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Provider 1457411043

NPI: 1457411043Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.5M

$8,531,287

Total Claims

244K

Beneficiaries

207K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$786K
+66%
2019
$1.3M
-17%
2020
$1.1M
+32%
2021
$1.4M
+4%
2022
$1.5M
-3%
2023
$1.4M
-29%
2024
$1.0M

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 60% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$5.1M

65K claims · 59.9%

Your Cost: $79.13/claim|Median: $121.16
0.7× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$879K

598 claims · 10.3%

Your Cost: $1,470.71/claim|Median: $1,482.45
1.0× median
99213Normal range

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

$839K

58K claims · 9.8%

Your Cost: $14.37/claim|Median: $37.81
0.4× median
87811Normal range

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

$159K

5,833 claims · 1.9%

Your Cost: $27.19/claim|Median: $30.53
0.9× median
87804Normal range

Influenza virus detection, rapid test

$131K

9,361 claims · 1.5%

Your Cost: $13.98/claim|Median: $12.59
1.1× median
G9357Top 25%

$120K

1,160 claims · 1.4%

Your Cost: $103.17/claim|Median: $78.40
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$115K

9,388 claims · 1.3%

Your Cost: $12.21/claim|Median: $11.48
1.1× median
76815Normal range

Ultrasound, pregnant uterus, limited

$114K

2,570 claims · 1.3%

Your Cost: $44.49/claim|Median: $36.79
1.2× median
H1000Normal range

Prenatal care, at-risk assessment

$99K

1,553 claims · 1.2%

Your Cost: $63.86/claim|Median: $50.36
1.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$77K

1,138 claims · 0.9%

Your Cost: $67.38/claim|Median: $74.78
0.9× median
59409Normal range

Vaginal delivery only

$73K

179 claims · 0.9%

Your Cost: $407.60/claim|Median: $619.91
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$60K

5,298 claims · 0.7%

Your Cost: $11.39/claim|Median: $74.82
0.2× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$56K

1,434 claims · 0.7%

Your Cost: $39.27/claim|Median: $58.16
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$52K

5,245 claims · 0.6%

Your Cost: $9.82/claim|Median: $75.18
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$48K

4,949 claims · 0.6%

Your Cost: $9.72/claim|Median: $69.35
0.1× median
90700Normal range

$47K

5,041 claims · 0.5%

Your Cost: $9.25/claim|Median: $4.56
2.0× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$45K

803 claims · 0.5%

Your Cost: $55.88/claim|Median: $17.85
3.1× median
99214Normal range

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

$40K

1,222 claims · 0.5%

Your Cost: $32.94/claim|Median: $53.41
0.6× median
90648Normal range

$35K

3,886 claims · 0.4%

Your Cost: $9.05/claim|Median: $4.08
2.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$35K

4,040 claims · 0.4%

Your Cost: $8.57/claim|Median: $80.15
0.1× median
90713Normal range

Poliovirus vaccine (IPV)

$34K

3,839 claims · 0.4%

Your Cost: $8.94/claim|Median: $5.41
1.7× median
90688Normal range

$33K

3,373 claims · 0.4%

Your Cost: $9.89/claim|Median: $9.00
1.1× median
90670Normal range

$29K

3,059 claims · 0.3%

Your Cost: $9.60/claim|Median: $5.94
1.6× median
54150Top 25%

$28K

176 claims · 0.3%

Your Cost: $159.80/claim|Median: $84.60
1.9× median
76856Normal range

Ultrasound, pelvic, complete

$24K

443 claims · 0.3%

Your Cost: $54.61/claim|Median: $47.58
1.1× median
90680Normal range

$20K

2,459 claims · 0.2%

Your Cost: $8.33/claim|Median: $5.58
1.5× median
90633Normal range

$16K

1,955 claims · 0.2%

Your Cost: $8.14/claim|Median: $3.56
2.3× median
87510Top 25%

$14K

768 claims · 0.2%

Your Cost: $18.85/claim|Median: $13.48
1.4× median
87480Top 25%

$14K

768 claims · 0.2%

Your Cost: $18.84/claim|Median: $14.31
1.3× median
90744Normal range

$14K

1,645 claims · 0.2%

Your Cost: $8.27/claim|Median: $5.00
1.7× median
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