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Provider 1457724924

NPI: 1457724924Share
Active Billing Period:2018-01→2024-12(74 months)

Total Paid

$10.2M

$10,242,232

Total Claims

362K

Beneficiaries

285K

1.3 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$486K
-33%
2019
$324K
-79%
2020
$69K
+1856%
2021
$1.4M
-10%
2022
$1.2M
+100%
2023
$2.4M
+78%
2024
$4.3M

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 82% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.4M

55K claims · 82.0%

Your Cost: $151.37/claim|Median: $121.16
1.2× median
00003Normal range

Anesthesia services

$1.5M

7,619 claims · 14.6%

Your Cost: $196.14/claim|Median: $223.77
0.9× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$59K

1,320 claims · 0.6%

Your Cost: $44.84/claim|Median: $33.72
1.3× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$57K

1,262 claims · 0.6%

Your Cost: $44.84/claim|Median: $36.70
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$30K

3,115 claims · 0.3%

Your Cost: $9.73/claim|Median: $63.65
0.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$30K

672 claims · 0.3%

Your Cost: $44.32/claim|Median: $33.85
1.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$23K

675 claims · 0.2%

Your Cost: $34.42/claim|Median: $25.93
1.3× median
0031ATop 10%

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

$18K

380 claims · 0.2%

Your Cost: $47.48/claim|Median: $32.49
1.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$18K

14K claims · 0.2%

Your Cost: $1.24/claim|Median: $47.08
0.0× median
V2020Normal range

Frames, purchases

$14K

21K claims · 0.1%

Your Cost: $0.66/claim|Median: $19.33
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$12K

2,216 claims · 0.1%

Your Cost: $5.39/claim|Median: $41.28
0.1× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$11K

7,843 claims · 0.1%

Your Cost: $1.44/claim|Median: $59.72
0.0× median
0004ATop 25%

$10K

231 claims · 0.1%

Your Cost: $45.35/claim|Median: $35.62
1.3× median
99213Normal range

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

$10K

23K claims · 0.1%

Your Cost: $0.45/claim|Median: $37.81
0.0× median
92340Normal range

Fitting of spectacles, except for aphakia

$10K

16K claims · 0.1%

Your Cost: $0.64/claim|Median: $19.46
0.0× median
0064ATop 25%

$7K

151 claims · 0.1%

Your Cost: $44.78/claim|Median: $34.17
1.3× median
0071ATop 25%

$6K

131 claims · 0.1%

Your Cost: $45.69/claim|Median: $38.71
1.2× median
92015Normal range

Determination of refractive state

$6K

23K claims · 0.1%

Your Cost: $0.25/claim|Median: $10.36
0.0× median
92341Normal range

$5K

4,016 claims · 0.1%

Your Cost: $1.35/claim|Median: $22.77
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$5K

304 claims · 0.0%

Your Cost: $15.59/claim|Median: $99.21
0.2× median
0013ATop 25%

$5K

105 claims · 0.0%

Your Cost: $44.29/claim|Median: $35.38
1.3× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$4K

1,660 claims · 0.0%

Your Cost: $2.45/claim|Median: $20.83
0.1× median
G9920Normal range

$4K

1,065 claims · 0.0%

Your Cost: $3.59/claim|Median: $6.56
0.5× median
0072ATop 25%

$3K

67 claims · 0.0%

Your Cost: $47.66/claim|Median: $39.57
1.2× median
G0467Normal range

Federally qualified health center visit, mental health

$2K

662 claims · 0.0%

Your Cost: $3.49/claim|Median: $21.91
0.2× median
0034ATop 25%

$1K

26 claims · 0.0%

Your Cost: $44.23/claim|Median: $35.00
1.3× median
0124ATop 5%

$898

14 claims · 0.0%

Your Cost: $64.14/claim|Median: $34.32
1.9× median
99203Normal range

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

$676

1,966 claims · 0.0%

Your Cost: $0.34/claim|Median: $57.85
0.0× median
99214Normal range

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

$563

10K claims · 0.0%

Your Cost: $0.06/claim|Median: $53.41
0.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$214

112 claims · 0.0%

Your Cost: $1.91/claim|Median: $11.48
0.2× median
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