× median
D1206Normal range

Topical application of fluoride varnish

$36K

3,652 claims · 0.2%

Your Cost: $9.88/claim|Median: $18.12
0.5× median
D0191Normal range

$31K

3,821 claims · 0.2%

Your Cost: $8.15/claim|Median: $11.16
0.7× median
90648Normal range

$25K

5,334 claims · 0.2%

Your Cost: $4.63/claim|Median: $4.08
1.1× median
H1004Normal range

$24K

818 claims · 0.1%

Your Cost: $29.82/claim|Median: $32.05
0.9× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$23K

676 claims · 0.1%

Your Cost: $33.48/claim|Median: $30.53
1.1× median
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