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Provider 1417939968

NPI: 1417939968Share
Active Billing Period:2018-01→2023-12(53 months)
Billing appears to have stoppedLast active: 2023-12

Total Paid

$12.6M

$12,638,514

Total Claims

157K

Beneficiaries

105K

1.5 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$4.5M
-51%
2019
$2.2M
+12%
2020
$2.5M
+19%
2021
$3.0M
-86%
2022
$411K
-85%
2023
$63K

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 58% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.3M

68K claims · 57.7%

Your Cost: $106.62/claim|Median: $121.16
0.9× median
00003Normal range

Anesthesia services

$5.0M

35K claims · 39.5%

Your Cost: $142.80/claim|Median: $223.77
0.6× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$91K

2,046 claims · 0.7%

Your Cost: $44.40/claim|Median: $33.72
1.3× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$82K

1,829 claims · 0.6%

Your Cost: $44.76/claim|Median: $36.70
1.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$47K

1,072 claims · 0.4%

Your Cost: $43.59/claim|Median: $33.85
1.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$34K

1,023 claims · 0.3%

Your Cost: $33.45/claim|Median: $25.93
1.3× median
G0467Top 25%

Federally qualified health center visit, mental health

$27K

731 claims · 0.2%

Your Cost: $37.46/claim|Median: $21.91
1.7× median
0004ATop 25%

$17K

365 claims · 0.1%

Your Cost: $46.07/claim|Median: $35.62
1.3× median
0064ATop 25%

$17K

360 claims · 0.1%

Your Cost: $45.96/claim|Median: $34.17
1.3× median
0071ATop 25%

$14K

297 claims · 0.1%

Your Cost: $47.56/claim|Median: $38.71
1.2× median
0013ATop 25%

$13K

302 claims · 0.1%

Your Cost: $43.47/claim|Median: $35.38
1.2× median
0072ATop 25%

$9K

195 claims · 0.1%

Your Cost: $47.41/claim|Median: $39.57
1.2× median
0031ATop 10%

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

$5K

102 claims · 0.0%

Your Cost: $47.07/claim|Median: $32.49
1.4× median
0003ATop 10%

COVID-19 vaccine admin, Pfizer, 3rd dose

$2K

47 claims · 0.0%

Your Cost: $44.47/claim|Median: $36.49
1.2× median
G9920Normal range

$406

118 claims · 0.0%

Your Cost: $3.44/claim|Median: $6.56
0.5× median
90710Normal range

MMRV vaccine

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.00
81003Normal range

Urinalysis, automated without microscopy

$0

1,152 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.48
90700Normal range

$0

57 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.56
A4550Normal range

$0

159 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.85
3725FNormal range

$0

283 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
90837Normal range

Psychotherapy, 60 minutes

$0

80 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66
90713Normal range

Poliovirus vaccine (IPV)

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.41
87880Normal range

Streptococcus, Group A, rapid antigen detection

$0

76 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48
81025Normal range

Urine pregnancy test

$0

108 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
99214Normal range

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

$0

2,347 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
Z1034Normal range

$0

1,060 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.74
Z6406Normal range

$0

359 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.45
1036FNormal range

$0

298 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
3008FNormal range

$0

411 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
99213Normal range

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

$0

18K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
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