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Provider 1437245412

NPI: 1437245412Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,111,939

Total Claims

130K

Beneficiaries

116K

1.1 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$526K
-16%
2019
$444K
+330%
2020
$1.9M
+8%
2021
$2.1M
-12%
2022
$1.8M
+39%
2023
$2.5M
-26%
2024
$1.9M

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 98% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$10.9M

60K claims · 98.3%

Your Cost: $182.29/claim|Median: $121.16
1.5× median
99213Normal range

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

$80K

21K claims · 0.7%

Your Cost: $3.85/claim|Median: $37.81
0.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$23K

1,539 claims · 0.2%

Your Cost: $14.80/claim|Median: $47.08
0.3× median
98940Normal range

$11K

3,552 claims · 0.1%

Your Cost: $3.22/claim|Median: $14.55
0.2× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$9K

3,010 claims · 0.1%

Your Cost: $2.91/claim|Median: $20.83
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$8K

511 claims · 0.1%

Your Cost: $14.95/claim|Median: $108.91
0.1× median
G9920Normal range

$7K

1,560 claims · 0.1%

Your Cost: $4.46/claim|Median: $6.56
0.7× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$7K

102 claims · 0.1%

Your Cost: $67.00/claim|Median: $33.72
2.0× median
99203Normal range

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

$5K

294 claims · 0.0%

Your Cost: $17.33/claim|Median: $57.85
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$4K

6,438 claims · 0.0%

Your Cost: $0.70/claim|Median: $25.06
0.0× median
99214Normal range

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

$4K

6,843 claims · 0.0%

Your Cost: $0.61/claim|Median: $53.41
0.0× median
J3490Top 25%

Unclassified drugs

$4K

85 claims · 0.0%

Your Cost: $47.15/claim|Median: $5.70
8.3× median
G0467Normal range

Federally qualified health center visit, mental health

$3K

107 claims · 0.0%

Your Cost: $32.61/claim|Median: $21.91
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$3K

496 claims · 0.0%

Your Cost: $6.80/claim|Median: $63.65
0.1× median
99401Normal range

$3K

171 claims · 0.0%

Your Cost: $19.07/claim|Median: $16.53
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

279 claims · 0.0%

Your Cost: $9.76/claim|Median: $99.21
0.1× median
86703Normal range

$2K

680 claims · 0.0%

Your Cost: $3.18/claim|Median: $10.37
0.3× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$1K

21 claims · 0.0%

Your Cost: $67.00/claim|Median: $36.70
1.8× median
81025Normal range

Urine pregnancy test

$1K

627 claims · 0.0%

Your Cost: $2.10/claim|Median: $4.81
0.4× median
0031ATop 5%

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

$871

13 claims · 0.0%

Your Cost: $67.00/claim|Median: $32.49
2.1× median
0124ATop 5%

$871

13 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.32
2.0× median
90832Normal range

Psychotherapy, 30 minutes

$655

464 claims · 0.0%

Your Cost: $1.41/claim|Median: $41.28
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$405

55 claims · 0.0%

Your Cost: $7.37/claim|Median: $40.11
0.2× median
S9445Normal range

$394

31 claims · 0.0%

Your Cost: $12.72/claim|Median: $12.72
1.0× median
A4267Normal range

$305

33 claims · 0.0%

Your Cost: $9.25/claim|Median: $7.86
1.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$31

735 claims · 0.0%

Your Cost: $0.04/claim|Median: $2.00
0.0× median
Z6406Normal range

$0

274 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.45
1158FNormal range

$0

89 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.13
3074FNormal range

$0

301 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
82947Normal range

Blood glucose level test

$0

524 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.38
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