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Provider 1457980526

NPI: 1457980526Share
Active Billing Period:2021-09→2024-12(40 months)

Total Paid

$9.7M

$9,697,590

Total Claims

108K

Beneficiaries

105K

1.0 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2021
$586K
+253%
2022
$2.1M
+88%
2023
$3.9M
-19%
2024
$3.2M

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 95% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$9.2M

36K claims · 95.3%

Your Cost: $259.80/claim|Median: $121.16
2.1× median
99213Normal range

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

$135K

12K claims · 1.4%

Your Cost: $11.52/claim|Median: $37.81
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$43K

1,629 claims · 0.4%

Your Cost: $26.56/claim|Median: $75.18
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$41K

1,570 claims · 0.4%

Your Cost: $26.18/claim|Median: $69.35
0.4× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$35K

11K claims · 0.4%

Your Cost: $3.24/claim|Median: $9.80
0.3× median
90472Normal range

Immunization administration, each additional vaccine

$29K

5,436 claims · 0.3%

Your Cost: $5.30/claim|Median: $11.79
0.4× median
99214Normal range

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

$26K

1,651 claims · 0.3%

Your Cost: $15.76/claim|Median: $53.41
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$24K

1,022 claims · 0.2%

Your Cost: $23.25/claim|Median: $74.82
0.3× median
99188Normal range

$21K

2,386 claims · 0.2%

Your Cost: $8.59/claim|Median: $12.80
0.7× median
0071ANormal range

$15K

385 claims · 0.2%

Your Cost: $39.90/claim|Median: $38.71
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$14K

1,348 claims · 0.1%

Your Cost: $10.69/claim|Median: $25.06
0.4× median
0072ANormal range

$14K

354 claims · 0.1%

Your Cost: $40.00/claim|Median: $39.57
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$10K

291 claims · 0.1%

Your Cost: $33.48/claim|Median: $80.15
0.4× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$8K

372 claims · 0.1%

Your Cost: $20.84/claim|Median: $12.70
1.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$6K

158 claims · 0.1%

Your Cost: $40.00/claim|Median: $36.70
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$6K

157 claims · 0.1%

Your Cost: $37.41/claim|Median: $41.28
0.9× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$5K

193 claims · 0.1%

Your Cost: $27.50/claim|Median: $24.33
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$4K

210 claims · 0.0%

Your Cost: $18.24/claim|Median: $99.21
0.2× median
90474Normal range

$3K

1,168 claims · 0.0%

Your Cost: $2.53/claim|Median: $8.42
0.3× median
0111ANormal range

$3K

73 claims · 0.0%

Your Cost: $40.00/claim|Median: $38.84
1.0× median
0154ANormal range

$2K

53 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.23
1.0× median
0112ANormal range

$2K

45 claims · 0.0%

Your Cost: $40.00/claim|Median: $40.00
1.0× median
0003ATop 25%

COVID-19 vaccine admin, Pfizer, 3rd dose

$2K

42 claims · 0.0%

Your Cost: $40.00/claim|Median: $36.49
1.1× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$2K

40 claims · 0.0%

Your Cost: $40.00/claim|Median: $33.72
1.2× median
90480Normal range

$1K

369 claims · 0.0%

Your Cost: $4.01/claim|Median: $25.29
0.2× median
99384Top 25%

Preventive visit, new patient, adolescent (12-17 yr)

$1K

12 claims · 0.0%

Your Cost: $107.28/claim|Median: $83.63
1.3× median
0164ANormal range

$1K

32 claims · 0.0%

Your Cost: $40.00/claim|Median: $40.00
1.0× median
0124ATop 25%

$1K

29 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.32
1.2× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$958

361 claims · 0.0%

Your Cost: $2.65/claim|Median: $73.46
0.0× median
90381Normal range

$463

25 claims · 0.0%

Your Cost: $18.54/claim|Median: $9.69
1.9× median
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