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Provider 1437122769

NPI: 1437122769Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$10,004,083

Total Claims

212K

Beneficiaries

193K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-14%
2019
$2.3M
-41%
2020
$1.3M
-20%
2021
$1.1M
-12%
2022
$934K
+17%
2023
$1.1M
-36%
2024
$696K

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 77% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.7M

45K claims · 77.1%

Your Cost: $171.11/claim|Median: $121.16
1.4× median
99213Normal range

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

$686K

52K claims · 6.9%

Your Cost: $13.17/claim|Median: $37.81
0.3× median
99214Normal range

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

$428K

19K claims · 4.3%

Your Cost: $22.34/claim|Median: $53.41
0.4× median
G0467Top 25%

Federally qualified health center visit, mental health

$368K

10K claims · 3.7%

Your Cost: $36.55/claim|Median: $21.91
1.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$196K

3,805 claims · 2.0%

Your Cost: $51.40/claim|Median: $63.08
0.8× median
99203Normal range

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

$111K

2,921 claims · 1.1%

Your Cost: $37.88/claim|Median: $57.85
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$55K

4,413 claims · 0.6%

Your Cost: $12.51/claim|Median: $9.56
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$48K

4,275 claims · 0.5%

Your Cost: $11.34/claim|Median: $25.06
0.5× median
0259Top 25%

$42K

4,377 claims · 0.4%

Your Cost: $9.63/claim|Median: $4.32
2.2× median
G0071Top 25%

$39K

1,752 claims · 0.4%

Your Cost: $21.98/claim|Median: $7.20
3.1× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$36K

327 claims · 0.4%

Your Cost: $109.69/claim|Median: $169.17
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$25K

859 claims · 0.3%

Your Cost: $29.43/claim|Median: $40.11
0.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$25K

532 claims · 0.3%

Your Cost: $47.35/claim|Median: $91.47
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$16K

1,368 claims · 0.2%

Your Cost: $11.49/claim|Median: $7.18
1.6× median
87804Normal range

Influenza virus detection, rapid test

$13K

2,370 claims · 0.1%

Your Cost: $5.38/claim|Median: $12.59
0.4× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$10K

1,188 claims · 0.1%

Your Cost: $8.23/claim|Median: $10.88
0.8× median
0250Normal range

$10K

1,250 claims · 0.1%

Your Cost: $7.74/claim|Median: $3.70
2.1× median
80053Normal range

Comprehensive metabolic panel

$9K

2,106 claims · 0.1%

Your Cost: $4.23/claim|Median: $7.24
0.6× median
99221Normal range

Initial hospital care, straightforward/low

$9K

574 claims · 0.1%

Your Cost: $15.45/claim|Median: $39.96
0.4× median
0636Normal range

$8K

951 claims · 0.1%

Your Cost: $8.84/claim|Median: $5.41
1.6× median
76641Normal range

Ultrasound imaging of one breast, complete

$8K

882 claims · 0.1%

Your Cost: $9.14/claim|Median: $49.03
0.2× median
87486Normal range

$8K

536 claims · 0.1%

Your Cost: $14.42/claim|Median: $19.16
0.8× median
87581Normal range

$8K

536 claims · 0.1%

Your Cost: $14.42/claim|Median: $17.13
0.8× median
82948Normal range

$7K

6,320 claims · 0.1%

Your Cost: $1.15/claim|Median: $1.78
0.6× median
87086Normal range

Urine culture, colony count, with identification

$7K

1,732 claims · 0.1%

Your Cost: $4.20/claim|Median: $5.31
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$7K

2,385 claims · 0.1%

Your Cost: $3.04/claim|Median: $4.71
0.6× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$7K

1,592 claims · 0.1%

Your Cost: $4.22/claim|Median: $0.91
4.6× median
99000Normal range

$6K

3,175 claims · 0.1%

Your Cost: $1.93/claim|Median: $2.30
0.8× median
0761Normal range

$6K

959 claims · 0.1%

Your Cost: $6.22/claim|Median: $24.10
0.3× median
81003Normal range

Urinalysis, automated without microscopy

$6K

4,814 claims · 0.1%

Your Cost: $1.15/claim|Median: $1.48
0.8× median
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