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Provider 1427043389

NPI: 1427043389Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,601,681

Total Claims

968K

Beneficiaries

807K

1.2 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$1K
+2194%
2019
$26K
+235%
2020
$87K
+1458%
2021
$1.3M
+13%
2022
$1.5M
+46%
2023
$2.2M
+7%
2024
$2.4M

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

$7.5M

36K claims · 98.8%

Your Cost: $206.78/claim|Median: $121.16
1.7× median
G9920Top 25%

$22K

840 claims · 0.3%

Your Cost: $25.65/claim|Median: $6.56
3.9× median
99214Normal range

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

$12K

28K claims · 0.2%

Your Cost: $0.43/claim|Median: $53.41
0.0× median
99213Normal range

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

$12K

59K claims · 0.2%

Your Cost: $0.20/claim|Median: $37.81
0.0× median
99203Normal range

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

$8K

7,337 claims · 0.1%

Your Cost: $1.09/claim|Median: $57.85
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$7K

379 claims · 0.1%

Your Cost: $19.22/claim|Median: $33.85
0.6× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$7K

356 claims · 0.1%

Your Cost: $18.54/claim|Median: $25.93
0.7× median
G0467Normal range

Federally qualified health center visit, mental health

$4K

435 claims · 0.1%

Your Cost: $9.77/claim|Median: $21.91
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$2K

27K claims · 0.0%

Your Cost: $0.09/claim|Median: $25.06
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$2K

2,849 claims · 0.0%

Your Cost: $0.70/claim|Median: $40.11
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

956 claims · 0.0%

Your Cost: $1.80/claim|Median: $9.56
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$1K

2,830 claims · 0.0%

Your Cost: $0.52/claim|Median: $74.09
0.0× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$1K

181 claims · 0.0%

Your Cost: $7.56/claim|Median: $87.82
0.1× median
99204Normal range

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

$1K

1,393 claims · 0.0%

Your Cost: $0.88/claim|Median: $84.03
0.0× median
0031ATop 10%

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

$1K

18 claims · 0.0%

Your Cost: $63.28/claim|Median: $32.49
1.9× median
Q0091Normal range

$598

531 claims · 0.0%

Your Cost: $1.13/claim|Median: $11.15
0.1× median
99000Normal range

$589

4,829 claims · 0.0%

Your Cost: $0.12/claim|Median: $2.30
0.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$565

295 claims · 0.0%

Your Cost: $1.91/claim|Median: $76.22
0.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$436

582 claims · 0.0%

Your Cost: $0.75/claim|Median: $9.70
0.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$409

181 claims · 0.0%

Your Cost: $2.26/claim|Median: $111.09
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$353

11K claims · 0.0%

Your Cost: $0.03/claim|Median: $1.57
0.0× median
G0444Normal range

Annual depression screening, fifteen minutes

$319

1,712 claims · 0.0%

Your Cost: $0.19/claim|Median: $4.23
0.0× median
81003Normal range

Urinalysis, automated without microscopy

$221

5,983 claims · 0.0%

Your Cost: $0.04/claim|Median: $1.48
0.0× median
G0442Normal range

$199

5,288 claims · 0.0%

Your Cost: $0.04/claim|Median: $4.91
0.0× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$183

920 claims · 0.0%

Your Cost: $0.20/claim|Median: $0.79
0.3× median
82962Normal range

Blood glucose test by monitoring device

$138

7,010 claims · 0.0%

Your Cost: $0.02/claim|Median: $1.40
0.0× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$136

73 claims · 0.0%

Your Cost: $1.86/claim|Median: $27.38
0.1× median
90661Normal range

$124

50 claims · 0.0%

Your Cost: $2.48/claim|Median: $14.37
0.2× median
94150Normal range

$110

399 claims · 0.0%

Your Cost: $0.28/claim|Median: $5.06
0.1× median
H0049Normal range

$81

1,241 claims · 0.0%

Your Cost: $0.07/claim|Median: $9.27
0.0× median
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